• Coding Quality Auditor

    Houston Methodist (TN)
    …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (07/12/25)
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  • Inpatient DRG Quality Auditor

    Humana (Nashville, TN)
    Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
    Humana (06/17/25)
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  • Profee Coding Auditor

    HCA Healthcare (Brentwood, TN)
    …do. We want you to apply! **Job Summary and Qualifications** The Coding Auditor is responsible for performing quality reviews and audits of the assigned ... may vary by location._** We are seeking a Profee Coding Auditor for our team to ensure...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
    HCA Healthcare (07/09/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Nashville, TN)
    coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...THE ROLE** ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (06/07/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (06/21/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
    Elevance Health (07/09/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding

    Humana (Nashville, TN)
    …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 (06/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Nashville, TN)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel,… more
    Humana (07/10/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    **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 (06/10/25)
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