• DRG Coding Auditor

    Elevance Health (Hanover, MD)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Washington, DC)
    …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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  • Senior Inpatient Medical Coding…

    Humana (Washington, DC)
    …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 (Washington, DC)
    … 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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  • Coding Quality Audit Reviewer

    HCA Healthcare (Falls Church, VA)
    …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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