• Inpatient DRG Coding Auditor

    HCA Healthcare (Richmond, VA)
    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 (Richmond, VA)
    **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 Auditor Educator

    Highmark Health (Richmond, VA)
    …(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 (Richmond, VA)
    …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 (03/04/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Richmond, VA)
    …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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  • Clinical Provider Auditor II

    Elevance Health (Richmond, VA)
    …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 a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
    Elevance Health (03/13/25)
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  • Audit Manager- Cyber, Risk & Analysis Technology…

    Capital One (Richmond, VA)
    …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… more
    Capital One (03/04/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Richmond, VA)
    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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