• DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (07/22/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
    UPMC (07/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …systems/tools to accurately document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as necessary ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
    Elevance Health (08/01/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare ? **UPMC ... Corporate Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is crucial in maintaining the integrity… more
    UPMC (07/24/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Miami, FL)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (08/01/25)
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  • Provider Auditor

    Elevance Health (Indianapolis, IN)
    **Provider Auditor ** **Location** : Indianapolis, IN **Field:** This field-based role enables associates to primarily operate in the field, traveling to client sites ... unless an accommodation is granted as required by law._ The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized bills and… more
    Elevance Health (07/23/25)
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  • Coding Off Auditor -Edu

    Covenant Health Inc. (Knoxville, TN)
    Overview Inpatient Coding Auditor and Educator, Centralized Coding Full-Time, 80 Hours per pay period, Day Shift Covenant Health Overview: Covenant Health is East ... Tennessee's top-performing healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85...+ Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure… more
    Covenant Health Inc. (07/25/25)
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  • Auditor

    Amentum (Albany, NY)
    …research on individuals, business entities, and assets. + Analyze large and complex healthcare claims datasets to identify fraud, waste, and abuse patterns. + ... trends and patterns. + Extract and manipulate federal health claims data using CMS tools such as OnePI, STARS,...briefings and written reports to AUSAs on findings from healthcare data analytics. + Support development of internal best… more
    Amentum (07/08/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …Depending on location provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and… more
    Highmark Health (07/16/25)
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