- CenterWell (Savannah, GA)
- …on wellness, prevention, and early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as ... for + Administrative oversight and outcomes determined by the Clinical / Operational Leadership of the Market + Spend...HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging… more
- Pearle Vision (Cartersville, GA)
- …medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties * Taking patient medical histories * Preparing patients for ... Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding ...Bookkeeping * Selling glasses and contact lens supplies *Some Clinical Skills can be learned on the job. Experience… more
- Pearle Vision (Roswell, GA)
- …medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties * Taking patient medical histories * Preparing patients for ... Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding ...Bookkeeping * Selling glasses and contact lens supplies *The Clinical Skills can be learned on the job. No… more
- Evolent (Atlanta, GA)
- …platforms + Create technical specifications and system architecture that support clinical evidence alignment and quality improvement initiatives + Lead API design ... specialties + Implement real-time data synchronization that enables timely clinical decision-making **Lead Technical Excellence** + Provide architectural guidance to… more
- Highmark Health (Atlanta, GA)
- …and stakeholders across the organization. Key responsibilities will include clinical review, assisting in navigating a complex regulatory environment, working ... and stakeholders. Secondary responsibilities will also include supporting formulary coding , implementation, and testing processes in partnership with the pharmacy… more
- CVS Health (Atlanta, GA)
- …insured individuals, providers, claimants, etc. + Analyze and prepare cases for clinical and legal review, ensuring all documentation meets required standards. + ... years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral… more
- 315 health (Douglasville, GA)
- …physician, nurse practitioner, and other medical staff by performing administrative and clinical duties and providing great customer service to all our patients. ... Clinical Duties: + Verify patients' medical histories + Maintain...confidence by completing and safeguarding medical records; complete diagnostic coding and procedure coding ; keep patient information… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and ... and thorough manner. + May complete focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in… more
- Fujifilm (Atlanta, GA)
- …understanding of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At FUJIFILM Healthcare ... the customer. + Ability to learn and retain in-depth clinical knowledge of tumor types with the goal of...and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned to strategic… more
- Intermountain Health (Atlanta, GA)
- …addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Job Specifics** + Pay Range: $38.77 ... (SO). Assesses patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care is developed… more