- HCA Healthcare (Savannah, GA)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Atlanta, GA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Banner Health (GA)
- …teams with different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of ... team that values growth and development! This is a Quality position, not a day-to-day coding production...audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- Datavant (Atlanta, GA)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. You will: + Maintain a ...assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of… more
- Datavant (Atlanta, GA)
- …+ Provide monthly performance data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans for ... educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division.… more
- Grant Thornton (Atlanta, GA)
- …+ Perform engagement management responsibilities, including project scheduling, financial oversight, quality review , and client relationship management. + Lead ... to reach your own professional goals. Your day-to-day may include: + Review operational, financial, and technology processes to provide management with a… more
- Molina Healthcare (Columbus, GA)
- …analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in ... appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with Complex Claim...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
- Elevance Health (Atlanta, GA)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Truist (Atlanta, GA)
- …English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Job Profile Name Software Engineer II Job ... efficient tools for regulatory monitoring. 4. Participate in compliance reviews, audit reviews, and remediation plan reviews to ensure solution development meets… more
- Datavant (Atlanta, GA)
- …KPIs such as suspecting accuracy, chart throughput, RAF impact, data latency, coding quality metrics, and client engagement. **Cross-Functional Collaboration** + ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more