- 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
- 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 ... conditions. + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… 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
- CVS Health (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
- HCA Healthcare (Savannah, GA)
- …process issues + Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under Quality Improvement Plan ... data quality standards, coding guidelines, company policies and procedures, and clinical /medical resources to assure coding knowledge and skills remain current +… more
- Evolent (Atlanta, GA)
- …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and ... ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for all coding practices… 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 '. The candidate will be building Radar dashboards, and… more
- Elevance Health (Atlanta, GA)
- …of claims, provider contracts and data, eligibility, member contracts, benefits, clinical decisions, pharmacy on pre-service and post service appeals and grievances ... related to non- clinical and clinical services, quality of service...background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... of educational and training programs regarding technical coding and clinical topics for the coding staff. + Coordinates remediation...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG… more