• Clinical Provider Auditor II

    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 ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is responsible for...you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
    Elevance Health (08/26/25)
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  • Clinical Provider Auditor II

    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 ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
    Elevance Health (08/13/25)
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  • Professional Coding Compliance…

    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 (06/03/25)
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  • Physician Compliance Auditor

    TEKsystems (Atlanta, GA)
    …a reputable healthcare client in Atlanta, GA, is hiring for a Physician Compliance Auditor with competitive pay and growth opportunity! Job Description: + ... Performing clinical reviews of medical records & other documentation to...the appropriateness of treatment setting, HIPAA matters & other compliance issues as directed by the Physician Coding Director… more
    TEKsystems (08/20/25)
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  • Inpatient Coding Auditor

    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
    BayCare Health System (08/08/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Atlanta, GA)
    …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
    Humana (08/23/25)
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  • Coding Auditor Educator

    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
    Highmark Health (08/08/25)
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  • Coding Quality Auditor

    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
    Houston Methodist (07/12/25)
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  • Senior Coding Data Quality Auditor , Coding…

    CVS Health (Atlanta, GA)
    …part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
    CVS Health (08/24/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Atlanta, GA)
    …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/02/25)
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