• Coding Quality Auditor

    Houston Methodist (LA)
    …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (04/12/25)
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  • Inpatient DRG Quality Auditor

    Humana (Baton Rouge, LA)
    … Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
    Humana (05/03/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Baton Rouge, LA)
    …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (05/07/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …is a full-time, remote position that offers a flexible schedule. Description: Physician Coding Auditor is responsible for reviewing and accurately coding ... payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to...codes; + Accurate selection and evaluation of ICD-10-CM diagnosis coding ; + Evaluate the overall quality of… more
    MedKoder (03/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Metairie, LA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (04/29/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Baton Rouge, LA)
    …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor… more
    CVS Health (04/23/25)
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