- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records… more
- Elevance Health (Atlanta, GA)
- ** Clinical Provider Auditor I** **Location** : We prefer any of the following cities/States: Woodland Hills, CA; Denver, CO; Miami, FL; Tampa, FL; Atlanta, GA; ... unless an accommodation is granted as required by law. The ** Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may… more
- 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)
- …preferred. **Position Purpose:** Lead medical record audits, monitor and analyze clinical documentation, and modify business processes to measure member outcomes. ... Assess provider performance and quality of care through clinical case reviews. + Lead clinical audits for provider medical records both remotely via electronic… 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 ... Requirements:** + Requires AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and experience, which would provide… 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 (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… 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
- Elevance Health (Atlanta, GA)
- **DRG Coding Auditor Principal** **_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 Principal** is responsible for auditing inpatient medical records on… more
- Elevance Health (Atlanta, GA)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables ... reside within a commuting distance from an office.** The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating high quality… more