• Professional Auditor

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …audits The Professional Auditor will be a subject matter expert regarding coding and billing. The Professional Auditor , under the direction of Audit manager, ... true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the...comparable work experience + Active certified coder (RHIA, RHIT, CCS -P, CCS , and/or CPC ) required;… more
    Blue Cross Blue Shield of Massachusetts (09/22/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …and maintain one of the following: Certified Coding Specialist ( CCS ), Certified Professional Coder ( CPC ), Registered Health Information Administrator (RHIA), ... Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the… more
    AdventHealth (08/07/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist ( CCS ) + Certified Inpatient Coder (CIC) + ... role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and...Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ( CPC )… more
    UPMC (07/24/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …school diploma or equivalent required. Certification of CPC , CCS , or CCS -P highly desired OR Coding certification within one year. Working knowledge of ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and... performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers… more
    St. Luke's University Health Network (09/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/30/25)
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  • Clinical Provider Auditor II - Maryland…

    Elevance Health (MD)
    …of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). **Preferred Skills, Capabilities ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (10/04/25)
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  • Medical Auditor

    Methodist Health System (Dallas, TX)
    …Professional Coder ( ** CPC ** ) certification from AAPC **or** Certified Coding Specialist - Physician-based ( ** CCS -P** ) certification from AHIMA with ... for auditing and abstracting. **_Preferred_** : Certified Professional Medical Auditor (CPMA) certification from AAPC **_Experience/Knowledge_** : 2+ years of… more
    Methodist Health System (10/03/25)
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  • Compliance Auditor

    Sanford Health (WI)
    …(RHIT), Certified Coding Specialist ( CCS ), Certified Professional Coder ( CPC ) or an equivalent. Certified Healthcare Auditor (CHA) certification to be ... of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Demonstrates both knowledge and application… more
    Sanford Health (09/25/25)
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  • Physician Billing & Coding Educator

    Rush University Medical Center (Chicago, IL)
    …Bachelor's Degree * Certified Professional Coder ( CPC ) or Certified Coding Specialist- Physician Based ( CCS -P) * Registered Health Information Administrator ... & management (E/M) and surgical coding experience, may be considered contingent upon CPC or CCS -P certification being acquired within the first 6 months of… more
    Rush University Medical Center (08/27/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …: RHIT, RHIA, or CCS certification from AHIMA is required + For professional fee coding : CCS -P from AHIMA or CPC from AAPC is required **LICENSES AND ... At Houston Methodist, the Coding Educator position is responsible for developing ...CERTIFICATIONS - PREFERRED** + CPC -I - Certified Professional Coder Instructor (AAPC) -- (CBO… more
    Houston Methodist (07/23/25)
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