• Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Lansing, MI)
    **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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
    Baylor Scott & White Health (05/07/25)
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  • Hospital Coding Auditor

    R1 RCM (Detroit, MI)
    …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Hospital Coding Auditor , you will review hospital charges against medical ... work independently. **Here's what you will experience working as a Hospital Coding Auditor ** + Review hospital charges against medical record and all applicable… more
    R1 RCM (05/01/25)
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  • DRG Coding Auditor

    Elevance Health (Dearborn, MI)
    **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding … more
    Elevance Health (05/29/25)
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  • Physician Billing Coding Auditor

    R1 RCM (Detroit, MI)
    …patient satisfaction and improves financial performance. R1 is currently seeking a Physician Coding Auditor with a background in Physician coding , billing, ... guidelines. The Auditor must understand medical terminology, coding , contractual agreements, and various payment methodologies. This position requires… more
    R1 RCM (04/03/25)
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  • Coding Auditor Educator

    Highmark Health (Lansing, MI)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Coding Auditor Professional - Remote…

    McLaren Health Care (Shelby Township, MI)
    …Assigned** **:** 1. Responsible for completing quality assurance audits on professional coding specialists, onboarding audits and training of newly hired coding ... specialist is accurately abstracting data into medical record systems, following coding guidelines, and relevant federal and other pertinent materials. 2. Optimizes… more
    McLaren Health Care (03/05/25)
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  • Coding Auditor

    Ascension Health (Kalamazoo, MI)
    …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number ... of records per coder as defined in the system coding audit plan. + Prepare audit reports that are...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
    Ascension Health (05/23/25)
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  • Physician Compliance Auditor

    LifePoint Health (Marquette, MI)
    …more Position Summary: Monitors, consults, educates, audits and performs trend coding decision making. Reports to: Director FLSA: Exempt ESSENTIAL FUNCTIONS: ... to all new providers. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.… more
    LifePoint Health (05/20/25)
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  • DRGV Auditor II

    R1 RCM (Detroit, MI)
    …one that promotes patient satisfaction and improves financial performance. As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG ... accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. **Every...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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  • Clinical Coding Appeals Nurse

    R1 RCM (Detroit, MI)
    …analytics, AI, intelligent automation, and workflow orchestration. As our **Clinical Coding Appeals Nurse** , you will help review and interpret medical ... day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes....a Clinical Validation Review by an insurer or third-party auditor . + Draft appeal letters that are well-written, logically… more
    R1 RCM (05/21/25)
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