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Keywords: Coding Validation Coder I, Location: USA

Page: 3

DRG (Coding) Reviewer/Auditor

as a condition of employment). Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Registered Heath Information... courses. At least 3 years’ experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment...

Company: MedReview
Location: New York City, NY
Posted Date: 17 Jan 2026
Salary: $85000 - 90000 per year

Risk Adjustment Coding Specialist

JOB SUMMARY The Risk Adjustment Coding Specialist supports HealthTeam Advantage's mission to improve the health..., while maintaining our core values of integrity, quality, service, people, and patient safety. The Risk Adjustment Coding Specialist...

Posted Date: 10 Jan 2026

Risk Adjustment Coding & Documentation Specialist

(MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient... Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding...

Company: Sentara Health
Location: Virginia Beach, VA
Posted Date: 08 Jan 2026

Coding Compliance Auditor 2, Health Information Management, Full Time, Days

and the Revenue Cycle Team providing DRG validation and correcting accounts with missing or incorrect coding. Provides... feedback to the coder involved in each case. entering coding for in-house patients as per CBO request. Works closely with the...

Location: Miami, FL
Posted Date: 01 Jan 2026

Hierarchical Condition Category (HCC) Coding Specialist

and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation... or CERTIFICATIONS Required (any of the following) Certified Professional Coder (CPC) Certified Risk Coder (CRC) Certified Coding...

Company: Highmark Health
Location: Home, PA
Posted Date: 21 Dec 2025

Acute Coding Quality Review Auditor

. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... inpatient and/or outpatient coding. Facilitates the coder audit appeal process, providing rationale and education to the coding...

Company: Adventist Health
Location: Roseville, CA
Posted Date: 19 Dec 2025

Virtual Coding Auditor Inpatient

coding and reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes... Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy...

Company: AdventHealth
Location: Orlando, FL
Posted Date: 17 Dec 2025

Inpatient Coding Auditor

coding and reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes... Job Description: Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy...

Company: AdventHealth
Location: Maitland, FL
Posted Date: 17 Dec 2025

Health Information Management Inpatient Coding Auditor Senior, FT, Days, - Remote

coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing...), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Knowledge of electronic...

Posted Date: 12 Dec 2025

DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG)

as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. Requires 5 years of experience working with ICD-9/10CM... based Diagnosis-Related Group (DRG) Coding/Clinical Validation Audit setting or hospital coding or quality assurance...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 10 Dec 2025
Salary: $95172 - 149556 per year

Outpatient Health Information Coding and Reimbursement Specialist (Remote Candidates Considered)

, book and other coding compliance and reimbursement resources as needed. Demonstrates complete understanding of Official... Coding Guidelines, CCI edits, anatomy, physiology, and medical terminology to appropriately code complex outpatient...

Location: Hyannis, MA
Posted Date: 07 Dec 2025

Acute Coding Quality Review Auditor

. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... inpatient and/or outpatient coding. Facilitates the coder audit appeal process, providing rationale and education to the coding...

Company: Adventist Health
Location: Roseville, CA
Posted Date: 07 Dec 2025

Professional Fee (Pro Fee)-focused Coding Educator

, audit, and education functions. KEY RESPONSIBILITIES: Coding Education & Training Deliver physician and coder education...JOB DESCRIPTION: Our client is seeking a Professional Fee (Pro Fee)–focused Coding Educator for an exciting contract...

Company: Kavaliro
Location: Sacramento, CA
Posted Date: 04 Dec 2025

Professional Fee (Pro Fee)-focused Coding Educator

, audit, and education functions. KEY RESPONSIBILITIES: Coding Education & Training Deliver physician and coder education...JOB DESCRIPTION: Our client is seeking a Professional Fee (Pro Fee)–focused Coding Educator for an exciting contract...

Company: Kavaliro
Location: Sacramento, CA
Posted Date: 03 Dec 2025

Coding Auditor Sr

Anticipated End Date: 2025-12-12 Position Title: Coding Auditor Sr Job Description: JR171732 Coding Auditor Sr... through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders...

Company: Elevance Health
Location: Nashville, TN
Posted Date: 26 Nov 2025

Coding Quality Analyst

, QRN, DRG Validation, and Accuity, for relevant educational opportunities and report to the Coding Manager Support...! JOB SUMMARY The Coding Quality Analyst reviews medical records to validate the completion of all coding audit workflows. Analyze...

Posted Date: 21 Nov 2025

Lead HIM Coding Specialist (HIM), Full Time, Day shift

of 5 years of inpatient coding experience in an acute care hospital Minimum of 2 years in DRG validation, coding audit...Position Summary The Lead HIM Coding Specialist serves as a subject matter expert in inpatient coding and DRG...

Location: USA
Posted Date: 08 Nov 2025

Physician Coding Lead

, leadership, project oversight, daily coder workflow assignments and quality assurance. Physician coding includes ICD 10 CM, CPT...: Required: Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices...

Posted Date: 27 Oct 2025

DRG Clinical (RN) Validation Auditor

), Certified Professional Coder (CPC) and/or Inpatient Coding Credential such as CCS or CIC. Experience with third party DRG... Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. Bedside Acute...

Company: Elevance Health
Location: Indianapolis, IN
Posted Date: 16 Jan 2026
Salary: $90000 - 135702 per year

CDI Validation Specialist

Coding Validation Manager to develop appropriate training materials. The primary goal of ensuring the documentation in the... opportunities. Assists CDI manager with final DRG validation when there is a discrepancy between CDS and coder. Collaborates...

Location: USA
Posted Date: 21 Dec 2025
Salary: $83000 - 120500 per year