• Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of ... AHA Coding Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains current knowledge of … more
    AdventHealth (08/07/25)
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  • Claims Auditor ( Remote )

    WTW (Chicago, IL)
    **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +...+ Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills… more
    WTW (09/26/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Clinical Revenue Auditor -CDM Patient Financial Services-Corporate-Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue ... and related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist… more
    Mount Sinai Health System (09/24/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …full time position working Monday through Friday daylight hours and will be fully remote .. The Clinical Auditor /Analyst is an integral part of the Risk ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
    UPMC (09/30/25)
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  • DRG Auditor - November Class

    Insight Global (South Jordan, UT)
    Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote . This person should have an extensive background in ... either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of reimbursement guidelines specifically an… more
    Insight Global (09/18/25)
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  • Medical Auditor

    Methodist Health System (Dallas, TX)
    …Certified Professional Coder ( **CPC** ) certification from AAPC **or** Certified Coding Specialist - Physician-based ( **CCS-P** ) certification from AHIMA with the ... 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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  • Medical Claims Auditor

    Robert Half Accountemps (Boston, MA)
    Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... Start Date: December 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities for a state… more
    Robert Half Accountemps (09/30/25)
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  • RN Auditor

    Robert Half Accountemps (Boston, MA)
    …internal teams to improve quality standards + Full-time, Monday-Friday schedule (potential for remote or hybrid) + Must have an active RN license and at least 2 ... non-clinical roles - including chart review, clinical auditing, utilization management, quality assurance, and case coordination. These roles allow you to leverage… more
    Robert Half Accountemps (09/24/25)
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  • Corporate Responsibility Auditor Senior

    SSM Health (MO)
    **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Exciting opportunity for an Corporate Responsibility Auditor ... information into web-based audit tracking tool. Supports staff education, quality improvement, policy development, and overall improvement of financial performance.… more
    SSM Health (08/23/25)
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  • Compliance Auditor -Per Diem-Day Shift

    Baystate Health (Springfield, MA)
    **Summary:** Location: Commutable Remote -Springfield MA Schedule: Monday-Friday; Dayshift; Per Diem Responsible for performing a variety of diversified duties in ... more accurate billing. **2)** Validates and identifies appropriate ICD-9 (ICD-10) diagnosis coding as it pertains to specific risk adjustments and correct coding… more
    Baystate Health (09/22/25)
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