• DRG Coding Auditor

    Elevance Health (Grand Prairie, TX)
    **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)
    - Related Jobs

  • Profee Coding Auditor

    Insight Global (Houston, TX)
    Job Description A healthcare employer in Houston, TX is seeking a Coding Auditor to join their growing team. This position is remote but candidates must live in ... on auditing results. They will be focused on surgical coding within the following specialties: Urology, Bariatrics, Interventional Cardiology,...be E/M or Surgical) 5 yrs of Profee Surgical Coding experience ( coding from the surgical operative… more
    Insight Global (07/25/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …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 assignment of ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
    Houston Methodist (07/12/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …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)
    - Related Jobs

  • Sr Compliance RCM & Coding Auditor

    Humana (Austin, TX)
    …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)
    - Related Jobs

  • Inpatient DRG Quality Auditor

    Humana (Austin, TX)
    …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)
    - Related Jobs

  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first....Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers a total rewards package… more
    HCA Healthcare (06/21/25)
    - Related Jobs

  • Home Health Billing Compliance Auditor

    Elara Caring (Dallas, TX)
    …the Right Place. **Job Description:** **Remote Position** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, ... will include, but are not limited to eligibility, billing, coding , and clinical documentation. Duties of the Billing Compliance..., and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting… more
    Elara Caring (08/01/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Grand Prairie, TX)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per ... 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 (07/22/25)
    - Related Jobs