• Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (02/07/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (04/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
    Elevance Health (04/29/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Atlanta, GA)
    …with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and ... and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates the… more
    Cardinal Health (04/25/25)
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