• Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG ...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
    Elevance Health (09/23/25)
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  • Inpatient Medical Coding…

    Humana (Tallahassee, FL)
    …of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Experience reading and… more
    Humana (09/24/25)
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  • Coding Auditor Educator-…

    Highmark Health (Tallahassee, FL)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA)...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (09/20/25)
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  • Inpatient Coding Quality…

    HCA Healthcare (Orange Park, FL)
    …We want you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal ... is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon....a fully work from home position.** **This position requires Inpatient Coding and DRG Validation… more
    HCA Healthcare (09/27/25)
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  • Inpatient Medical Coding…

    Cognizant (Tallahassee, FL)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient . You will be a valued member of the ... teams. **In this role, you will:** + Review ICD-10 inpatient patient records for accuracy and compliance + Review...and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of… more
    Cognizant (09/23/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    … Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders. Random and/or target samples ... + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. +… more
    AdventHealth (09/11/25)
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  • Divisional Coding Quality Auditor…

    AdventHealth (Altamonte Springs, FL)
    …: Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the ... + Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...**Preferred Qualifications:** 5 of inpatient or outpatient coding or Coding Quality Auditor … more
    AdventHealth (09/17/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (09/30/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Orlando, FL)
    …all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG , APC, RBRVS, FFS applicable for HD Inpatient , Outpatient and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
    Molina Healthcare (09/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Orange Park, FL)
    …a part of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality ... is fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits**… more
    HCA Healthcare (09/27/25)
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