• Inpatient DRG Quality Auditor

    Humana (Springfield, IL)
    …develop educational materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts ... Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
    Humana (05/03/25)
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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...CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient more
    Baylor Scott & White Health (05/07/25)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... **DRG CODING AUDITOR ** **Location** : _This position...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
    Elevance Health (05/08/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (05/09/25)
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  • DRGV Auditor II

    R1 RCM (Chicago, IL)
    …internally facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed ... Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This...review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding more
    R1 RCM (04/03/25)
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