• DRG Coding Auditor

    Elevance Health (Wilmington, DE)
    ** DRG CODING AUDITOR ** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high quality… more
    Elevance Health (03/14/25)
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  • Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    …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 (02/07/25)
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  • Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Trenton, NJ)
    **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 (02/06/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Wilmington, DE)
    … 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** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (03/04/25)
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