- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a… more
- CVS Health (Atlanta, GA)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct coding and… more
- Humana (Atlanta, GA)
- …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines + Prior ... experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes + Proficient in Microsoft Word, Excel, and PowerPoint + Ability to resolve complex problems + Excellent… more
- Molina Healthcare (GA)
- …one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... Professional Healthcare Management + Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
- Meta (Atlanta, GA)
- …systems, systems analysis, and computer programming. 2. Be both a highly technical, hands-on coder and an effective people manager. 3. Be a subject matter expert in ... at least one specific domain. 4. (examples: product, product infrastructure, infrastructure, machine learning) Lead teams that deliver on multiple projects of increasing dependencies in an ambiguous or high-impact area. 5. Work with team and cross functional… more
- Datavant (Atlanta, GA)
- …cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, ... and positive manner + Adhere to the American Health Information Management Association's code of ethics. + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to… more
- Datavant (Atlanta, GA)
- …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess strong managerial, financial, and analytical skills. + Consistent demonstration of commitment to quality,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …the business on video calls/meetings/etc. as opposed to being a 'backend coder '. **RESPONSIBILITIES:** + Responsible for all stages of the business intelligence ... development lifecycle: understanding the business objective, collecting business requirements and translating them into data requirements, designing and developing reports or dashboards, scheduling and deployment of business intelligence components in… more
- General Motors (Roswell, GA)
- …best performance from your team, as well as be a highly technical hands on coder in the team. + Define and lead the software strategy for new technologies, highly ... complex features, and drive the next generation Global Inventory Platform + Capable of hosting technical discussions, being a subject matter expert, and having strategic influence. + Own and drive complex technical projects from the planning stage through… more
- Elevance Health (Atlanta, GA)
- …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims… more