- Houston Methodist (GA)
- …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
- HCA Healthcare (Savannah, GA)
- …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you come first. HCA Healthcare has committed… more
- Humana (Atlanta, GA)
- … Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and… more
- Baylor Scott & White Health (Atlanta, GA)
- …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
- Elevance Health (Atlanta, GA)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
- TEKsystems (Atlanta, GA)
- …experience in APR, SOI (severity of illness), and ROM (risk of mortality) Description + The Coding Auditor 1 is proficient in various types of coding and is ... responsible for performing coding quality audits and providing feedback to coders. + The Coding Auditor 1 utilizes the International Classification of… more
- Highmark Health (Atlanta, GA)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor ** to extract data from patient encounters ensuring the ... staff. + Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS team to educate physicians, nursing, and… more
- TEKsystems (Atlanta, GA)
- Remote Part TimeInpatient Coding Auditor You'll enjoy Part Time Hours - Monday-Friday 20 hrs a week; full time hours available as well Competitive Pay ... a large healthcare provider A day in the role . Responsible for performing coding quality audits and providing feedback to coders. . Coding references will… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- TEKsystems (Atlanta, GA)
- …Create presentations, develop learning material, handbook and other training materials - Conducts coding and data quality reviews and prepares complex reports as ... Physician Compliance Auditor Hybrid - Atlanta, GA 30315 Salary Range:...medical records & other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting,… more
- CVS Health (Atlanta, GA)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor… more
- Elevance Health (Columbus, GA)
- …is responsible for managing the process for claims and customer service audits/ quality control reviews, including implementation audits, for National and Large Local ... audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately… more
- Elevance Health (Atlanta, GA)
- …for managing the process for prior authorization and customer service audits/ quality control reviews, including implementation audits, for National and Large Local ... audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately… more