- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- **Remote Senior Inpatient Auditor - MS-DRG & Clinical Validation** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, ... **Employment Type:** Full Time **Position Description:** CGI is seeking a high-caliber MS-DRG Auditor to join our Healthcare Compliance Team. In this role, you will… more
- Centene Corporation (Atlanta, GA)
- …findings, including clinical recommendations to assure the delivery of quality services + Lead case reviews to assess the clinical performance provided ... preferred. **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes.… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... 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
- Elevance Health (Atlanta, GA)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... procedures and educational materials + Acts as liaison with service operations as well as other areas of the...AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and… more
- Humana (Atlanta, GA)
- …the accuracy, completeness, specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators ... and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided,...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- HCA Healthcare (Augusta, GA)
- …want to join an organization that invests in you as an Inpatient Coding Quality Auditor ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... **Work Location:** Atlanta, GA **Description** + The Corporate Director Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other ... and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the accuracy of DRGs.… more