- Elevance Health (Columbus, GA)
- …in accordance with Government Auditing Standards (GAS). The Auditor II will gain experience on Medicare Part A Audit and Reimbursement as part of our Medicare ... ** Audit & Reimbursement II** **_Location:_** This role enables...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- Elevance Health (Atlanta, GA)
- …Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
- Elevance Health (Atlanta, GA)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
- Elevance Health (Columbus, GA)
- …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- Elevance Health (Columbus, GA)
- … Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II** will support our Medicare Administrative Contract ... ** Audit & Reimbursement II** **Location:** This role enables...(MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Internal Audit Sr Manager is a key leadership role responsible for developing, implementing, and overseeing the internal audit ... extensive experience in SOX compliance, internal controls, risk management, and audit project management. This position requires a strategic problem solver with… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The Quality Audit ... and independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports the Healthcare Quality Management Team in administering… more
- PruittHealth (Blue Ridge, GA)
- …annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting ... 23. Be highly involved in determining skilled level of care for Medicare residents and procuring required Medicare -specific documentation; be responsible for… more
- Highmark Health (Atlanta, GA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- CenterWell (Atlanta, GA)
- …at the division and market level; Partners with Clinical Documentation Improvement, Audit , and Education to develop programs to improve clinical documentation. + ... development and compliance with coding standards. + Partner with analytics and audit to identify coder errors and develop plans to address deficiencies/specific… more