• DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    …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 (Houston, TX)
    …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 (Austin, TX)
    …(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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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Austin, TX)
    …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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  • Sr Compliance RCM & Coding Auditor

    Humana (Austin, TX)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
    Humana (07/29/25)
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  • Home Health Billing Compliance Auditor

    Elara Caring (Dallas, TX)
    …5 years of experience as a Registered Nurse in Home Health and/or Hospice with coding experience is preferred + Certified Homecare Coding Specialist (HCS-D) ... the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice,… more
    Elara Caring (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Austin, TX)
    …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 Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …or Project Management or a related field from an accredited university. Licenses/Certifications Preferred: Certified Professional Medical Auditor ( CPMA ), ... of Duties + Performs monitoring and compliance reviews of medical billing and coding compliance activities, associated...Certified Professional Coder ( CPC ) or Certified Billing and Coding Specialist ( CBCS… more
    University of Texas Rio Grande Valley (07/11/25)
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  • Coding Educator FT-Katy CC

    Houston Methodist (Houston, TX)
    … Professional Coder Instructor (AAPC) -- (CBO Coders only) **OR** + CPMA - Certified Professional Medical Auditor (AAPC) -- (CBO Coders only) **KNOWLEDGE, ... assignment systems + Official coding guidelines and coding compliance + Working knowledge of medical ...and coding compliance + Working knowledge of medical terminology, anatomy and physiology, disease processes and pharmacology… more
    Houston Methodist (07/23/25)
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  • PRN - Medical Coder/Records Clerk

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA) + Experience: ... service standards. Requirements + Education: Certificate or associate's degree in medical coding /CPC. These additional certifications are not required but… more
    Dallas Behavioral Healthcare Hospital (08/08/25)
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