- 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
- Molina Healthcare (Columbus, 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
- HCA Healthcare (Vidalia, GA)
- …clinical functions through administrative and clinical staff including providers, front desk, medical records , nursing, and ancillary services to ensure maximum ... Meadows Prim Care Internal Med, you can be a manager in an organization that is devoted to giving!...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- CenterWell (Tucker, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical… more
- CenterWell (Atlanta, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Vatica Health (Atlanta, GA)
- …ALL MARKETS to apply. Responsibilities + Create detailed and comprehensive patient medical records . Research and gather information from multiple sources and ... ED + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include...medical office personnel such as Practice and Billing Manager , both verbally and written + Understanding of health… more
- CenterWell (Atlanta, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- CenterWell (Atlanta, GA)
- …Outlook + Proficient with medical terminology + Experience with Electronic Medical Records + Excellent professional communication abilities, at all levels ... Bilingual English/Spanish + Knowledge of ICD 10 and CPT coding + Referral experience + Medical Assistant...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Elevance Health (Atlanta, GA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... contracting. **How will you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary… more
- Elevance Health (Columbus, GA)
- …test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. + ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more