- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education ... all pertinent internal and external audits. + Collaborates with clinical and administrative staff and leadership to...delivering educational and training programs for professional billing and clinical compliance based on the latest Federal… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- CVS Health (Atlanta, GA)
- … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
- Molina Healthcare (Columbus, GA)
- …and cost-effective member care. Essential Job Duties * Performs audits of non- clinical staff in utilization management, care management, member assessment, ... address findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates… more
- Datavant (Atlanta, GA)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with co-workers, ... addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding...management, and hospital staff regarding clinical and reimbursement issues. +… more
- Molina Healthcare (Savannah, GA)
- …+ Certified Professional in Health Quality (CPHQ) + Nursing License + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance . +...+ Develops training, goals and coaching plans for Quality staff . + Ensures that quality assurance is performed for… more
- HCA Healthcare (Savannah, GA)
- …team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on ... Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding… more