• Coding Auditor I

    Baylor Scott & White Health (Raleigh, NC)
    **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 (06/07/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Raleigh, NC)
    …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ ... Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the… more
    BayCare Health System (05/29/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Winston Salem, NC)
    **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
    Elevance Health (06/05/25)
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  • CPC Certified Medical Coding Auditor

    Robert Half Management Resources (Raleigh, NC)
    Description We are looking for an experienced Medical Coding Auditor to join our team on a contract basis in a fully remote capacity. In this role, you will be ... responsible for conducting comprehensive reviews and audits of medical coding practices, ensuring compliance, accuracy, and identifying areas for improvement as well… more
    Robert Half Management Resources (05/28/25)
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  • Coding Auditor Educator

    Highmark Health (Raleigh, NC)
    …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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  • Inpatient Medical Coding Auditor

    Cognizant (Raleigh, NC)
    …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
    Cognizant (06/03/25)
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  • Senior Inpatient Medical Coding

    Humana (Raleigh, NC)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (06/11/25)
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  • Sr Clinical Compliance Prof. RCM & Coding

    Humana (Raleigh, NC)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (06/10/25)
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  • Inpatient DRG Quality Auditor

    Humana (Raleigh, NC)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (06/11/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may travel from entity to entity ... the state to train and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and education as well as… more
    UNC Health Care (04/29/25)
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