- CenterWell (Savannah, GA)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Elevance Health (Atlanta, GA)
- …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ A minimum of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in Healthcare Compliance (CHC or ... + Experience working in multispecialty practices, hospital-based clinics, or academic medical centers preferred. + Strong knowledge of HIPAA, Stark-Law, and other… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the ... + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded… more