- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ... to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality...past 3 years + Experience as a Utilization Management Auditor + Health Plan experience working with large carriers… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more! **Description** Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education ... inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/clinical billing… more
- BayCare Health System (Atlanta, GA)
- …Carolina. _Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. This team member...as the Liaison for coding issues with the BayCare Compliance Department while maintaining a database of all audits… more
- CVS Health (Atlanta, GA)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... CPC's, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage… more