• Coding Quality Auditor

    Houston Methodist (Houston, TX)
    …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 (Austin, TX)
    … 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 (07/25/25)
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  • 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)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …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 (Austin, TX)
    …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 (Austin, TX)
    …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 (07/29/25)
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  • Billing Compliance Auditor (RN)

    Elara Caring (Fort Worth, 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 (07/09/25)
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  • 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)
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  • Claims Auditor (Remote)

    WTW (Dallas, TX)
    **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +...+ Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills… more
    WTW (07/11/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Brownsville, TX)
    …**Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
    HCA Healthcare (06/21/25)
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