• DRG Coding Auditor

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

    Highmark Health (Richmond, VA)
    …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 (05/09/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... and charge processes. + Serves as a resource to hospital departments regarding compliance with billing regulations and trends...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    …Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
    Humana (07/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    …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...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (08/01/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Falls Church, VA)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up… more
    HCA Healthcare (06/21/25)
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