- 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 ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Elevance Health (Atlanta, GA)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ Alternate locations may be considered. This position will work ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Humana (Atlanta, GA)
- …action. The SIU clinical review team is seeking a Medical Coding Auditor . This position includes review of information provided in medical records and requires ... our caring community and help us put health first** The Medical Coding Auditor performs audit validation processes to ensure that medical record documentation and… more
- TEKsystems (Atlanta, GA)
- As the Outpatient Medical Coding Auditor If you're ready to explore the next step in your career: You'll enjoy Career Opportunities - Tons of growth opportunities ... A day in the role + The Medical Coding Auditor - Outpatient is responsible for ensuring the accuracy,...Identify and Correct Errors: Detect discrepancies and coding errors, provide feedback, and collaborate with coding staff to correct… more
- Elevance Health (Atlanta, GA)
- **Medical Records Auditor ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Medical Records Auditor ** is responsible for the audit and review of...payments. **How you will make an impact:** + Audits provider claims for compliance to standard coding and billing… more
- Elevance Health (Atlanta, GA)
- **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must live within ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating… more
- TEKsystems (Atlanta, GA)
- Description The Medical Coding Auditor (Outpatient) is responsible for ensuring the accuracy, integrity, and compliance of medical coding practices within the ... to verify adherence to coding guidelines and regulations. The Medical Coding Auditor plays a crucial role in minimizing coding errors, preventing fraudulent… more
- Houston Methodist (Atlanta, GA)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... **Coding Quality Auditor - 100% Remote (Must Live in FL,...utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and… more
- Baylor Scott & White Health (Atlanta, GA)
- …specific qualifications and prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** + Conducts provider audits and creates provider scorecards to offer feedback on ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...+ Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards… 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 ... challenges independently, possess leadership experience, strong attention to detail, can provide outstanding customer service and enjoys working in a fast-paced,… more