- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, development, leadership programs and more! **Candidates are required to take a coding skills assessment within 5 days of contact and must have a passing ... position works closely with clinical staff for the highlest level of coding accuracy for inpatient encounters. **RESPONSIBILITIES:** + The Hospital Inpatient Coder… more
- Molina Healthcare (Savannah, GA)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- ADP (Alpharetta, GA)
- …+ Align IAM and directory strategies with organizational security policies, compliance requirements, and business continuity goals. + Design and enforce Active ... **PowerShell** , **Python** , or similar scripting languages. + Implement secure coding and automated deployment practices into **CI/CD pipelines** to support rapid,… more
- Cardinal Health (Atlanta, GA)
- …to resolve claim discrepancies. + Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with HIPAA ... and all relevant federal/state billing regulations. + Flag trends or recurring issues for team leads or supervisors. + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects, audits, or other… more
- Humana (Atlanta, GA)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Cognizant (Atlanta, GA)
- …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... query process. + Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. + Maintain a minimum… more
- Centene Corporation (Atlanta, GA)
- …education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to ... on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and implementation of quality improvement interventions… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …key client stakeholders, including executive leadership, claims operations, finance, compliance , and clinical teams. * Lead client discovery sessions, workshops, ... including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. * Leverage… more
- Georgia Systems Operations (Tucker, GA)
- …planning (1-18 months) through system studies, outage coordination, and compliance with regulatory and contractual obligations. The position requires expertise ... The role demands comprehensive data science and management skills, including coding for data analysis, modeling, and automation of operational processes. The… more
- Intermountain Health (Atlanta, GA)
- …and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits ... maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will… more
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