• Inpatient DRG Quality Auditor

    Humana (Albany, NY)
    …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 (Albany, NY)
    **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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  • Health Information Management Educator…

    Catholic Health (Kenmore, NY)
    …Information Management (HIM) Educator/ Auditor will work cooperatively with CH coding associates, physicians, Inpatient and Outpatient Coding Managers, ... Medicare, New York and APR-DRG grouper logic. The Educator will provide mentoring for new coding staff. The Educator/ Auditor will also assist with the coding … more
    Catholic Health (04/05/25)
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  • Coding Auditor Educator

    Highmark Health (Albany, NY)
    …(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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  • (RN) Registered Nurse Coding Auditor…

    Northwell Health (Westbury, NY)
    **Req Number** 155044 Job Description Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by ... the documentation in the Medical Record. Seeking RN - BSN or MSN candidates...or MSN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical. Job Responsibility… more
    Northwell Health (04/04/25)
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  • Registered Nurse Clinical Denials & Appeals…

    Catholic Health (Buffalo, NY)
    …credentials: Certified Documentation Specialist, Certified Coder (CPC/CCS), Certified Processional Medical Auditor (CPMA), Certified Case Manager (CCM) or ... limited to clinical documentation/support for diagnostic related grouping (DRG) assignment, inpatient and outpatient medical necessity. The individual also works… more
    Catholic Health (04/23/25)
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