• Inpatient DRG Quality Auditor

    Humana (Baton Rouge, LA)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient...a full-time, remote/work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality… more
    Humana (05/03/25)
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  • Coding Auditor Educator

    Highmark Health (Baton Rouge, LA)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (02/07/25)
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  • Coding Quality Auditor

    Houston Methodist (LA)
    …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (04/12/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Baton Rouge, LA)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG… more
    Baylor Scott & White Health (05/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Metairie, LA)
    … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (04/29/25)
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