- Elevance Health (Atlanta, GA)
- ** Clinical Provider Auditor I - Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance...to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** will… 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 ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is...conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations… more
- Elevance Health (Atlanta, GA)
- …of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… 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 ... a bi-weekly payment for their internet expense. * Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the… more
- Elevance Health (Atlanta, GA)
- …quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement policies, ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance… 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 ... data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to assure coding knowledge and skills remain current… more