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Inpatient/Outpatient Internal Quality Reviewer
AMN Healthcare
covers audits for Inpatient and Outpatient Coding and assists when gaps
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Director of Quality Audit Coding
Healthrise
Establish coding accuracy standards aligned to industry benchmarks (95% or greater or client-defined targets), with defined error categories, financial impact measurement, and routine…
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Associate Auditor (Analyst)
R1 RCM Holdco Inc.
As our DRG Associate Auditor (Analyst), you will validate coding updates that can affect the diagnosis-related group on a claim and result in additional reimbursement or coding compliance…
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Inpatient Hospital Auditor II
Horizon Healthcare Services, Inc
This position is responsible for being the lead on site audits of hospital billing and coding practices and desk audits; forms development, profiling and tracking institutional audit…
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Facility Outpatient Auditor - ED, SDS, OBS, I&I
Jobgether
Professional experience: At least two years, preferably three or more, of coding and/or auditing experience in inpatient and outpatient hospital or facility settings.
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Clinical Validation Auditor (CVA) Auditor
Jobgether
…and fairness of healthcare claims. As a Clinical Validation Auditor, you’ll review inpatient medical records and assess whether Diagnosis-Related Group (DRG) codes are supported by clinical…
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Professional Fee QA Analyst
GeBBS Healthcare Solutions, Inc.
GeBBS Healthcare Solutions is seeking an experienced Professional Fee (ProFee) Inpatient & Outpatient Coding Auditor to join our team in a remote, part-time capacity, Monday-Friday
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Facility Outpatient Auditor - ED, SDS, OBS, I&I
CorroHealth Inc
Facility Outpatient Coding Quality Specialist (Auditor)
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Medical Review Nurse II - SNF/MDS Auditor
Machinify
Experience with and deep knowledge of ICD-9, ICD-10, HCPCS coding.
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IP Auditor (Full-time and Part-time)
HCCS
Healthcare Coding & Consulting Services (HCCS) is seeking experienced Full-time and Part-time IP Auditors to join our growing team. This is a fully remote opportunity for a highly skilled…
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Revenue Cycle Compliance Auditor
Jobgether
The Revenue Cycle Compliance Auditor plays a vital role in strengthening healthcare compliance, billing accuracy, and risk management across clinical and hospital services. In this role,…
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Inpatient Medical Coding Auditor
Humana Insurance Company
The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT)…
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Coding Auditor Educator
West Penn Allegheny Health System
AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
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Medical Review Nurse - Commercial DME Auditor
Machinify
Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules.
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Senior Auditor Appeals - OPSP
Cotiviti
The Senior Auditor, Appeals is responsible for defending Cotiviti’s recovery determinations and appeals for skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), home…
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Supervisor Inpatient Coding
HonorHealth Support Services
2 years Inpatient: Hospital inpatient Coding Lead, Auditor, or Trainer experience. Working knowledge of charging and billing process specific to hospital inpatient accounts. Outpatient:…
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Senior Compliance Analyst - Institutional Compliance
MD Anderson Cancer Center
…investigations, including prospective and retrospective reviews of inpatient and outpatient professional documentation and billing practices. You will identify compliance risks, evaluate…
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Clinical DRG Auditor
Alaffia Health
Alaffia is seeking an experienced Clinical DRG Auditor to join our Payment Integrity team. In this role, you will perform inpatient Diagnosis-Related Group (DRG) validation audits and…
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Coding Compliance Auditor
GeBBS Healthcare Solutions, Inc.
Are you passionate about coding integrity, regulatory excellence, and helping healthcare organizations maintain the highest standards? GeBBS Healthcare Solutions is seeking an experienced…
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CERTIFIED INPATIENT MEDICAL CODER -- FULLY REMOTE (23350)
LTSi - Laredo Technical Services, Inc.
Inpatient Medical Coders are required to possess a minimum of five (5) years of medical coding and/or auditing experience in 2 or more medical, surgical and ancillary specialties within the…
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Coding Inpatient Auditor
Team Member Services
5+ years of inpatient of outpatient coding or auditing experience [Required]
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Coding Auditor
Team Member Services
Conducts post-bill coding audits to assess coding accuracy, documentation alignment, and reimbursement integrity across inpatient and/or outpatient service lines.
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Medical Review Nurse - CMS/RAC Auditor, Government Audits
Machinify
Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate medical review guidelines, policies and rules.
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Coding Auditor - Hospital Inpatient Compliance Edits (1.0 D)
Franciscan Corporate
Coding Auditor Hospital Inpatient Compliance Edits $48838.40-$72664.80
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Facility Inpatient Coding Audit Team Lead
GeBBS Healthcare Solutions, Inc.
GeBBS Healthcare Solutions is seeking an experienced Facility Inpatient Coding Audit Team Lead to provide both technical leadership and hands-on auditing support for our growing facility…