- Robert Half Office Team (Atlanta, GA)
- Description We are looking for a detail-oriented Medical Coding Auditor to join our team on a long-term contract basis. In this role, you will ensure the ... and upholding data integrity. Requirements * Proven experience in medical coding , with a focus on interventional radiology and vascular procedures.… more
- Elevance Health (Atlanta, GA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance role is preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in ... programs for providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M) services, procedural … 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...with government and payor guidelines. + Analyzes and reviews medical record documentation and billing data for all pertinent… 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 ... accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and… more
- Datavant (Atlanta, GA)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- Elevance Health (Atlanta, GA)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …information management (eg, courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records); Note: Only education ... reports performance monitors for PTF, PCE, VERA and Non-VA Medical Care (purchased care) coding . Audit accurate...VERA and Non-VA Medical Care (purchased care) coding . Audit accurate and complete assignment of ICD-10-CM and… more
- Elevance Health (Atlanta, GA)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- Humana (Atlanta, GA)
- …and independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical record documentation to ensure ... part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (Atlanta, GA)
- …Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** + Performs Professional Fee ... coding audits of medical records and abstracts...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Need to Succeed:**… more
- Datavant (Atlanta, GA)
- …software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Molina Healthcare (Atlanta, GA)
- …Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these… more
- Coinbase (Atlanta, GA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more
- Truist (Atlanta, GA)
- …of complex data system and End User Computing Tools. 6. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, loading, and ... 8. Professional risk management designations such as Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (Information… more
- Truist (Atlanta, GA)
- …Data Management Lifecycle within a complex financial organization. 15.. Knowledge of coding , data tools and platforms used for managing, storing, querying, testing, ... or Professional risk management designations such as Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (Information… more