• 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 ... essential face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient… more
    Elevance Health (06/04/25)
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  • Sr Clinical Compliance Prof. RCM & Coding…

    Humana (Atlanta, GA)
    …us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about 340+ senior focused primary care centers ... business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring… more
    Humana (06/10/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Atlanta, GA)
    **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid… more
    Elevance Health (06/05/25)
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  • Professional Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional… more
    Emory Healthcare/Emory University (06/03/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility… more
    Emory Healthcare/Emory University (06/03/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the accuracy of DRGs.… more
    Emory Healthcare/Emory University (06/06/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... 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
    Houston Methodist (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
    Highmark Health (05/09/25)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical billing compliance activities to assess compliance with the… more
    Emory Healthcare/Emory University (04/22/25)
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  • Inpatient Medical Coding Auditor (Facility…

    Cognizant (Atlanta, GA)
    We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... and compliance with regulatory and organizational standards. - **Enhance Clinical Documentation Quality** . Collaborate with physicians through a structured… more
    Cognizant (06/03/25)
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