- Highmark Health (Atlanta, GA)
- …**ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as well as ... implementations, on-call and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures. +… more
- Highmark Health (Atlanta, GA)
- …and rigorous testing against industry standards for quality assurance traceability and compliance . The incumbent requires the technical acumen to develop and execute ... 1 year of developing test automation software according to coding and industry best practices. + 1 year of...5 years of developing test automation software according to coding and industry best practices To Include: + 3… more
- ADP (Alpharetta, GA)
- …working in a team to understand responsibilities, identify issues, and communicate coding priorities while choosing user stories to complete. You will also ... three-week sprints, you must keep up with timelines and coding standards. Most of your daily schedule will be...and a leader in business outsourcing services, analytics, and compliance expertise. We believe our people make all the… more
- Emory Healthcare/Emory University (Duluth, GA)
- …and tactics for staff and physicians to solve revenue cycle and compliance problems. + Oversees assigned revenue cycle functions including financial clearance, ... charge capture, billing, coding , denials, and customer service. + Manages revenue cycle...and standards that apply to billing and collections; monitors compliance with regulatory agencies and third party payers; determines… more
- Coinbase (Atlanta, GA)
- …of AI into daily operations. Mentor team members on design principles, coding standards, and AI productivity tools adoption. * *Drive Adoption & Enablement:* ... * *Ensure Responsible AI:* Work with Security, Legal, and Compliance teams to ensure all AI solutions adhere to...customer needs. * Strong technical skills in system design, coding , and debugging complex technical issues to enhance system… more
- Datavant (Atlanta, GA)
- …client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …inform process improvement initiatives aimed at reducing denial rates. + Regulatory Compliance : + Ensure all denial management activities comply with federal, state, ... Cross Functional Collaboration: + Work closely with departments such as Billing, Coding , and Case Management to streamline processes and improve communication. +… more
- Prime Therapeutics (Atlanta, GA)
- …translates complex data into actionable intelligence that drives efficiency, compliance , and long-term organizational growth. **Responsibilities** + Analyze, mine, ... drug pricing and claims processing + Familiarity with drug coding systems (NDC) and medical coding (ICD,...with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS) **Preferred Qualifications** + Experience… more
- Waystar (Atlanta, GA)
- …healthcare industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting customers regularly ... concise but thorough fashion + An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either… more
- Robert Half Finance & Accounting (Savannah, GA)
- …insights on business trends and management metrics. * Develop and maintain coding audits and macros to streamline reporting processes. * Analyze variances and ... financial performance and identify opportunities for improvement. * Ensure compliance with corporate policies and industry standards while delivering high-quality… more
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