• DRG Coding Auditor

    Elevance Health (Houston, TX)
    ** DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR ** is ... coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care… more
    Elevance Health (07/09/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (05/09/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Austin, TX)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignment (eg, MS- DRG… more
    Baylor Scott & White Health (07/15/25)
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  • 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 ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (07/12/25)
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  • Senior Inpatient Medical Coding…

    Humana (Austin, TX)
    …in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...Point of contact for coders/auditors + Assist coders with coding or technical issues + Team Engagement + Assist… more
    Humana (06/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Grand Prairie, TX)
    … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **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 (07/17/25)
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  • Remote Inpatient Denials Auditor

    Amergis (San Antonio, TX)
    Salary: $40 / Hour Inpatient Denials Auditor must have experience with the following: - RAC / RAM Denials - Claim Adjustment Denials - PSI / HAC Reviews - Stroke ... Accounts - Creating Appeal Letters - Focused DRG Reviews for missed CC or MCC Comfortable with... Reviews for missed CC or MCC Comfortable with Re- Coding accounts and providing feedback to original coders EPIC… more
    Amergis (07/12/25)
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  • Compliance Coding And Billing Analyst

    University of Texas Rio Grande Valley (Mcallen, TX)
    …Knowledge of Current Procedural Terminology ( CPT ) and Diagnosis Related Group ( DRG ) coding . Knowledge of medical, billing and coding terminology ... Position Information Posting NumberSRGV8219 Working TitleCOMPLIANCE CODING AND BILLING ANALYST Number of Vacancies1 LocationMcAllen, Texas DepartmentOffice of the… more
    University of Texas Rio Grande Valley (07/11/25)
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  • 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 ... fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits**… more
    HCA Healthcare (06/21/25)
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