• Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …(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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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG more
    Community Health Systems (09/09/25)
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  • Inpatient Medical Coding

    Humana (Nashville, TN)
    …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 (Nashville, TN)
    …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 (Chattanooga, TN)
    …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 (Nashville, TN)
    **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 Quality Auditor

    Houston Methodist (TN)
    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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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …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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  • Vendor Resource Management Team Lead

    HCA Healthcare (Nashville, TN)
    …a fully work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports ... inpatient and/or outpatient records as needed (including concurrent coding ); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level… more
    HCA Healthcare (09/27/25)
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