- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary** **Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following:** **Proven ability to support coding .** **Judgment and decisions using industry standard evidence and tools.** **Ability… 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...THE ROLE** ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including… more
- Highmark Health (Atlanta, GA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… 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 ... audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA,...+ Coordinates remediation when required. + Coordinates with the Coding leadership, Quality nurses and the CDS… more
- Humana (Atlanta, GA)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior… more
- Humana (Atlanta, GA)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. As the Senior Clinical ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Revenue Integrity DRG Auditor who has a comprehensive understanding of hospital Revenue Cycle Management. Significant ... experience in the following areas: hospital inpatient coding , DRG assignment, charge capture, and hospital reimbursement methodologies. The candidate must have… more