• Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) (CMAS)-preferred but not required. CRC ... **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with… more
    Catholic Health Initiatives (10/04/25)
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  • Coding Quality Auditor , HEDIS *Remote

    Providence (MT)
    …must empower them._** **Providence Health Plan is calling a Coding Quality Auditor , HEDIS who will:** + Be responsible for conducting clinical quality ... improvement within the HEDIS project + Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information… more
    Providence (10/15/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …*This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance ... Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and … more
    Sharp HealthCare (10/08/25)
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  • RN Compliance & Charge Capture Auditor

    Carle Health (Champaign, IL)
    …errors to assure correct final bills. Audits documentation to make sure the chart documentation matches the charges on the patient account. Tracks and analyzes data ... revenue variance, and collaboration with operational areas. For Observation accounts, auditor is responsible for analyzing number of hours charged and whether… more
    Carle Health (10/22/25)
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  • DRG Coding Auditor

    Elevance Health (Denver, CO)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance ... formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for… more
    Elevance Health (10/25/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position working ... Monday through Friday daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of the Risk Adjustment Department and is responsible… more
    UPMC (09/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time,… more
    Elevance Health (10/22/25)
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  • Divisional Coding Quality Auditor

    AdventHealth (Altamonte Springs, FL)
    …you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting the operations of the inpatient ... quality assurance needs for coding staff. In addition, this position reviews medical records and documentation for coding accuracy, providing feedback and additional… more
    AdventHealth (10/06/25)
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  • Coding and Reimbursement Auditor

    Avera (Sioux Falls, SD)
    …HCPCS coding review, DRG and APC reimbursement, and coordination of information between medical record and billing departments. A successful Auditor assists in ... workshops and seminars for Avera, including non-Avera facilities A successful Auditor also assists leadership with monitoring and dissemination of information… more
    Avera (09/30/25)
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  • Coding Auditor & Educator

    WelbeHealth (Charleston, WV)
    …in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole ... At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate...Care for the Elderly) Dual participants + Conduct pre-visit chart preparations and post-visit chart reviews +… more
    WelbeHealth (09/19/25)
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