• Coding Auditor I

    Baylor Scott & White Health (Richmond, VA)
    **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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
    Baylor Scott & White Health (06/07/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …**_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 ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews… more
    HCA Healthcare (04/17/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
    Elevance Health (06/05/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …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)
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  • Inpatient Medical Coding Auditor

    Cognizant (Richmond, VA)
    …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
    Cognizant (06/03/25)
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  • Coding Educator/ Auditor

    Insight Global (Charlottesville, VA)
    Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to ... allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory… more
    Insight Global (06/05/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    …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 (05/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    **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 (06/04/25)
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  • Provider Auditor (RN/LPN Medical Coder…

    Elevance Health (Richmond, VA)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (06/07/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of… more
    Childrens Hospital of The King's Daughters (04/25/25)
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