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EH
Coding Auditor Senior
Elevance Health St. Louis, MO
Coding Auditor SeniorCoding Auditor SeniorLocation: Any PulsePoint office. St. Louis, MO preferred.Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.How you will make an impact:Audits diagnosis data retrieved...

Nov 01, 2026
AI
Coding Auditor Senior
ANTHEM INSURANCE COMPANIES INC Tampa, FL
Coding Auditor SeniorLocation: Any PulsePoint office. St. Louis, MO preferred.Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.How you will make an impact:Audits diagnosis data retrieved from physician and...

Nov 01, 2026
AI
Coding Auditor Senior
ANTHEM INSURANCE COMPANIES INC Grand Prairie, TX
Coding Auditor SeniorLocation: Any PulsePoint office. St. Louis, MO preferred.Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements.How you will make an impact:Audits diagnosis data retrieved from physician and...

Nov 01, 2026
EH
Coding Auditor Senior
Elevance Health St. Louis, MO
Anticipated End Date: 2026-11-29 Position Title: Coding Auditor Senior Job Description: Coding Auditor Senior Location : Any PulsePoint office. St. Louis, MO preferred. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and...

Oct 31, 2026
AI
Coding Auditor Senior
ANTHEM INSURANCE COMPANIES INC St. Louis, MO
Coding Auditor Senior Location: Any PulsePoint office. St. Louis, MO preferred. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. How you will make an impact: Audits diagnosis data retrieved...

Oct 31, 2026
EH
Coding Auditor Senior
Elevance Health United States
Coding Auditor Senior Coding Auditor Senior Location: Any PulsePoint office. St. Louis, MO preferred. Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. How you will make an impact: Audits...

Oct 31, 2026
EH
Coding Auditor Senior
Elevance Health Wilmington, DE
Coding Auditor Senior Location : Any PulsePoint office. St. Louis, MO preferred. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. How you will make an imp act: Audits diagnosis...

Oct 31, 2026
EH
Coding Auditor Senior
Elevance Health Miami, FL
Coding Auditor Senior Location : Any PulsePoint office. St. Louis, MO preferred. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The Coding Auditor Senior is responsible for auditing diagnosis data collected from physician and hospital medical records to ensure proper ICD-9/ICD-10 coding and compliance with risk adjustment requirements. How you will make an imp act: Audits diagnosis...

Oct 31, 2026
CH
HCC Coding Auditor Senior - Health Plan Network
Christus Health Irving, TX
HCC Coding Auditor Senior - Health Plan NetworkUS:TX:Irving | Revenue Cycle Audit | Full TimeHCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option.Responsibilities:Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion,...

Oct 30, 2026
GT
Coding Auditor, Senior Associate
Gainwell Technologies Austin, TX
Select how often (in days) to receive an alert: Coding Auditor, Senior Associate Date: Oct 24, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to...

Oct 27, 2026
GT
Remote Inpatient Coding Auditor - Senior Associate
Gainwell Technologies Austin, TX
Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to audit medical records and determine correct coding per contract. You will access proprietary systems to document findings and provide policy support, with a focus on MS-DRG, AP-DRG, APR-DRG, ASC, and APC payment systems. You must have strong ICD-10 competencies, apply official guidelines, and support cross-functional teams while working remotely within the United States. #J-18808-Ljbffr

Oct 27, 2026
GT
Coding Auditor, Senior Associate
Gainwell Technologies United States
Inpatient Coding Auditor, Senior Associate- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of inpatient medical records and/or other documentation to determine correct coding, as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems...

Oct 25, 2026
Ga
Remote Outpatient Coding Auditor - Senior Associate
Gainwell New York, NY
Location: New York, United StatesCompany: Gainwell TechnologiesPosted: 2026-10-06Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#J-18808-Ljbffr

Oct 20, 2026
Ga
Remote Inpatient Coding Auditor - Senior Associate
Gainwell United States
Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: GainwellPosted: Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies is seeking an Inpatient Coding Auditor, Senior Associate to perform accurate reviews of inpatient medical records and documentation. You will determine correct coding for diagnoses and procedures, supported by DRG assignments and regulatory guidelines, using proprietary audit systems.The role requires knowledge of ICD-10-CM/PCS, DRG/APC frameworks, and ongoing CEU maintenance....

Oct 12, 2026
Ga
Remote Outpatient Coding Auditor - Senior Associate
Gainwell United States
Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#J-18808-Ljbffr

Oct 12, 2026
Ga
Remote Inpatient Coding Auditor, Senior Associate
Gainwell New York, NY
Location: New York, United StatesCompany: GainwellPosted: 2026-10-21Location: New York, United StatesCompany: Gainwell TechnologiesPosted: 2026-10-18Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies.The role requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials, with opportunities for training, advancement, and remote work within the U.S.#J-18808-Ljbffr

Oct 24, 2026
Ga
Remote Inpatient Coding Auditor, Senior Associate
Gainwell United States
Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies is seeking an experienced Senior Associate Inpatient Coding Auditor to perform audits of inpatient medical records and other documentation to determine correct coding per contract-specific methodologies.The role requires extensive ICD-10 coding knowledge, MS-DRG/APR-DRG expertise, and AHIMA or AAPC credentials, with opportunities for training, advancement, and remote work within the U.S.#J-18808-Ljbffr

Oct 12, 2026
Ga
Associate/Senior Medical Coding Auditor
Gainwell United States
Location: New York, United StatesCompany: Gainwell TechnologiesPosted: Gainwell Technologies seeks an Outpatient Coding Auditor, Senior Associate to audit medical records for correct ICD-10/PCS/CPT coding, documenting findings in proprietary systems. The role emphasizes accurate diagnosis and procedure coding, adherence to guidelines, and regulatory compliance.The ideal candidate has 2+ years of outpatient coding or auditing experience, AHIMA or AAPC credentials, and solid knowledge of ICD-10, APC, ASC and CPT guidelines; remote work within the US is supported.#J-18808-Ljbffr

Oct 12, 2026
PH
Health Information Management Inpatient Coding Auditor, Senior, FT, Days, - Remote
Prisma Health Columbia, SC
Coding Specialist Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the...

Nov 01, 2026
PH
Health Information Management Inpatient Coding Auditor, Senior, FT, Days, - Remote
Prisma Health Columbia, SC
Job ID: R1147112Team: Professional GroupLocation: Columbia, South Carolina, United StatesEmployment type: full timePosted: 2026-09-18Employment Status: Full TimeFacility: CorporateLocations: Greenville, United StatesInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as...

Oct 20, 2026
AAPC
Health Information Management Inpatient Coding Auditor, Senior, FT, Days, - Remote
AAPC New York, NY
Location: New York, United StatesCompany: AAPCPosted: 2026-10-06Coding SpecialistInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's...

Oct 20, 2026
GT
Coding Auditor, Senior Associate
Gainwell Technologies LLC Columbus, OH
Summary It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Your role in our mission Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. Draws on advanced ICD-10 coding expertise to substantiate conclusions. Utilizes HMS proprietary auditing systems with a high level of proficiency to...

Oct 15, 2026
AAPC
Health Information Management Inpatient Coding Auditor, Senior, FT, Days, - Remote
AAPC United States
Location: New York, United StatesCompany: AAPCPosted: Coding SpecialistInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire...

Oct 12, 2026
PH
Health Information Management Inpatient Coding Auditor, Senior, FT, Days, - Remote
Prisma Health United States
Coding Specialist Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the...

Oct 12, 2026
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