- Elevance Health (Atlanta, GA)
- **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by evaluating the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility ... and professional billing , coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluate facility/professional billing … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …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...programs that confirm compliance, identifies reimbursement implications, and provides billing providers with relevant and timely information regarding audit… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Atlanta, GA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Highmark Health (Atlanta, GA)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …develops and executes audit, monitoring, and education for inpatient hospital billing , coding and documentation programs that ensure compliance with regulatory ... standards. Continuously evaluates inpatient hospital/clinical billing compliance activities to assess compliance with the Compliance Audit and Analysis Program and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant ... types, clinical documentation, payer reimbursement methodology, medical necessity criteria, billing requirements and applicable industry based standards + Remain… more
- Morehouse School Of Medicine (Atlanta, GA)
- …for Accounts Receivable, Revenue and Allowance Accounts. + Provide support for External Auditor 's during year-end close and Internal Auditor request. + Work ... and increase efficiencies and establish effective processes. + Ensure proper billing , notification and follow-up to students and other external agencies regarding… more
- DoorDash (Atlanta, GA)
- …sales team. In this role, you will execute campaign contracts, setup, and billing while also analyzing reporting to drive campaign performance. You will work hand ... 29, 2024. The Covey tool has been reviewed by an independent auditor . Results of the audit may be viewed here: Covey (https://getcovey.com/nyc-local-law-144)… more
- Jensen Hughes Inc. (Atlanta, GA)
- …* Review contracts to ensure proper system set up ( _revenue recognition, billing , and delivery)_ * Partner with the Project Manager(s) in financial support of ... 4 or more years of relevant experience ( _revenue analyst, project accounting, auditor , etc._ ) + Experience and understanding of revenue recognition principles +… more