• DRG Coding Auditor

    Elevance Health (Wilmington, DE)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (07/22/25)
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  • Inpatient DRG Quality Auditor

    Humana (Dover, DE)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient...a full-time, remote/work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality… more
    Humana (07/25/25)
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  • Coding Auditor Educator

    Highmark Health (Dover, DE)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding

    Humana (Dover, DE)
    …in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...Point of contact for coders/auditors + Assist coders with coding or technical issues + Team Engagement + Assist… more
    Humana (06/26/25)
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