• * Outpatient Complex Audit

    Henry Ford Health System (Grand Blanc, MI)
    …evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge ... Under the direction of the Outpatient Audit , Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize… more
    Henry Ford Health System (09/23/25)
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  • Outpatient Audit Specialist

    Datavant (Springfield, IL)
    …realize our bold vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and ... is a plus **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts...**eValuator experience is a plus + 5+ years of outpatient facility coding experience and/or auditing + CCS (preferred),… more
    Datavant (10/22/25)
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  • Clinical Government Audit Analyst & Appeal…

    Stanford Health Care (Palo Alto, CA)
    …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the ... as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will...Specialist required within 180 Days or + Certified Outpatient Coder - COC required within 180 Days or… more
    Stanford Health Care (10/10/25)
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  • Internal Audit Specialist - Hybrid

    Houston Methodist (Houston, TX)
    …and above strongly encouraged to apply.** At Houston Methodist, the Internal Audit Specialist is responsible for independently planning, coordinating, and ... to controls, manages and mitigates risks for presentation to department leadership. The Internal Audit Specialist is a role model to the audit team… more
    Houston Methodist (09/16/25)
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  • Certified Risk Adjustment Coding/ Audit

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/ Audit Specialist analyzes and translates concurrent, prospective and ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding/ Audit Reviewer is a physician facing position and must have extensive knowledge in… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Inpatient Audit Specialist

    Datavant (Cheyenne, WY)
    …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... manager. + Prepare the final reports for the coding audit and actively participates in the resolution of ...trauma centers + Experience coding and auditing inpatient and outpatient records for various facilities + Track record of… more
    Datavant (10/09/25)
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  • Outpatient Coding Education Analyst

    University of Washington (Seattle, WA)
    …Enterprise Records and Health Information** has an outstanding opportunity for an ** OUTPATIENT CODING EDUCATION ANALYSTS.** **WORK SCHEDULE** + 100% FTE + Mondays - ... DRG, CPT and HCPCS), engage in the development and/or implementation of audit /monitoring plans, participate in the development and/or delivery of educational and… more
    University of Washington (08/20/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for performing internal, concurrent, prospective ... and retrospective coding audit activities. The incumbent will also review and validate...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS… more
    St. Luke's University Health Network (08/20/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis program. Responsible for liaising with the ... Initial Validation Audit Entity to ensure compliant, efficient, and successful ...certifications: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist more
    The Cigna Group (10/31/25)
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  • Individual & Family Plans (IFP) Quality Review…

    The Cigna Group (Bloomfield, CT)
    …Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program. Inclusive of Quality Audits ... as needed. Education & Experience: The Quality Review & Audit Analyst will have a high school diploma and...(AAPC): + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist more
    The Cigna Group (11/01/25)
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