• DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …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 (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …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 (07/12/25)
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  • Senior Inpatient Medical Coding

    Humana (Austin, TX)
    …in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...Point of contact for coders/auditors + Assist coders with coding or technical issues + Team Engagement + Assist… more
    Humana (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    … 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** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (08/09/25)
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  • Coding Educator FT-Katy CC

    Houston Methodist (Houston, TX)
    …(for inpatient/outpatient coding ) coding classification systems + For inpatient/outpatient coding : MS- DRG , APR DRG and APC assignment systems + ... At Houston Methodist, the Coding Educator position is responsible for developing ...Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, SKILLS, AND… more
    Houston Methodist (07/23/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …Knowledge of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding . Knowledge of medical, billing and coding terminology ... Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the… more
    University of Texas Rio Grande Valley (07/11/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits**… more
    HCA Healthcare (06/21/25)
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