- BayCare Health System (Atlanta, GA)
- …position. _Sign on bonuses available!_ Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or physicians. +… more
- Humana (Atlanta, GA)
- …currently operates about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, ... to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director...areas. In this role, you will serve as a regulatory compliance subject matter expert with the… more
- Highmark Health (Atlanta, GA)
- …code and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic ... Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding guidelines and regulatory ...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Houston Methodist (GA)
- …encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
- CVS Health (Atlanta, GA)
- …part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
- Cardinal Health (Atlanta, GA)
- …within the organization develops, enhances, and maintains security policies and IT compliance programs in alignment with regulatory , legal, and contractual ... etc.), third party certification management (eg, HITRUST, SOC 2), and proactively driving compliance to emerging regulatory obligations. The manager will lead a… more
- RELX INC (Atlanta, GA)
- …GRC program. Experience in defining cybersecurity controls, particularly related to regulatory , legislative, and industry specific compliance requirements. + ... Are you looking to utilize your compliance and governance expertise as a critical member...cross-functional teams to ensure alignment with business objectives and regulatory requirements. About the team: This diverse team is… more
- Grifols Shared Services North America, Inc (Lithonia, GA)
- …and implements processes, regulations and SOPs for quality control and overall regulatory compliance , making independent decisions and modifications as required. ... * Independent level of quality inspection and control -- ensures center compliance with quality standards and regulations. * Collaborates with Center Managers to… more
- Molina Healthcare (GA)
- …+ Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more