- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Datavant (Atlanta, GA)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:** + 5+ years of… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Hyundai Autoever America (Savannah, GA)
- …and software interfacing. Conducts programming tasks, including program design, coding , debugging, and documentation. As directed, prepares feasibility studies and ... Linux, Rocky Linux, Ubuntu. + Intermediate/Advanced proficiency in performing coding utilizing C#, ASP.net, HTML5, and WinForms + Intermediate/Advanced proficiency… more
- Coinbase (Atlanta, GA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Molina Healthcare (GA)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- AIG (Atlanta, GA)
- …in-depth understanding of coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as the first point ... prior to underwriting review; documents discrepancies and work with the premium auditor for resolution. + Performs quality control of adjustments prior to… more
- Truist (Atlanta, GA)
- …of complex data system and End User Computing Tools. 6. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, loading, and ... 8. Professional risk management designations such as Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (Information… more
- Truist (Atlanta, GA)
- …Data Management Lifecycle within a complex financial organization. 15.. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, ... or Professional risk management designations such as Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (Information… more