• Prof/Ancillary Auditor ll

    BlueCross BlueShield of Tennessee (Chattanooga, TN)
    coding ? The Professional and Ancillary Audit Department at BCBST is seeking a dedicated Coding Auditor to join our team and perform thorough claims payment ... quality and clinical coding compliance audits\. Your...with at least 4 years of professional or facility inpatient /outpatient coding and auditing experience\. Current AHIMA… more
    BlueCross BlueShield of Tennessee (12/19/25)
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  • Compliance Auditor - SRS

    Sharp HealthCare (San Diego, CA)
    …issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient ... End Time** Certified Professional Coder (CPC) - AAPC; Certified Coding Specialist--Physician-based (CCS-P) - The American Health Information Management Association… more
    Sharp HealthCare (11/18/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Honolulu, HI)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience...experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing… more
    Datavant (10/09/25)
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  • Coding Educator FT-Katy CC (Hybrid)

    Houston Methodist (Houston, TX)
    …establish a coding program and monitor the success of the coding program including assisting with student recruitment. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** ... professional teaching/training experience **LICENSES AND CERTIFICATIONS - REQUIRED** + For inpatient /outpatient coding : RHIT, RHIA, or CCS certification from… more
    Houston Methodist (10/22/25)
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  • RN Clinical Review Appeals Specialist (CDI/…

    St. Luke's University Health Network (Allentown, PA)
    …clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other ... + Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed.… more
    St. Luke's University Health Network (10/28/25)
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  • Coding Integrity Specialist - Professional…

    Huron Consulting Group (Chicago, IL)
    …Radiology), including denial review and appeals. + 2+ years of experience as a coding auditor with proven accuracy and compliance. + Required certification: CPC ... of a minimum of 95% is met. + Perform quality checks/audits on visits coded as per client SOPs....collaborative team player. **Preferred Qualifications** + AHIMA microcredentials: Auditing: Inpatient Coding (AIC) and/or Auditing: Outpatient … more
    Huron Consulting Group (12/09/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …query process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more
    NCH (12/13/25)
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  • OB/GYN Coder / Provider Educator

    SUNY Upstate Medical University (Syracuse, NY)
    Position Overview Responsible for the accurate and compliant coding of inpatient , outpatient, and professional OB/GYN encounters. This position serves as a key ... education to OB/GYN providers and clinical staff on documentation quality , coding updates, and best practices to...or health system environment. + Strong background in OB/GYN inpatient , outpatient, and surgical coding . + Experience… more
    SUNY Upstate Medical University (11/12/25)
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  • Senior Billing Compliance Reviewer

    Dana-Farber Cancer Institute (Brookline, MA)
    …and targeted monitoring. This role conducts complex, risk-based audits across coding , charge capture, and documentation to assess adherence to government, payer, ... and institutional billing guidelines as well as national coding guidelines. The Senior Reviewer will assist in the...meetings which may include CPT-Epic, New Services, Regional Campuses, Inpatient Billing, ADCC and AAMC as well as other… more
    Dana-Farber Cancer Institute (12/04/25)
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  • Clinical Appeals and Disputes Nurse

    University of Washington (Seattle, WA)
    …and implement quality improvement and staff education initiatives + Assess the quality of charge capture and coding as they relate to clinical denials; ... the patient accounting functions for UWMC and HMC, including billing for inpatient and outpatient services provided at the Medical Centers. **PRIMARY JOB… more
    University of Washington (12/19/25)
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