• DRG Coding Auditor

    Elevance Health (Chicago, IL)
    ** DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR ** is ... coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care… more
    Elevance Health (07/09/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …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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  • Coding Auditor I

    Baylor Scott & White Health (Springfield, IL)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG… more
    Baylor Scott & White Health (07/15/25)
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  • Senior Inpatient Medical Coding…

    Humana (Springfield, IL)
    …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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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Chicago, IL)
    … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (07/17/25)
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  • DRGV Auditor II

    R1 RCM (Chicago, IL)
    …- one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every day in this role… more
    R1 RCM (07/03/25)
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  • Inpatient Production Auditor

    R1 RCM (Chicago, IL)
    …AI, intelligent automation, and workflow orchestration. As our Inpatient Production Auditor , you will be responsible for auditing inpatient cases and reviewing ... for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a… more
    R1 RCM (06/28/25)
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