• DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    ** DRG CODING AUDITOR ** **_Virtual_**...medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical ... DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient… more
    Elevance Health (07/22/25)
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  • Senior Inpatient Medical Coding…

    Humana (Austin, TX)
    …of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. ... caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records… more
    Humana (06/26/25)
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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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  • 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 ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (05/09/25)
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  • Remote Inpatient Denials Auditor

    Amergis (San Antonio, TX)
    Salary: $40 / Hour Inpatient Denials Auditor must have experience with the following: - RAC / RAM Denials - Claim Adjustment Denials - PSI / HAC Reviews - Stroke ... Accounts - Creating Appeal Letters - Focused DRG Reviews for missed CC or MCC Comfortable with... Reviews for missed CC or MCC Comfortable with Re- Coding accounts and providing feedback to original coders EPIC… more
    Amergis (07/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...Experience with third party DRG Coding and/or Clinical Validation Audits or… more
    Elevance Health (07/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …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 (06/21/25)
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