• Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
    HCA Healthcare (04/17/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Richmond, VA)
    …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (05/07/25)
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  • DRG Coding Auditor

    Elevance Health (Norfolk, VA)
    …work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... **DRG CODING AUDITOR ** **Location** : _This position...quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement… more
    Elevance Health (05/08/25)
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  • Coding Educator/ Auditor

    Insight Global (Charlottesville, VA)
    … coding presentations for physicians -Experience with Auditing -Experience with academic medical center coding -Neurosurgery exp null We are a company ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
    Insight Global (03/07/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    … Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical...of DRG Coding + 5 years of Quality Auditing + Medical coding … more
    Humana (05/03/25)
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  • Nurse Auditor /Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient ... medical record and other applicable hospital documentation, assigning modifiers...staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly with revenue producing… more
    Chesapeake Regional Healthcare (04/05/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (04/29/25)
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  • Principal Auditor - Cyber, Risk & Analysis…

    Capital One (Mclean, VA)
    Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering top- ... quality assurance services to the organization's Audit Committee. Audit...information, issues and audit progress to teammates, clients and auditor -in-charge. -Perform various aspects of engagement administration, including hours… more
    Capital One (04/18/25)
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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 (Richmond, VA)
    …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from...+ Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… more
    HCA Healthcare (04/23/25)
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