• DRG Coding Auditor Principal

    Elevance Health (Costa Mesa, CA)
    …eliminate and prevent unnecessary medical-expense spending. The ** DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on ... ** DRG Coding Auditor Principal** **_Virtual: _**...and generate audit findings letters. + Validates accuracy and quality standards as set by audit management for the… more
    Elevance Health (12/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (12/11/25)
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  • Inpatient Auditor Specialist PRN-…

    Datavant (Sacramento, CA)
    …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... needs related to coding quality , compliance assessments, external payer reviews, coding education, and...your own workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,… more
    Datavant (11/01/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… more
    Sharp HealthCare (10/08/25)
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  • Nurse Auditor 2

    Humana (Sacramento, CA)
    …neonatal). For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to ... Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI… more
    Humana (12/11/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Sacramento, CA)
    …schedule, allowing you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 ... functions and decision-making. + Demonstrate strong organizational, teamwork, and leadership skills. Inpatient auditor with 3-5 years of experience at a Trauma… more
    Datavant (10/09/25)
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