• 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 (07/28/25)
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  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
    Elevance Health (07/22/25)
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  • ICD-10 Coding Auditor /Trainer-Outpt

    Premier Health (Dayton, OH)
    ** CODING AUDITOR /TRAINER FOR OUTPATIENT AREAS** **7A-3:30P / MON- FRI / FULLY REMOTE** **80 HOURS PER PAY PERIOD** Under the general direction of the Coding ... of Health Information Management Services, this employee is responsible for assisting the Coding Manager with audits and training of new or existing employees when… more
    Premier Health (07/11/25)
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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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  • Sr Compliance RCM & Coding Auditor

    Humana (Columbus, OH)
    …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 (07/29/25)
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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 (07/25/25)
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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 (07/25/25)
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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 ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Columbus, OH)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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