• Diagnosis Related Group Clinical Validation…

    Elevance Health (Indianapolis, IN)
    …Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. +… more
    Elevance Health (12/09/25)
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  • DRG Auditor - February Class

    Insight Global (South Jordan, UT)
    …should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding of ... APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high-quality recoverable...NOT A NURSE: Degree in RHIM, RHIA, RHIT with medical coding degree or just CCS is… more
    Insight Global (12/24/25)
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  • Coder Auditor Trainee

    Prime Healthcare (Ontario, CA)
    … (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon ensuring the assignment of ... new members to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes... Trainee reviews and analyzes documentation present in the medical record for inpatient visits to ensure… more
    Prime Healthcare (12/31/25)
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  • Network Practice Coder/ Auditor

    WMCHealth (Valhalla, NY)
    …Three to four years of experience where the primary function of the position was inpatient and outpatient medical records coding and/or auditing in a large ... Network Practice Coder/ Auditor Company: NorthEast Provider Solutions Inc. City/State: Valhalla,...Responsibilities: + Using the current HCPCS, ICD and CPT coding guidelines, audits medical records for … more
    WMCHealth (11/01/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …chart reviews to accurately reflect the patient's condition. Stay current with medical coding guidelines and industry developments. Assist in developing training ... will perform Diagnostic Related Group (DRG) validation and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations.… more
    Insight Global (10/30/25)
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  • Prof/Ancillary Auditor ll

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

    Sharp HealthCare (San Diego, CA)
    …Administrative Contractor) requirements. **Required Qualifications** + 3 Years experience auditing coding and medical record documentation in an ambulatory care ... issues.Schedules and provides 1:1 training to provider to ensure maximum coding compliance guidelines are followed.Evaluates the inpatient and outpatient… more
    Sharp HealthCare (11/18/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Honolulu, HI)
    …facility. SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience...Recent experience in academic/level 1 trauma centers + Experience coding and auditing inpatient and outpatient records… more
    Datavant (10/09/25)
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  • RN Clinical Review Appeals Specialist (CDI/…

    St. Luke's University Health Network (Allentown, PA)
    …AND EXPERIENCE: Minimum five (5) years RN/licensed provider experience in adult inpatient medical -surgical or critical care with thorough understanding of ... The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of...Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding… more
    St. Luke's University Health Network (10/28/25)
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  • Coding Integrity Specialist - Professional…

    Huron Consulting Group (Chicago, IL)
    …phone, email, and instant messaging with various client teams and payers. The Medical Coding Representative will report to the Huron Managed Services Domestic ... Coding team. The Medical Coding Analyst...and appeals. + 2+ years of experience as a coding auditor with proven accuracy and compliance. +… more
    Huron Consulting Group (12/09/25)
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