- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is ... **DRG Coding Auditor Principal** **_Virtual: _** _...**DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...business, and its clients. Specializes in review of DRG coding via medical record and attending physician's… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance role is preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in ... programs for providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M) services, procedural … more
- Elevance Health (Atlanta, GA)
- **JR171732 Coding Auditor Sr** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing...coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding … more
- WelbeHealth (Atlanta, GA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and ... education for professional billing, coding and documentation programs that confirm compliance, identifies reimbursement...with government and payor guidelines. + Analyzes and reviews medical record documentation and billing data for all pertinent… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and… more
- Elevance Health (Atlanta, GA)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Humana (Atlanta, GA)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- Elevance Health (Atlanta, GA)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Elevance Health (Atlanta, GA)
- …accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + BA/BS preferred + ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (Atlanta, GA)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Coinbase (Atlanta, GA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Truist (Atlanta, GA)
- …of complex data system and End User Computing Tools. 6. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, loading, and ... 8. Professional risk management designations such as Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (Information… more