• Inpatient DRG Quality

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

    Elevance Health (Tampa, FL)
    …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (07/22/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Stroke Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the ... is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works...Reviews and addresses all third party/Regulatory Agencies requests for DRG changes or quality studies. . Reviews… more
    AdventHealth (05/09/25)
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  • Senior Inpatient Medical Coding…

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (… more
    Humana (08/02/25)
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  • Coding Auditor - Inpatient

    AdventHealth (Maitland, FL)
    …year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the ... coding performed by inpatient or outpatient coders. Random and/or target samples are...**The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,… more
    AdventHealth (07/24/25)
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  • Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …**The role you will contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the inpatient or ... Five years of inpatient or outpatient coding experience or Coding Quality Auditor experience. Completion of a coding certificate program or associate… more
    AdventHealth (07/01/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …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 diagnosis ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
    Houston Methodist (07/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (08/01/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (05/09/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Jacksonville, FL)
    …fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** ... **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (06/21/25)
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