- Emory Healthcare/Emory University (Atlanta, GA)
- …incentives + 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 ,...+ Prepares and oversees professional billing and coding components of the Compliance work plan… more
- BayCare Health System (Atlanta, GA)
- …_Sign on bonuses available!_ Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities ... 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position....facility Inpatient claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department… more
- Highmark Health (Atlanta, GA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
- Humana (Atlanta, GA)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you will develop and/or evaluate compliance … more
- 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, ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Elevance Health (Atlanta, 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
- Datavant (Atlanta, GA)
- …mouse, headset, and keyboard. + Comprehensive training led by a credentialed professional coding manager. + Exceptional service-style management and mentorship ... Implement process improvements to enhance accuracy, efficiency, and regulatory compliance . + Ensure coding is completed within...ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. +… more
- Datavant (Atlanta, GA)
- …mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship ... you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding … more