• Profee Coding Auditor

    HCA Healthcare (Brentwood, TN)
    …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... vary by location._** We are seeking a Profee Coding Auditor for our team to ensure that we continue...health information management, customer service, payroll and physician billing . We also provide full-service revenue cycle management as… more
    HCA Healthcare (07/09/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Providence, RI)
    …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
    Humana (07/29/25)
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  • Provider Services Auditor Educator

    St. Luke's University Health Network (Allentown, PA)
    …educator) to assigned St. Luke's Providers, Leadership, and Support Staff, Coders, and Billing Staff around professional coding and compliance . The Coding and ... ability to pay for health care. The Provider Services Auditor & Educator is a certified medical coder who...effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and… more
    St. Luke's University Health Network (07/31/25)
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  • Sr Professional Facility Auditor

    Nuvance Health (Pembroke Pines, FL)
    …PA, SC, TN, TX, and VA. *Job Title: Senior Professional Facility Auditor * *Company: Nuvance Health* *Department: Facility Charging and Coding* *Location: Remote* ... Role* Nuvance Health is seeking a detail-oriented and experienced *Senior Professional Facility Auditor * to join our Facility Charging and Coding team. In this role,… more
    Nuvance Health (07/18/25)
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  • Coding and Compliance Internal…

    Atlantic Health System (Morristown, NJ)
    …providers, and billing department + Provides clarification on coding and compliance policies Required: * CPC Certification * Minimum 6 months experience in ... for assisting with coding inquiries from providers, charge posters, billing staff, etc. Principal Accountabilities: Coordinates, schedules, performs the professional… more
    Atlantic Health System (07/02/25)
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  • Health Information Educator Auditor…

    Catholic Health (Kenmore, NY)
    …8-4pm Summary: The Catholic Health (CH) Health Information Management (HIM) Educator/ Auditor is responsible for providing Provider Coding education, including but ... with physicians and mid-level providers, Physician Enterprise leadership, provider billing leadership and others to ensure that CHS/Trinity-employed providers… more
    Catholic Health (07/12/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
    Elevance Health (08/01/25)
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  • Pharmacist - Claims Auditor /Reviewer…

    Conduent (Alexandria, VA)
    …clinical knowledge and regulatory expertise to assess pharmacy documentation, uncover billing discrepancies, and support compliance efforts. This unique role ... individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a licensed… more
    Conduent (06/21/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... charge processes. + Serves as a resource to hospital departments regarding compliance with billing regulations and trends in denials of services due to medical… more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
    Highmark Health (07/16/25)
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