• Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
    Emory Healthcare/Emory University (09/05/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and...-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient medical… more
    Elevance Health (09/23/25)
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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 ... and APR- DRG payment systems. This position is responsible for auditing inpatient medical records and generating high- quality recoverable claims for the… more
    Insight Global (09/18/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... to improve coding practices and compliance. **Essential Functions** + Performs inpatient denial reviews using ICD-10-CM/PCS and DRG validation utilizing… more
    Community Health Systems (09/09/25)
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  • Inpatient Coding Quality

    HCA Healthcare (Caldwell, ID)
    …worth of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work ... from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule:...benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for… more
    HCA Healthcare (09/27/25)
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  • Inpatient Medical Coding Auditor

    Humana (Boise, ID)
    …a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... terminology and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to… more
    Humana (09/24/25)
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  • Coding Auditor Educator- Inpatient

    Highmark Health (Nashville, TN)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL… more
    Highmark Health (09/20/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    …year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the ... coding performed by inpatient or outpatient coders. Random and/or target samples are...**The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,… more
    AdventHealth (09/11/25)
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  • Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator supports the operations of the inpatient or ... + Expert level knowledge of Medicare Severity Diagnosis-Related Groups (MS- DRG ), and All Patient Refined Diagnosis-Related Groups (APR ...of inpatient or outpatient coding or Coding Quality Auditor experience Preferred This facility is… more
    AdventHealth (09/17/25)
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  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
    Houston Methodist (09/30/25)
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