- CenterWell (Atlanta, 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
- CenterWell (Scottdale, 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
- CenterWell (Savannah, 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
- Elevance Health (Atlanta, GA)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… 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
- 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
- Intermountain Health (Atlanta, GA)
- …trigger list, timeframes for assessing patient, and pre-screen criteria. Review of medical records , focused reports and/or referral information to gather ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients… more
- Elevance Health (Atlanta, GA)
- …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more