- CVS Health (GA)
- …and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( Certified Professional Medical Auditor) **or** CDEO ( Certified Documentation Expert ... Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the...equal to approximately 5 years for CPC. + CPC ( Certified Professional Coder ) **or** CCS-P ( Certified… more
- Houston Methodist (GA)
- …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
- CVS Health (Atlanta, GA)
- …medical record documentation review, diagnosis coding, and/or auditing. + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word, Excel,… more
- Elevance Health (Atlanta, GA)
- …MA plans in regulatory, compliance, and legal matters strongly preferred. + Certified Risk Adjustment Coder (CRC) or similar credential strongly preferred. ... **Clinical Compliance Medical Director** _Please note that per our policy...coding practices (ICD-10, HCC, MEAT criteria) strongly preferred. + Certified Clinical Documentation Improvement Practitioner (CDIP) or similar credential… more
- Highmark Health (Atlanta, GA)
- …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- Guidehouse (Atlanta, GA)
- …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...substituted for formal education or advanced degree) + Currently certified as a Registered Health Information Administrator (RHIA), Registered… more
- Elevance Health (Atlanta, GA)
- …of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
- Elevance Health (Atlanta, GA)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- Elevance Health (Atlanta, GA)
- …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more