- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …Health Information Management (HIM) section at the Atlanta VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the ... offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... in mentoring new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
- Datavant (Atlanta, GA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Molina Healthcare (GA)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Trinity Health (Athens, GA)
- …thru Friday. Position requires current RN license or CCS or RHIT with Inpatient Coding experience. This position will be based at St. Mary's Sacred Heart Hospital in ... Lavonia, Georgia. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical… more
- Humana (Atlanta, GA)
- … **Preferred Qualifications** + **STRONGLY PREFERRED:** Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/certified coder ... (CPC) + Nursing experience preferred in Acute care, OR, Coding , and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant… more
- Molina Healthcare (Savannah, GA)
- …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
- Waystar (Atlanta, GA)
- …planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and industry experience to advise clients in ... compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, PowerBI, SQL Databases) to… more
- Highmark Health (Atlanta, GA)
- …and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical ... or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that… more