- 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 Medical Coding Auditor reviews medical claims submitted against medical ... provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation… more
- Baylor Scott & White Health (Atlanta, GA)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- Houston Methodist (Atlanta, GA)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
- Houston Methodist (Atlanta, GA)
- ** Coding Quality Auditor - 100% Remote...and APC systems, official coding guidelines and coding compliance + Working knowledge of medical ... FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Apprentice position is responsible for obtaining the educational material, knowledge and… 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
- Emory Healthcare/Emory University (Atlanta, GA)
- … coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and hospital/clinical billing issues. + ... and executes audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards.… more
- Elevance Health (Atlanta, GA)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Waystar (Atlanta, GA)
- …clinical documentation based on physician documentation, UHDDS guidelines and official coding guidelines using proprietary technology and medical records + ... **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant… more
- Elevance Health (Atlanta, GA)
- …committees representing functional area. **Minimum Requirements:** Requires either a BA/BS degree, medical coding certification and a minimum of 3 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Provider Auditor Senior conducts on-site reviews… more
- CIBC (Atlanta, GA)
- …visit CIBC.com (https://www.cibc.com/en/about-cibc.html) **JOB PURPOSE** The IT Senior Auditor is responsible for conducting risk-focused audits; advising business ... audit reports, and ongoing legal entity reports to key stakeholders. The IT Senior Auditor works with business units to assess the adequacy of controls and develop… more
- CVS Health (Atlanta, GA)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more