- Humana (Atlanta, GA)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
- State of Georgia (Gilmer County, GA)
- …a related field (Psychology, Social Services, Education, Special Education, etc.) 2. CRC Credential in good standing 3. Active Teaching Certification 4. Active ... Teaching Certification in Special Education High school diploma/GED and four (4) years of related experience; or one (1) year of at the lower level Economic Support Cons 2 (SSP051) or position equivalent. Additional Information + Agency Logo: + Requisition ID:… more
- Molina Healthcare (Atlanta, GA)
- …Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with Risk Adjustment Data Validation **Preferred ... License, Certification, Association** + Certified Risk Adjustment Coder - ( CRC ) + Certified Professional Payer - Payer (CPC-P) + Certified Coding Specialist -… more
- Fujifilm (Atlanta, GA)
- …preferred. + Strong clinical expertise in various tumor types preferred (Tumors, CRC , Lung, GIST, Sarcoma, Prostate, Liver, etc.) preferred. + Ability to sell in ... understanding of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At FUJIFILM Healthcare… more
- Evolent (Atlanta, GA)
- …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and ... and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for...or a related field. + **Certification in medical coding ( CRC - Certified Risk Adjustment Coder) or demonstrated ability.** +… more
- Datavant (Atlanta, GA)
- …credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC ) + Extensive knowledge of ICD -9/10 + 2 years coding experience, required. ... + People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. + Ability to work in a fast-paced production environment while… more
- Datavant (Atlanta, GA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ). + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare,… more
- Air National Guard Units (Robins AFB, GA)
- …will: Manage and direct the activities of the Control and Reporting Center ( CRC ) mission, Air Battle Management functions. Determine the Operations Branch goals that ... are the foundation for long and short range planning and execution of all programs. Develop objectives, direction, and guidance for the Operations functions and activities ensuring operational and organizational plans support the vision and goals of the… more
- Datavant (Atlanta, GA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology,… more
- Sedgwick (Atlanta, GA)
- …environment, who are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in the management of ... services field required with one of the following certifications: CCM, CDMS, or CRC . Valid driver's license required. High speed internet required. **TAKING CARE OF… more