- Elevance Health (Atlanta, GA)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Banner Health (GA)
- …coding background to a team that values growth and development!** **This is a Quality position, not a day-to-day coding production role but does require ... coding proficiency and recent Hospital Facility Coding experience.** This position is task-production-oriented ensuring ...audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- Grant Thornton (Atlanta, GA)
- …+ Perform engagement management responsibilities, including project scheduling, financial oversight, quality review , and client relationship management. + Lead ... to reach your own professional goals. Your day-to-day may include: + Review operational, financial, and technology processes to provide management with a… more
- Datavant (Atlanta, GA)
- …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
- AIG (Atlanta, GA)
- …Recommends how and what performance measurements to collect for performance data. + Review and manage production and quality control reports and take appropriate ... solutions/recommendations to achieve organizational success. + Tracks and translates quality , timeliness, productivity, and service delivery requirements into individual,… more
- Sumitomo Pharma (Atlanta, GA)
- …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... safety narratives, adverse event coding , concomitant medication coding , and causality statements....study team meetings and governance committees. + Performs aggregate review of post-marketing safety data in support of safety… more
- STG International (Milledgeville, GA)
- …facility surveys (inspections) made by authorized government agencies as requested. + Audit nursing documentation in the clinical record for appropriate and relevant ... + Attend and contribute in facility "triple check" process for reviewing coding for accuracy. + Perform administrative duties such as completing medical forms,… more
- PruittHealth (Blue Ridge, GA)
- …physicians to obtain accurate and complete documentation to support ICD-10-CM diagnosis coding and surgical procedures. 27. Audit and improve staff ... care plan prior to administering care. 11. Coordinates the review of each assessment/care plan for accuracy (including timeliness...payment models. 25. Serve as a member of the quality assessment and assurance (QAA) and/or the quality… more
- NTT America, Inc. (Atlanta, GA)
- …and enhancing system and process controls, and assistance with outside audit preparation. **What you'll be doing** **ESSENTIAL DUTIES & RESPONSIBILITIES** + ... proper company code, GL account, department, location, and project cost coding with appropriate supporting documentation + Continuously reviews documents and… more
- Molina Healthcare (Columbus, GA)
- …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more