• Inpatient DRG Quality

    Humana (Atlanta, GA)
    …Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from… more
    Humana (03/04/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor ** to extract data from ... encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
    Emory Healthcare/Emory University (03/08/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …of one of our Elevance Health PulsePoint locations. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high ... ** DRG CODING AUDITOR ** **Location** : This...and generate audit findings letters. + Maintains accuracy and quality standards as set by audit management for the… more
    Elevance Health (03/14/25)
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  • DRG Auditor

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. ... Significant experience in the following areas: hospital inpatient coding, DRG assignment, charge capture, and...validation + Experience related to PSI, HAC, and other quality metrics is a plus **Education/Certification** + CCS, CPC,… more
    Waystar (12/30/24)
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  • Coding Auditor I - ( Inpatient )

    Baylor Scott & White Health (Atlanta, GA)
    **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),...ensure accurate coding and grouping of classification assignment (eg, MS- DRG , APR- DRG , APC etc.) **WORK MODEL/SALARY** 100%… more
    Baylor Scott & White Health (02/06/25)
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  • Coding Quality Auditor

    Houston Methodist (Atlanta, GA)
    **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality ... co-morbid conditions and complications, secondary conditions and procedures. + Assists with quality reviews of outpatient or inpatient accounts and/or training… more
    Houston Methodist (02/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (03/04/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
    Highmark Health (02/07/25)
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