• Coding Quality Auditor

    Houston Methodist (GA)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body ... 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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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned...(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)… more
    Highmark Health (02/07/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of… more
    Elevance Health (04/29/25)
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  • Diagnosis Related Group Clinical Validation…

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

    Cardinal Health (Atlanta, GA)
    …and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Evaluates ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (04/25/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification required. + Minimum of five to seven (5-7) years of ... improvement practices. + Thorough knowledge and understanding of hospital inpatient billing, coding, and documentation requirements, Federal and State regulations,… more
    Emory Healthcare/Emory University (03/04/25)
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