- Elevance Health (Atlanta, GA)
- ** Clinical Provider Auditor II** **Hybrid 1:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** CLINICAL PROVIDER AUDITOR II** is responsible for identifying issues… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... development and delivering educational and training programs for professional billing and clinical compliance based on the latest Federal and State regulations… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for ... and professional billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluate facility/professional billing … more
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluates inpatient hospital/ clinical ... and coding. **Primary duties and responsibilities:** + Prepares and oversees inpatient hospital/ clinical billing and coding components of the Compliance work… more
- Humana (Atlanta, GA)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Highmark Health (Atlanta, GA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Houston Methodist (GA)
- …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 ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- Cardinal Health (Atlanta, GA)
- …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... Risk, who will play a Program Lead role focused on driving IT Privacy Compliance for the organization. **_Job Overview:_** This role is a leader position within the… more
- RELX INC (Atlanta, GA)
- Are you looking to utilize your Compliance and Governance expertise as a critical member of our GRC team? About the role: We are seeking an experienced Senior ... Governance, Risk, and Compliance (GRC) Analyst to lead the development and implementation...Certified Information Security Manager (CISM) + Certified Information Systems Auditor (CISA) Work in a way that works for… more