- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit , monitoring, and ... audit findings in MDAudit and communicates with the Manager , Compliance Audit and Analysis if ...communicate coding information, including the results of coding compliance audit activities. + Proficiency in… more
- Datavant (Atlanta, GA)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Elevance Health (Atlanta, GA)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is...+ BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or… more
- Highmark Health (Atlanta, GA)
- …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Datavant (Atlanta, GA)
- …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager ** is essential to the Provider HIM Coding ... data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans...RHIA, or CCS) with at least **5 years of coding experience** . + Excellent interpersonal and organizational skills.… more
- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Professional 2 work assignments are...positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO,… more
- Grant Thornton (Atlanta, GA)
- As a Process Risk Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks. ... and the overall effectiveness and efficiency of processes. + Oversee internal audit outsourcing and co-sourcing engagements for clients. + Manage the risk… more
- Datavant (Atlanta, GA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Molina Healthcare (Columbus, GA)
- … experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more