- Baylor Scott & White Health (Atlanta, GA)
- **JOB SUMMARY** 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 Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- BayCare Health System (Atlanta, GA)
- …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ ... Responsibilities + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the… more
- Elevance Health (Atlanta, GA)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… 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 ... and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA, Discharge Disposition. + Reviews… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …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, identifies reimbursement implications, and provides billing providers… more
- Highmark Health (Atlanta, GA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Cognizant (Atlanta, GA)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and executes audit, monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. ... a resource for providers and caregivers on hospital/clinical billing and coding . **Primary duties and responsibilities:** + Prepares and oversees inpatient… more
- Humana (Atlanta, GA)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Reporting to the Director, Compliance Audit and Analysis, the Sr. Compliance Auditor will develop and execute audit, monitoring, and education for both facility ... and professional billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously evaluate facility/professional billing… more
- Elevance Health (Atlanta, GA)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Elevance Health (Atlanta, GA)
- …audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately ... test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. +… more
- AIG (Atlanta, GA)
- …in-depth understanding of coverages and program structures, as well as internal policy coding systems to ensure account completeness. + Designated as the first point ... prior to underwriting review; documents discrepancies and work with the premium auditor for resolution. + Performs quality control of adjustments prior to… more