Inpatient Coding Auditor
Nlb Services
Required Experience: Minimum 4 years of hospital/facility-based Inpatient Coding experience, including: Principal Diagnosis selection DRG assignment Secondary diagnosis coding Procedure coding using ICD-10-PCS Inpatient account coding and DRG assignment across Neurosurgery, Cardiothoracic, Orthopedic, and General/Oncology Surgery Minimum 1 year of hospital-based Inpatient Coding Auditing/DRG Validation experience, including: Validation of Principal Diagnosis and Principal Procedure Accuracy and quality review of diagnostic and ICD-10-PCS procedure codes Validation of account abstraction Additional Requirements: This is an Inpatient Coding position. Candidates must have extensive acute-care inpatient and trauma coding experience. Academic Medical Center and Trauma Center experience is strongly preferred. Candidates must complete pre-employment Inpatient Coding and Auditing assessments before the interview. Outpatient Facility Coding or Professional Coding for Inpatient Admissions does not qualify as a substitute for inpatient coding experience. #J-18808-Ljbffr
- ...the stability we’ve built and the long-term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a full-time basis. The Coding Auditor will perform inpatient coding audits and review services to...SuggestedFull timeRemote workWork from homeHome officeFlexible hours
- UASI is seeking a qualified facility inpatient Coding Auditor to join our team full-time and work remotely from a home office. The ideal candidate will perform inpatient coding audits across client sites, identify trends, and prepare actionable recommendations. Qualifications...SuggestedRemote jobFull timeWork from homeHome office
- Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review inpatient hospital claims, assign ICD-10-CM, ICD-10-PCS and DRG codes, and ensure accurate reimbursement. You will audit coding quality, resolve provider disputes, and collaborate...SuggestedRemote job
- OU Health invites applications for an Inpatient Coding Auditor working from home. The role focuses on high‑level inpatient facility coding audits, prebill reviews, and education to improve documentation quality. It requires experience in complex inpatient coding within...SuggestedRemote jobWork from home
$71.1k - $97.8k
Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute...SuggestedFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayShift work- Position Title: Inpatient Coding Auditor WFH Department: HIM Coders Remote Eligibility: Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day of employment. This position may be filled as levels I, II, or III, depending on individual...Full timeImmediate startRemote workWork from home
$70k - $110k
EXL USA Healthcare is seeking an IRF Auditor III to join our team. This role offers a fully remote work experience with possible 10% travel... .... Team meetings and limited client onsite engagements A brief coding/auditing assessment may be included as part of the interview...Work experience placementRemote workWork from homeHome office- ...Elevance Health is seeking a DRG Coding Auditor Principal to audit inpatient medical records using DRG methodologies across multiple lines of business. The role emphasizes highly complex coding cases and independent work with minimal oversight. Responsibilities include...
- ...vary based upon position type and/or level. Job Summary The Coding Auditor 1 is skilled in various coding types. They perform coding quality... ...Coder (CPC) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Certified Interventional Radiology Cardiovascular...Immediate start
- Job Summary The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on inpatient charts. The DRG - A will perform chart reviews... ...’s true clinical picture from the codes assigned by the facility’s coders in compliance...Work experience placementWork at officeImmediate startRemote workRelocation package
- ...providers across six states. Position Summary The Hospital Auditor is responsible for reviewing hospital (inpatient and outpatient) to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role supports the team’s broader...
- ...Summary Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters. Performs concurrent or retrospective reviews to inventory code...Work at officeImmediate startRemote workShift work
- Medical Review Nurse - CMS/RAC Auditor, Government Audits Remote - US Machinify is a leading... ...appropriate services provided in both inpatient and outpatient settings while applying... ...knowledge of ICD-9, ICD-10, CPT-4 or HCPCS coding. Knowledge of insurance programs program...Remote jobContract workFor contractorsFor subcontractorWork at office
- Ardent Health Services is seeking a Hospital Auditor to review inpatient and outpatient records for accuracy and regulatory compliance. You’ll identify documentation gaps, validate coding accuracy, and support education to strengthen reimbursement integrity and patient...
- As a Technology Senior Auditor (Associate) within the Infrastructure Platforms (IP) Technology Audit team, you will play a key role in... ...CRISC, CISSP, CCSP or other technology certifications.Knowledge of coding, data analytics, cyber security controls, cloud design and...Visa sponsorship
- ...Compliance Auditor The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant... ...industry's rules, guidelines, and regulations. Billing and Coding experience, preferred. Strong attention to detail, and...Local area
- ## Medical Coding AuditorApplyremote type: Remote USlocations: Remote - USAtime type: Full timeposted on: Posted Yesterdayjob requisition... ...Summary:**ModMed is hiring a driven **Medical Coding Auditor** to join our positive, passionate, and high-performing BOOST Services...Work at officeLocal areaRemote workFlexible hours
- ...Join Our Caring CommunityThe Senior Medical Coding Outpatient Auditor is responsible for coding-focused audit activities, including identifying billing anomalies, validating coding accuracy, and ensuring compliance with outpatient coding and reimbursement guidelines. You...Temporary workApprenticeshipWork at officeRemote workWork from homeHome office
- ...(2) years’ experience in managed healthcare environment related to claims processing/audit Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS Two (2) years’ experience with CMS requirements regarding...Work at office2 days per week3 days per week
$46.99k - $122.4k
...one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical,... ...providers. The Auditor must have the ability to determine correct coding and appropriate documentation during the review of medical records...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- Under general supervision of client, Omega’s External Auditor Physician will perform reviews of inpatient and outpatient or Professional Services medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes...Full timeWork at officeMonday to FridayWeekend work
- Datavant Corporation is seeking an experienced HCC Auditor to review medical records and ensure accurate risk adjustment coding for reimbursement. This remote role requires solid ICD-10 knowledge and strong communication skills. You will audit coded charts, maintain a...Remote job
- Jobtailor is seeking a Health Insurance Claims Auditor to conduct pre- and post-pay audits for Medicare/Medicaid, ensuring CMS compliance... ...with Institutional and Professional claims, CPT4/ICD10 coding, and a hybrid work model with possible 2-3 days onsite at the Franklin...Work at office
- CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation, and other provider records for correct coding and documentation across Medicaid lines of business. The auditor will identify issues and recommend actions to educate providers...Full time
- OneOncology is seeking a QA Coding Specialist to perform quality reviews of onshore and offshore billers and coders, ensuring accuracy and compliance with federal, state, and payer regulations. The role supports practices with coding auditing and education while collaborating...Remote job
- Sentara Health Plans in Norfolk, VA, is seeking a Compliance Coding Auditor to perform internal coding audits, physician education, and AR query management. The role requires expertise in CCI, NCD, and HCC guidelines, and mastery of MPFS impact on RVU for NPP services....Remote job
$70k - $110k
...depending on experience and qualifications. Up to 10% annual travel may be required for team meetings and limited client onsite engagements. A brief coding/auditing assessment may be included as part of the interview process. #J-18808-Ljbffr ExlService Holdings, Inc.Remote job- Baylor Scott & White Health is seeking a Coding Auditor 1 to conduct coding quality reviews using ICD-10-CM/PCS, HCPCS, CPT and other references. You will provide feedback to coders and ensure accurate classification and MS-DRG/APC groupings, collaborating with Clinical...
$29 - $32 per hour
7843 Remote - United States Full-time regular Auditor, HCC Risk Adjustment Coding Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions...Full timeWork at officeRemote workFlexible hours- ...Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role focuses on ensuring correct coding, proper documentation, and compliance with state, federal, and company guidelines. Strong communication with investigators and...
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