• DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a… more
    Elevance Health (07/22/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …Administrator (AHIMA) -- For inpatient/outpatient coding **OR** + CCS - Certified Coding Specialist (AHIMA) -- For inpatient/outpatient coding **OR** ... FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for...Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional… more
    Houston Methodist (07/12/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with ... (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials… more
    Highmark Health (08/08/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... letters and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification. + RHIA/RHIT preferred. +… more
    Emory Healthcare/Emory University (06/06/25)
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  • Auditor , HCC Risk Adjustment Coding

    Datavant (Atlanta, GA)
    …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …for CPC. + CPC ( Certified Professional Coder) or CCS-P ( Certified Coding Specialist-Physician) required. **Preferred Qualifications** + Computer proficiency ... Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Completion… more
    CVS Health (08/09/25)
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  • Provider Auditor (RN/LPN Medical

    Elevance Health (Atlanta, GA)
    …and experience, which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Provider Auditor ** conducts on-site...Experiences:** + Medical coding certification is highly preferred. +… more
    Elevance Health (08/01/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (08/09/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Atlanta, GA)
    …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …of five years of experience working as a medical coder, coding , auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) ... stakeholders to ensure accurate and compliant reporting of industry standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC, etc.). +… more
    Emory Healthcare/Emory University (07/19/25)
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