- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, ... participates in continuing education opportunities to remain current with billing and coding compliance best practices (ie, conferences, workshops, and other… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Highmark Health (Atlanta, GA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... require Inpatient (AHIMA) credentials._** **GENERAL OVERVIEW:** Performs all related internal , concurrent, prospective and retrospective coding audit activities.… more
- Houston Methodist (GA)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding /DRG requests. Responds promptly to Business… more
- Cognizant (Atlanta, GA)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer...minimum accuracy rate of at least 98% while meeting internal productivity standards set by company + Maintain productivity… more
- CVS Health (Atlanta, GA)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as… more
- Elevance Health (Atlanta, GA)
- **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Elevance Health (Columbus, GA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- HCA Healthcare (Savannah, GA)
- …**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews ... on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of experience working as a medical coder, coding , auditor , and/or coding educator. + Certified in Healthcare Compliance (CHC or CPCO) preferred. If no ... providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M)...AUDITING & REPORTING:** + Participate in specialty and high-risk internal audits and reviews to assess compliance … more
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