• Inpatient Medical Coding

    Humana (Des Moines, IA)
    …Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
    Humana (12/12/24)
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  • Coding Auditor I - Education Program

    Baylor Scott & White Health (Des Moines, IA)
    **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 (12/18/24)
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  • Auditor Coding Clinic Specialist

    Trinity Health (Des Moines, IA)
    … and abstracting patients' records for professional billing. . Reviews patient medical records retrospectively and concurrently for the coding and sequencing ... of diagnoses and procedures for reimbursement purposes. . Interacts and assists with coding requests and questions from billers. . Serves as a resource for difficult… more
    Trinity Health (01/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (West Des Moines, IA)
    …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...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (01/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (West Des Moines, IA)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires an AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (01/15/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Des Moines, IA)
    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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