• Inpatient Medical Coding Auditor

    Humana (Sacramento, CA)
    …variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, ... and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a...reading and interpreting claims * Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital… more
    Humana (09/24/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Sacramento, CA)
    …Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
    Highmark Health (09/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …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 (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/30/25)
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