• Senior Compliance Auditor

    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 (06/03/25)
    - Related Jobs

  • Professional Coding Compliance Auditor

    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
    Emory Healthcare/Emory University (06/03/25)
    - Related Jobs

  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (07/22/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Columbus, GA)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (07/22/25)
    - Related Jobs

  • Coding Auditor Educator

    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
    Highmark Health (05/09/25)
    - Related Jobs

  • Specialist, Configuration Oversight

    Molina Healthcare (Augusta, GA)
    …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims....& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (07/18/25)
    - Related Jobs

  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …laws, regulations, and industry standards, focusing on compliance risk areas and billing practices, while also providing ongoing educational support, and fostering a ... other stakeholders to ensure accurate and compliant reporting of industry standard billing , coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC,… more
    Emory Healthcare/Emory University (07/19/25)
    - Related Jobs

  • Coding Quality Audit Reviewer

    HCA Healthcare (Savannah, GA)
    …team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health information… more
    HCA Healthcare (06/21/25)
    - Related Jobs

  • Senior Government Accounting Manager

    GE Aerospace (Atlanta, GA)
    …Lead + Develop, review, and publish indirect overhead and direct labor pricing, billing , and final (ICS) rates + Support ICS and proposal audits + Implement ... monthly cost monitoring to ensure accuracy of pricing and billing rates + Build open and positive relationships with...with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Experience with… more
    GE Aerospace (06/17/25)
    - Related Jobs