• DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …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 (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …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 (05/09/25)
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  • Senior Inpatient Medical Coding…

    Humana (Richmond, VA)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
    Humana (06/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (07/17/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …MS Office and other health record management systems. + Knowledge of quality management methodologies, medical record documentation, compliance requirements and ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance...regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,… more
    Childrens Hospital of The King's Daughters (04/25/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Falls Church, VA)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
    HCA Healthcare (06/21/25)
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