- CenterWell (Atlanta, GA)
- …equipment, maintaining examination rooms, and documenting information into the electronic medical records system. Collaborates closely with Physicians and ... caring community and help us put health first** The Medical Assistant is the first point of contact for...Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience * Bilingual proficiency in… more
- CenterWell (Dallas, GA)
- …equipment, maintaining examination rooms, and documenting information into the electronic medical records system. Collaborates closely with Physicians and ... caring community and help us put health first** The Medical Assistant is the first point of contact for...Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. **Scheduled Weekly Hours** 40… more
- Elevance Health (Atlanta, GA)
- …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... to aid in investigations and stays abreast of current medical coding and billing issues, trends and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Pearle Vision (Cartersville, GA)
- … office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND ... and directing patients * Answering telephones * Updating and maintaining Electronic Medical Records * Obtaining insurance verification and authorization * Adjust… more
- Elevance Health (Atlanta, GA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **INVESTIGATOR II** is responsible for the identification, ... claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data… more
- Elevance Health (Atlanta, GA)
- …Analyst II- Pharmacy Benefit Auditor** is responsible for analyzing pharmacy benefit coding systems against business criteria. The primary focus is to work on ... Capabilities and Experiences:** + CPhT is preferred. + Pharmacy plan benefit coding and/or pharmacy plan quality review experience strongly preferred. + Pharmacy… more
- Molina Healthcare (GA)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager … more
- CenterWell (Atlanta, GA)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Savannah, GA)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Elevance Health (Atlanta, GA)
- …and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Coding Certificate or Registered Nurse preferred. Please be advised that… more