• Compliance Auditor (Clinical)

    St Croix Hospice (Mendota Heights, MN)
    …in Healthcare Compliance (CHC) + Certified Internal Auditor (CIA) + Certified Billing and Coding Specialist (CBCS) + Certified Professional Coder (CPC) + ... of caregivers, then come work where you matter. Compliance Auditor (Clinical) Position Overview The Compliance Auditor ...departments such as Legal, Human Resources, Finance, IT, Quality, Billing and Coding to enhance internal controls… more
    St Croix Hospice (12/30/25)
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  • Outpatient Surgical and Claims Edit Auditor

    Cedars-Sinai (Los Angeles, CA)
    …us one of America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A ... post coding audit changes and assists with coding corrections needed from billing department. +...13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business… more
    Cedars-Sinai (11/25/25)
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  • Clinical Auditor /Analyst Intermediate…

    UPMC (Pittsburgh, PA)
    UPMC Health Plan has an exciting opportunity for a Clinical Auditor /Analyst Intermediate! The Clinical Auditor /Analyst Intermediate is an integral part of the ... the analysis of care and services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization. This role also acts… more
    UPMC (01/06/26)
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  • Sr. Compliance Coordinator- Billing

    BJC HealthCare (St. Louis, MO)
    …scheduled reviews of BJCMG specialty providers' documentation involved with professional fee billing for accuracy of coding and physical presence; reviews ... mentor to fellow coordinators related to the audit process, coding , billing and compliance; identifies and notifies...and/or concerns as a result of serving as lead auditor . + Support the HIPAA liaison by tracking and… more
    BJC HealthCare (11/07/25)
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  • Revenue Integrity Charge Auditor (Remote)

    Stanford Health Care (Palo Alto, CA)
    …requirements and guidelines related to professional or facility and documentation, charging, coding and billing , including federal and state regulations and ... is a Stanford Health Care job.** **A Brief Overview** The Charge Auditor performs auditing activities, including complex cases that require extensive research,… more
    Stanford Health Care (12/10/25)
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  • DRG Validation Auditor

    HCA Healthcare (Nashville, TN)
    …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits** Parallon offers a total...vary by location._** Come join our team as a Coding Quality Audit Reviewer. We care for our community!… more
    HCA Healthcare (11/23/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding more
    Elevance Health (01/07/26)
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  • Revenue Auditor (Heart Institute)

    Cedars-Sinai (Los Angeles, CA)
    …and therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance, and Revenue Integrity. + Review and ... the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional… more
    Cedars-Sinai (12/27/25)
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  • Revenue Compliance Auditor

    Hartford HealthCare (Hartford, CT)
    …of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Revenue Compliance ... Auditor performs independent reviews to assess compliance with federal,...as intended. . Stays up to date on documentation, coding and billing regulations and requirements via… more
    Hartford HealthCare (10/28/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and...auditing software program. + Is a resource to the coding department, SLPG practices, providers, and billing more
    St. Luke's University Health Network (01/06/26)
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