- Houston Methodist (GA)
- At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and ... coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program **LICENSES AND CERTIFICATIONS - REQUIRED** + RHIT -… more
- Datavant (Atlanta, GA)
- …shape the future of healthcare from your own workspace! Preferred: Strong SDS/OBS coder with 3+years experience, Must have CPC, CCS or COC. Excellent communication ... responsibilities. + Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Function in a professional, efficient,… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
- Molina Healthcare (Atlanta, GA)
- …and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** ... Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with Risk Adjustment Data Validation **Preferred… more
- Houston Methodist (GA)
- …(TX, GA, FL, TN, LA or WA)** At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately ... of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program **LICENSES AND CERTIFICATIONS - REQUIRED** + RHIA - Registered… more
- Elevance Health (Atlanta, GA)
- …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support… more
- TEKsystems (Atlanta, GA)
- …and quality improvement initiatives as needed. Communicate effectively and professionally with clinical and non- clinical staff. Adapt to changing priorities and ... multitask in a fast-paced environment. Work independently while contributing to a collaborative team culture. Qualifications: Strong knowledge of medical terminology, anatomy & physiology, and pathophysiology. Proficient in ICD and CPT coding systems and… more
- Datavant (Atlanta, GA)
- …communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues + Occasionally travel for professional development ... or meetings, if required **What You Need to Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA preferred + Strong verbal and written communication skills **What Helps You Stand Out:** + Associate or Bachelor's degree… more
- Elevance Health (Atlanta, GA)
- **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Atlanta, GA)
- ** Clinical Fraud Investigator Senior** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Fraud Investigator Senior** is responsible for identifying issues...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 5 years… more