- Elevance Health (Atlanta, GA)
- ** Coding Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... of life through home-care and community based services. The ** Coding Analyst Senior** is responsible for reviewing,...physicians and providers with questions and problems related to coding , documentation and billing . + Serves as… more
- BrightSpring Health Services (Valdosta, GA)
- …insurance claim denials, exceptions, or exclusions. + Maintain open communication with Billing Specialist, Cash Application Analyst and Operations. + Send cash ... seeking a highly skilled and detail-oriented Accounts Receivable Process Analyst to join our team. As an A/R Process...team with managing and analyzing financial transactions within our billing and collections department. If you like to problem… more
- BrightSpring Health Services (Valdosta, GA)
- …grants, etc.* Complete revenue balancing and reporting.* Maintain open communication with Billing Specialist, Cash Application Analyst and Operations.* Send cash ... assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …between provider locations. **Description** The Clinical Quality Data and Reporting Analyst serves as a liaison between the Emory Healthcare Network (EHN) ... in appropriate clinical documentation, optimizing EMR data capture, enabling CPT II coding , and supporting the generation and submission of QRDA/CCDA reports and… more
- Intuit (Atlanta, GA)
- **Overview** We are seeking a highly analytical, strategic, and execution-focused Staff Business Analyst to join our Risk team with a dedicated focus on vendor ... Review and verify vendor invoices to ensure accuracy, correct coding , and timely payment. + Work with vendors and...+ Work with vendors and internal stakeholders to resolve billing discrepancies and respond to invoice-related inquiries. + Support… more
- Molina Healthcare (GA)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- CVS Health (Atlanta, GA)
- …a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * ... waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and… more
- Molina Healthcare (Columbus, GA)
- …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
- Waystar (Atlanta, GA)
- … seeking a chance to grow their career and work with claim billing & coding /authorization rules. This analytical, solution-oriented individual will report to ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding /authorization * Leverage analytical tools (Excel, PowerBI,… more
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