- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance role is preferred. + A minimum of five years of experience working as a medical coder, coding , auditor , and/or coding educator. + Certified in ... stakeholders to ensure accurate and compliant reporting of industry standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI, HCC, etc.). +… more
- Houston Methodist (GA)
- …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
- Highmark Health (Atlanta, GA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- 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 ... education for professional billing, coding and documentation programs that confirm compliance, identifies reimbursement...with government and payor guidelines. + Analyzes and reviews medical record documentation and billing data for all pertinent… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and… more
- Datavant (Atlanta, GA)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Humana (Atlanta, GA)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Humana (Atlanta, GA)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more