• Medical Coding Auditor

    CenterWell (Olympia, WA)
    …a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The **Medical Coding Auditor ** work assignments are varied and...AHIMA from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding more
    CenterWell (10/01/25)
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  • Coding Quality Auditor

    Houston Methodist (WA)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... inpatient/outpatient coding **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified… more
    Houston Methodist (09/30/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Olympia, WA)
    Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
    Highmark Health (09/20/25)
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  • Auditor , HCC Risk Adjustment Coding

    Datavant (Olympia, WA)
    …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
    Datavant (08/08/25)
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  • Coding Data Quality Auditor

    CVS Health (Olympia, WA)
    …1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC (Certified Professional Coder) or CCS-P ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
    CVS Health (09/27/25)
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  • Payment Integrity Auditor II

    Premera Blue Cross (Mountlake Terrace, WA)
    …Mountlake Terrace, Washington.** **What you'll do:** + Perform intermediate-level audits of professional and facility claims including more complex coding and ... combination of education and experience. + (3) years of related medical coding /auditing experience. + Certified Professional Coder Designation (CPC, CSS, CPMA)… more
    Premera Blue Cross (09/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/30/25)
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  • Payment Integrity Auditor I

    Premera Blue Cross (Mountlake Terrace, WA)
    …in Mountlake Terrace, Washington.** **What you'll do:** + Conduct entry-level audits of professional and facility claims to ensure coding accuracy and compliance ... combination of education and experience. + (1) year of related medical coding or auditing experience. + Certified Professional Coder Designation (CPC-A,… more
    Premera Blue Cross (09/24/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Bellevue, WA)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
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  • Investigator External Audit Special Investigations…

    Providence (WA)
    …investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments related to fraudulent ... and/or abusive billing and coding practices; and providing education related to coding...Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + Clinical… more
    Providence (09/27/25)
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