- Elevance Health (Atlanta, GA)
- **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Columbus, GA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (Columbus, GA)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- CVS Health (GA)
- …experience equal to approximately 5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified ... recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with...Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …preferred. + A minimum of five years of experience working as a medical coder, coding , auditor , and/or coding educator. + Certified in Healthcare Compliance ... At Emory Healthcare.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs… more
- Hyundai Autoever America (Savannah, GA)
- …and software interfacing. Conducts programming tasks, including program design, coding , debugging, and documentation. As directed, prepares feasibility studies and ... Linux, Rocky Linux, Ubuntu. + Intermediate/Advanced proficiency in performing coding utilizing C#, ASP.net, HTML5, and WinForms + Intermediate/Advanced proficiency… more
- Coinbase (Atlanta, GA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to...such as Python, Ruby, etc. *Nice to haves:* * Professional Internal Audit / IT / Security qualification (eg,… more
- AIG (Atlanta, GA)
- …in-depth understanding of coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as the first point ... prior to underwriting review; documents discrepancies and work with the premium auditor for resolution. + Performs quality control of adjustments prior to… more
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