• Internal Coding Auditor

    Dayton Children's Hospital (Dayton, OH)
    …From Home - OhioDepartment:Payer Enrollment AdministrationSchedule:Full timeHours:40Job Details:The Internal Coding Auditor plays a pivotal role in ensuring ... coding processes for facility and professional services. The Internal Coding Auditor regularly conducts detailed coding audits and reviews the findings… more
    Dayton Children's Hospital (04/28/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Columbus, OH)
    **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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  • DRG Coding Auditor Principal

    Elevance Health (Mason, OH)
    **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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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …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 (Columbus, OH)
    …**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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  • Inpatient DRG Quality Auditor

    Humana (Columbus, OH)
    …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 (05/30/25)
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  • Physician Coding Quality Auditor

    UC Health (Cincinnati, OH)
    …This includes reviews, corrections and feedback on timeliness, accuracy and compliance of abstracting and coding of patient accounts. About Us About the Team ... As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships… more
    UC Health (04/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
    Elevance Health (06/04/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Mason, OH)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (06/07/25)
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  • Compliance Auditor - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... Mercy Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance proficiency and… more
    Bon Secours Mercy Health (05/07/25)
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