• Performance Quality Auditor I

    Elevance Health (Atlanta, GA)
    ** Performance Quality Auditor I** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... for employment, unless an accommodation is granted as required by law. The ** Performance Quality Auditor I** is responsible for evaluating the quality … more
    Elevance Health (10/02/25)
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  • FM Approvals Quality Assurance Compliance…

    FM (Alpharetta, GA)
    …within the Auditing and Quality Assurance department. The role of the Quality Auditor is expected to independently schedule and conduct conformity assessment ... facilities-to verify they meet rigorous loss prevention standards of quality , technical integrity and performance . How? By...and interpret engineering technical drawings **Preferred Skills** + Lead Auditor , Quality Engineer, or Quality … more
    FM (10/02/25)
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  • Quality Improvement Auditor - REMOTE

    Actalent (Atlanta, GA)
    Job Title: Quality Improvement Auditor - Fully remote Job Description The Quality Improvement Auditor will lead medical record audits, monitor and ... to measure member outcomes. This role involves assessing provider performance and quality of care through clinical...of quality improvement experience or similar to Quality Improvement Auditor . + Audit experience, including… more
    Actalent (10/07/25)
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  • Inpatient Medical Coding Auditor

    Humana (Atlanta, GA)
    …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... 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
    Humana (09/24/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
    Houston Methodist (09/30/25)
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  • Independent Adjuster Auditor

    Sedgwick (Atlanta, GA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you'll have the ... professional needs. **PRIMARY PURPOSE** **OF THE ROLE** The Independent Adjuster Auditor reviews Independent Adjuster and other Non-Legal Vendor invoices on behalf… more
    Sedgwick (09/16/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (10/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient… more
    Elevance Health (09/23/25)
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  • Claims Auditor (remote)

    Cognizant (Atlanta, GA)
    …Follows all team procedures, including HIPAA policies and procedures, and meets team quality , turnaround time and productivity performance standards and goals + ... **Claims Auditor ** (remote) This is a remote position open...team: + Monitor, evaluate and score claims against established quality assurance instruments and standards + Verifying if the… more
    Cognizant (10/09/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
    Highmark Health (09/20/25)
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