• Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... coding staff. + Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians,… more
    Emory Healthcare/Emory University (09/05/25)
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  • Auditor , HCC Risk Adjustment Coding

    Datavant (Denver, CO)
    …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
    Datavant (08/08/25)
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  • Clinical Coding Auditor & Trainer

    Centene Corporation (New York, NY)
    …Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor & Trainer position is primarily remote with a small travel ... needed analysis to determine specific training needs for clinical and coding staff + Identifies, selects, or develops appropriate training programs, including… more
    Centene Corporation (09/27/25)
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  • Coding and Compliance Internal…

    Atlantic Health System (Morristown, NJ)
    Responsible for coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in ... College a plus * Work Experience in the business of healthcare which includes: Medical Terminology and Coding and billing experience #LI-AW1 At Atlantic Health… more
    Atlantic Health System (10/01/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    …outpatients each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible ... **The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,...High School Grad or Equiv and two years of coding education ( medical coding certificate… more
    AdventHealth (09/11/25)
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  • 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 ... as supporting on-going quality assurance needs for coding staff. They will review medical records...Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains… more
    AdventHealth (08/07/25)
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  • DRG Validation Auditor

    HCA Healthcare (Nashville, TN)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
    HCA Healthcare (10/15/25)
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  • Clinical Revenue Auditor -CDM Patient…

    Mount Sinai Health System (New York, NY)
    …related professions). ? Certifications such as Certified Professional Medical Auditor (CPMA), Certified Inpatient Coder (CIC), Certified Coding Specialist ... understanding of medical terminology and patient care, expertise in medical coding systems and healthcare regulations, analytical and problem-solving… more
    Mount Sinai Health System (09/24/25)
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  • Home Health Quality Assurance…

    Humana (Corpus Christi, TX)
    …a part of our caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality . The Quality Assurance, Clinical Professional 1...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
    Humana (10/01/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters… more
    Community Health Systems (09/09/25)
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