- ASM Research, An Accenture Federal Services Company (Atlanta, GA)
- Completes audits of customer programs and related follow-up activities. Ensures quality of audits consisting of: Understanding business requirements and operations, ... the management tool. + Reviews metrics to ensure call quality standards are being met with respect to timeliness...ISO standards. + Ensures confidentiality in all aspects of auditing process. + Serves as a point of contact… more
- Highmark Health (Atlanta, GA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure...it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from… more