• Inpatient Medical Coding

    Humana (Atlanta, GA)
    …first** Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to… more
    Humana (04/18/25)
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  • Inpatient DRG Quality Auditor

    Humana (Atlanta, GA)
    …develop educational materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts ... Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
    Humana (04/18/25)
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  • Coding Auditor I -…

    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...CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient more
    Baylor Scott & White Health (04/11/25)
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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;… more
    Emory Healthcare/Emory University (03/08/25)
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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 ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body… more
    Houston Methodist (04/01/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... **DRG CODING AUDITOR ** **Location** : _This position...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
    Elevance Health (04/16/25)
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  • Registered Nurse - Diagnosis Related Group (DRG)…

    Elevance Health (Atlanta, GA)
    …and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records ... **Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment...business, and its clients. Specializes in review of DRG coding via medical records and attending physician's… more
    Elevance Health (04/10/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (02/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. +… more
    Elevance Health (03/28/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Atlanta, GA)
    …health record documentation to code and abstracts diagnoses and/or procedures for inpatient , outpatient, and clinic cases + Conducts focused HCC reviews on providers ... identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding...knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the… more
    Baylor Scott & White Health (04/11/25)
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