• Emory Health Care (Atlanta, GA)
    …mentorship, development, leadership programs and more! We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ... coding ICD-10 in an acute care setting. Previous experience in performing DRG coding audits. Possesses knowledge of DRG and grouping methodologies (MS … more
    Appcast IO CPA (12/07/25)
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  • University Health (San Antonio, TX)
    …a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information ... accuracy and compliance in coding practices. A strong understanding of reimbursement methodologies, including DRG , APC, and ASC payment structures, is preferred. more
    job goal (12/08/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Roanoke, VA)
    ** DRG Coding Auditor Principal** **_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 Principal** is responsible for auditing inpatient… more
    Elevance Health (12/06/25)
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  • DRG Coding Auditor

    Elevance Health (Norfolk, VA)
    ** 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 (12/09/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …development, leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient ... coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge of DRG and grouping methodologies (MS… more
    Emory Healthcare/Emory University (12/05/25)
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  • DRG Coding Auditor

    University of Utah Health (Salt Lake City, UT)
    …EO/AA_ This position audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data to support that appropriate ... pre-bill, audits the accuracy and completeness of diagnoses, procedure coding , abstracted data and DRG assignment. +...of diagnoses, procedure coding , abstracted data and DRG assignment. + Reviews non-CC/MCC records to determine if… more
    University of Utah Health (12/04/25)
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  • DRG Compliance Auditor (DCA)

    University of Michigan (Ann Arbor, MI)
    DRG COMPLIANCE AUDITOR (DCA) **Early Site...medical center. + Extensive knowledge of ICD-10-CM and PCS coding guidelines, DRG process, POA, SOI, and ... and check certain inpatient records to make sure the coding is correct and follows rules for ICD-10 codes....employer. **Job Detail** **Job Opening ID** 271520 **Working Title** DRG COMPLIANCE AUDITOR (DCA) **Job Title** Medical… more
    University of Michigan (12/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    … 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 (CDI, MS- DRG , AP- DRG ...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (12/11/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for ... accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation....discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible… more
    Community Health Systems (12/09/25)
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  • DRG Auditor

    Insight Global (South Jordan, UT)
    Job Description Insight Global is seeking a DRG Validation Auditor for one of our clients to sit 100% remote. The work authorization is not specified and the ... reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Below are the key responsibilities for this role: *… more
    Insight Global (12/09/25)
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  • DRG Revenue Integrity Auditor

    Insight Global (Plano, TX)
    …more years working in an acute care setting or a third-party vendor as a DRG Auditor or Clinical Documentation Specialist (CDS). -CCS Certification RN or BSN ... Auditors to join a remote healthcare organization. The DRG Revenue Integrity Auditor will perform Diagnostic...and quality audits on inpatient charts to ensure accurate coding and compliance with federal regulations. This is a… more
    Insight Global (10/30/25)
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  • DRG Validation Auditor

    HCA Healthcare (Nashville, TN)
    …Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **Benefits**...vary by location._** Come join our team as a Coding Quality Audit Reviewer. We care for our community!… more
    HCA Healthcare (11/23/25)
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  • Coding Auditor Educator, Inpatient

    Highmark Health (Harrisburg, PA)
    …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 (10/23/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Qualifications** + Other : Strong background in in ICD-10-CM/PCS coding , DRG coding and CPT... ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
    Sharp HealthCare (10/08/25)
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  • Coding Auditor I (HB - Inpatient)

    Baylor Scott & White Health (Dallas, 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 (12/02/25)
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  • Coding Quality Auditor

    Houston Methodist (WA)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (11/12/25)
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  • Clinical Documentation Specialist Auditor

    UNC Health Care (Chapel Hill, NC)
    …Abilities Requirements:** * Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding , MS DRG , hierarchical condition categories (HCC), and CDI ... shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position may...and shadow round with Clinical Documentation Specialists. The CDS auditor provides elbow to elbow support during training and… more
    UNC Health Care (10/28/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Topeka, KS)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...+ CCS, RHIT or RHIA (AHIMA) certification + APR DRG experience + Minimum of five years of facility-based… more
    Cognizant (11/26/25)
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  • Registered Nurse Coding Auditor

    Northwell Health (Glen Cove, NY)
    …6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions. 7.Communicates DRG changes and rationale to the coding and CDI staff. ... Record. Job Responsibility 1.Leverages clinical expertise to identify and validate DRG code assignment. 2.Full review of CDI suggested code changes 3.Demonstrates… more
    Northwell Health (12/03/25)
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  • Nurse Auditor 2

    Humana (Springfield, IL)
    …certification (AHIMA or AAPC - ex: RHIA, RHIT, CCS, CIS, CIC) + ​Inpatient coding claim experience + Prospective payment methodologies, DRG auditing experience + ... of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation… more
    Humana (12/11/25)
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