Medical Coding Compliance Auditor Jobs in Atlanta

... charge audit reviews, HSC for coding or DRG related reviews and ... related reviews and Ethics and Compliance and HCA – Regulatory Compliance Support (Regs) for government audits. .....

... matter expert on controls and compliance programs for HHS-regulated areas (e.g., ... False Claims Act, Billing & Coding regulations, government contracting regulations, Sunshine ... pricing, government price reporting, OIG..

Description The Medical Coding Auditor extracts clinical information from a ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Atlanta Georgia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

... to the Manager, Facility Remote Coding Services within our Reimbursement and ... Reimbursement and Advisory Services. The Coding Auditor ensures that coding compliance initiatives are met for our .....

... for performing clinical audits on medical record documentation for quality and ... documentation for quality and clinical compliance with contract requirements as outlined ... support the submitted charges. Comprehensive..

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... governmental requirements, specifically risk adjustment coding and medical record document requirements. This role ... clinics including serving..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... - Outpatient & Surgical Specialty Coding Team-Remote in US in Atlanta ... in Atlanta Georgia Description The Medical..

Description The Paralegal 1 position involves a hybrid of paralegal, analytical and administrative skills including drafting legal documents such as agreements, contracts and legal memoranda, performing legal and records research (identifying ..

Description The DRG Validation Auditor extracts clinical information from a ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes..

... collect routine data or information, medical records, conduct analyses, and communicate ... records, summarizes issues, works with Medical director as needed, and implements ... committees. Audits quality cases for..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..

... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal, Compliance). o Comfort with data analysis ... o Performing Investigative research and..

Compliance Auditor Duties: The candidate will manage ... of the division to the medical auditors. Collaborate with the VP ... of the division to mentor medical auditors, monitor projects and..

... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal, Compliance). o Comfort with data analysis ... o Performing Investigative research and..

Compliance Advisory & Monitoring Leader The ... reviews on McKesson’s controls and compliance program in multiple areas including ... training, communications, and controls. Lead compliance “deep-dive” reviews, advisory and monitoring..

Change Control Manager Are you ready to join a growing team that puts a premium on productivity and has an award-winning culture, centered around transforming talented employees into effective business leaders?Then ..

Job Description SummaryAs a Senior Accountant working for Taylor Morrison, you will be responsible for Division's financial policies, planning, reporting and controls. Oversees all financial functions including accounting, budget, credit, risk, ..

Job Information Humana DRG Validation Auditor: REMOTE/WFH (Anywhere in the US) ... Georgia Description The DRG Validation Auditor extracts clinical information from a ... information from a variety of medical..

Compliance Director-MRA Coding/Clinical The candidate will direct projects, ... assessing audit preparedness. Will lead compliance monitoring to identify process gaps, ... to identify process gaps, validate compliance levels, map processes,..

... to the Associate Vice President, Compliance on the national Medicaid Clinical ... Utilization Management and Care Management Compliance Audit team to assure high ... communicate findings and recommendations to..

Job Information Humana DRG Validation Auditor: REMOTE/Work At Home (Anywhere in ... Georgia Description The DRG Validation Auditor extracts clinical information from a ... information from a variety of medical..

Description The Plan Build Representative 2 loads data from tables into multiple platforms which can include rates, CPT codes, etc. Implements provider demographic updates to remain compliant. Testing and implementation of ..