- Elevance Health (Atlanta, GA)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- BayCare Health System (Atlanta, GA)
- …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more
- Elevance Health (Atlanta, GA)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **Location** : _This position will work virtually._...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- 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 reimbursement implications, and...all pertinent internal and external audits. + Collaborates with clinical and administrative staff and leadership to ensure audit… more
- Houston Methodist (GA)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …and foster relationships with internal coders and managers and 3rd party clinical reviewers and leads training on proper documentation for facility/professional ... documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues. **JOIN OUR TEAM… more
- Highmark Health (Atlanta, GA)
- …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation . + Review… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Manage and foster relationships with internal coders and managers and 3rd party clinical reviewers. + Leads training on proper documentation for inpatient ... and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and hospital/ clinical billing issues. + Project… more
- Grifols Shared Services North America, Inc (Statesboro, GA)
- …of donor files. * Directs the maintenance and calibration of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) ... internal and external audits including execution (if applicable). This includes documentation , review of and preparation of the response. Also including… more