- CVS Health (Atlanta, GA)
- …is a full time role and is ideal for a data professional with strong coding skills in SQL and Python who can transform complex healthcare data into actionable ... for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand business processes and translate them into… more
- Molina Healthcare (Atlanta, GA)
- …and over utilization by providers and recipients. The position will review claims data, medical records , and billing data from all types of healthcare providers ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… 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 (Decatur, 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 ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- CenterWell (Rome, GA)
- …for normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection ... + Prior packet review / QI experience preferred. + Coding certification is preferred. + Must possess a valid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Elevance Health (Atlanta, GA)
- …accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + Travels to worksite ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible for… more
- CenterWell (Avondale Estates, 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)
- …patient information according to both state and federalguidelines and regulations + Maintaining medical history and medical records + Ordering studies, tests ... ancillary services + Participating as a back-up on-call physician + Prescribing medical treatment and clinical drugs to patients + Referring patients to specialists… more
- CenterWell (Marietta, 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
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