• Inpatient Medical Coding…

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (09/24/25)
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  • Billing Coding Auditor

    Rush University Medical Center (Chicago, IL)
    …Offers may vary depending on the circumstances of each case. **Summary:** The Billing Coding Auditor uses advanced knowledge of billing, coding , auditing, ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary… more
    Rush University Medical Center (10/02/25)
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  • Analyst, Coding Data Quality…

    CVS Health (IL)
    …Risk Adjustment Coder) required **Preferred Qualifications** + CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or ... each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records...Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or… more
    CVS Health (10/02/25)
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  • Medical Coding Auditor

    CenterWell (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The ** Medical Coding Auditor ** work assignments...for information + Supports and participates in process and quality improvement initiatives + Partners with business associates from… more
    CenterWell (10/01/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
    Elevance Health (10/03/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Springfield, IL)
    …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
    Highmark Health (09/20/25)
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  • Coding Data Quality Auditor

    CVS Health (Springfield, IL)
    …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (09/27/25)
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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Springfield, IL)
    …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...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
    Datavant (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (09/30/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Springfield, IL)
    …severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for ... **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the...and risk of mortality, identifies opportunities for improving the quality of medical record documentation, and confers… more
    Intermountain Health (10/01/25)
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