• Inpatient DRG Quality…

    Humana (Boston, MA)
    …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from… more
    Humana (07/25/25)
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  • DRG Coding Auditor

    Elevance Health (Woburn, MA)
    …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (07/22/25)
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  • Senior Inpatient Medical Coding…

    Humana (Boston, MA)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (… more
    Humana (06/26/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (05/09/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Boston, MA)
    …Note: Benefits may vary based on position type and/or level **Job Summary** The Coding Auditor 1 is skilled in various coding types. They perform coding quality ... audits and give feedback to coders. The Coding Auditor 1 uses ICD-10-CM/PCS, HCPCS, CPT, and other coding...references ensure accurate coding and classification assignment grouping, like MS- DRG , APR- DRG , and APC. **Work Model/Salary** This… more
    Baylor Scott & White Health (07/30/25)
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