• DRG Coding Auditor

    Elevance Health (Mason, OH)
    …eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... ** DRG CODING AUDITOR ** **_Virtual_** **_: _**...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (07/22/25)
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  • Senior Inpatient Medical Coding…

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (… more
    Humana (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (08/01/25)
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  • Nurse Auditor 2

    Humana (Columbus, OH)
    …neonatal). For example: ICU, CCU, PCU, med-surg/adult units or a minimum of 2 years DRG Inpatient auditing. NOTE: Inpatient experience does **not** refer to ... ​ Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI… more
    Humana (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (08/08/25)
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