- Humana (Atlanta, GA)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Unum Group (Dunwoody, GA)
- …team and Unum and help achieve our shared vision. You will thrive as a Senior Auditor on the Corporate Audit team if you have skills in: + **Problem Solving & ... team in achieving its goals by consistently delivering timely, high- quality work, even under challenging circumstances. You maintain a...takes smart risks, innovates, and models change behavior. + ** Data Analytics:** You are excited about and use … more
- Elevance Health (Atlanta, GA)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- Humana (Atlanta, GA)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… 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 exists ... in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The CareBridge Coding… more
- Centene Corporation (Atlanta, GA)
- …and modify business processes to measure member outcomes. Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for ... reports summarizing findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the accuracy ... completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical… more
- Datavant (Atlanta, GA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, and… more
- WestRock Company (Atlanta, GA)
- …risk/control advisory services and provides innovative, respected, timely, and valued data driven risk/control insight. Internal Audit anticipates risk to influence ... sought out for risk/control advisory services, delivering respected, valued, data -driven risk/control insights, and positively influencing continuous improvement of… more
- Molina Healthcare (Atlanta, GA)
- …with the applicable state, federal, contractual requirements, National Committee for Quality Assurance (NCQA), and Molina requirements for the health plan(s) they ... procedures, case files and evidence of ongoing monitoring to ensure quality and cost-effective provision of delegated services. * Engages delegate leadership… more
- Regions Bank (Atlanta, GA)
- … & Analytics Office to ensure effective controls and monitoring are in place for data quality , integrity and privacy and supports the implementation of strong ... opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to...of the system. **Job Description:** At Regions, the Technology, Data , and Digital Risk Group Manager role is responsible… more
- Truist (Atlanta, GA)
- … Risk Oversight (EDRO) (2LOD). The goal is to provide reporting and data quality testing (transaction testing) results and value-added recommendations that will ... and key contributor to the Truist second line-of-defense (LoD2) Regulatory reporting and data testing team (RDT) team reporting to the Enterprise Data Assessment… more
- Cargill (Atlanta, GA)
- …Minnesota or Atlanta, Georgia. **Job Purpose and Impact** + The Digital Technology and Data (DT&D) Audit Risk Advisor job leads and drives the organization's IT risk ... a recognized subject matter expert in digital technology and data risk and controls, this job leads and advises...RISK ASSESSMENT DELIVERY: Leads and advises on delivering high quality risk assessments and project proposals in alignment with… more
- Truist (Atlanta, GA)
- …scoping and developing the test plan, including incorporating the use of data analytics. Effectively allocate resources and individuals in accordance with skills and ... schedules, to complete assignments within budget. 2. Set clear quality expectations based on Truist Audit Services standards and analyze/review process documentation… more
- MISTRAS Group, Inc. (Atlanta, GA)
- **Description** **Major Responsibilities/Activities:** + Assess the implementation of the Quality Program and provide guidance on improvements. + Provide the Mistras ... personnel with guidance in the application and implementation of the Quality Assurance Program. + Contribute to the process of writing, revising and implementation… 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 ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more
- Datavant (Atlanta, GA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim… more
- Truist (Atlanta, GA)
- …development of the audit test plan, including incorporating the use of data analytics, and coordinate engagement resources and engagement assignments among teammate ... effectively to complete assignments within budget while maintaining quality standards. 2. Set clear quality expectations based on Truist Audit Services standards… more
- Truist (Atlanta, GA)
- …sub-Committees, Truist's primary regulators and Audit Services' management. 5. Perform Quality Control reviews on various audit internal operations processes (ie ... 1. Professional certification as a Certified Public Accountant, Certified Internal Auditor , or Certified Information Systems Auditor preferred. 2. Knowledge… more
- Coinbase (Atlanta, GA)
- …strategic analysis, risk assessments, development of the audit plan, project management, quality review, report issuance and issue validation across IT and business ... stakeholders. Partner with leadership to develop and monitor remediation plans. * * Data Integrity & IUC/IPE Governance:* Establish and enforce rigorous standards for… more