• DRG Coding Auditor Principal

    Elevance Health (Chicago, IL)
    …Information Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). ... or quality assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, payer… more
    Elevance Health (12/24/25)
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  • Supervisor Provider Coding Specialist

    Tidelands Health (Myrtle Beach, SC)
    …- Physician-based - American Health Information Management Association Required + Certified Professional Coder - American Academy of Professional Coders ... Serves as a resource and technical expert for complex coding/ billing issues. Informs, educates, and coordinates with other Revenue...will do** + Leads and guides staff that performs medical coding functions and supervises the processes and systems… more
    Tidelands Health (12/31/25)
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  • DRG Clinical (RN) Validation Auditor

    Elevance Health (Seven Hills, OH)
    …Specialist (CCDS), + Certified Documentation Improvement Practitioner (CDIP), + Certified Professional Coder (CPC) and/or + Inpatient Coding Credential such ... strongly preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing more
    Elevance Health (01/15/26)
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  • Coding Auditor - Ambulatory/Professional…

    Huron Consulting Group (Chicago, IL)
    medical records. + Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) ... periods at a time. **TECHNICAL QUALIFICATIONS** **:** + Required Certifications: + Certified Professional Coder (CPC) through AAPC + Preferred Certifications: +… more
    Huron Consulting Group (12/09/25)
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  • Practice Performance Manager (Houston, TX)

    Apex Health Solutions (Houston, TX)
    …or five years related experience A license in one of the following is preferred: Certified Risk Adjustment Coder (CRC) Certified Professional Coder (CPC) ... redesign, including electronic health record (EHR) optimization, clinical documentation, billing practices, assessments, financial analyses, and financial performance improvement… more
    Apex Health Solutions (12/20/25)
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  • Associate Investigator

    Highmark Health (Pittsburgh, PA)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... to prevent further improper payments. Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Develop and… more
    Highmark Health (12/18/25)
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  • Revenue Integrity Program Manager (Remote)

    Stanford Health Care (Palo Alto, CA)
    …to manage multiple priorities effectively. **Licenses and Certifications** + Non Clinical COC - Certified Outpatient Coder preferred . or + CPC-H preferred . or ... potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the...Specialist preferred . or + CPC and/or CCSP - Certified Professional Coder preferred . or +… more
    Stanford Health Care (01/06/26)
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  • DRG Coding Auditor (ICD-9/10cm, MS-DRG, AP-DRG,…

    Elevance Health (Ashburn, VA)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer… more
    Elevance Health (12/09/25)
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  • Inpatient Coding Denials Specialist

    Fairview Health Services (St. Paul, MN)
    …denials + Registered Health Info Admin or Registered Health Info Tech or Certified Inpatient Coder (CIC)or Certified Coding Specialist **Preferred ... reimbursement for services provided by the hospital/physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals… more
    Fairview Health Services (11/29/25)
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  • Charge Specialist

    Banner Health (OK)
    …Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system. PREFERRED QUALIFICATIONS ... in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments. Additional… more
    Banner Health (01/16/26)
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