• Inpatient DRG Quality Auditor

    Humana (Austin, TX)
    …materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from ... The 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 (03/04/25)
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  • Inpatient DRG Coding Auditor

    HCA Healthcare (Austin, TX)
    coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... join an organization that invests in you as a Coding Quality Inpatient MS-DRG Auditor ? At Work...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical more
    HCA Healthcare (03/07/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Austin, 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...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
    Baylor Scott & White Health (02/06/25)
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  • Coding Quality Auditor

    Houston Methodist (Austin, TX)
    ** 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… more
    Houston Methodist (02/07/25)
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  • Coding Auditor Educator

    Highmark Health (Austin, TX)
    …(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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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Austin, TX)
    …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
    Baylor Scott & White Health (03/13/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Austin, TX)
    Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more
    CVS Health (12/25/24)
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