- Banner Health (GA)
- …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical...required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)… more
- Highmark Health (Atlanta, GA)
- …and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, ... designs and implements coder education program, continuing education programs and Medical Staff...Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified… more
- Evolent (Atlanta, GA)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more
- CenterWell (Atlanta, GA)
- …needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical coding expertise to support clinical staff ... and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural… more
- CenterWell (Atlanta, GA)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and...coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of… more
- Houston Methodist (GA)
- …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG… more
- CVS Health (Atlanta, GA)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment … more
- CenterWell (Atlanta, GA)
- …Access Nurse Practitioner, Virtual Care (VSP/PT) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Acute Access Nurse ... + The Acute AccessNurse Practitioner,Virtual Care(VSP/PT) will dedicate their clinical efforts to improving access for the patients we...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Elevance Health (Atlanta, GA)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …focus) will be a part of the enterprise analytics team focused on clinical reporting. This role will collaborate with both clinicians and operational leaders to ... solutions. This position will largely focus on Epic Cogito clinical data model. This role will entail heavy customer...on video calls/meetings/etc. as opposed to being a 'backend coder '. **RESPONSIBILITIES:** + Responsible for all stages of the… more