- CenterWell (Atlanta, GA)
- …first** The IPA Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of the ... with IPA strategic partners to develop market-specific strategies to promote accurate clinical documentation , ensures all state, federal and internal policies… more
- PruittHealth (Norcross, GA)
- …optimizes reimbursement strategies, and drives operational excellence in clinical documentation and billing practices. The Executive Director serves as a ... **JOB PURPOSE:** The Executive Director of Clinical Reimbursement leads and...and compliance. . Establish processes to improve accuracy in coding , documentation , and Minimum . Adheres to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Associate Director of CDI for Emory Hospitals provide leadership for clinical documentation operations for Emory Healthcare, and working under the leadership ... in this role will plan, direct, manage, coordinate and monitor all aspects of the Clinical Documentation Program. + The main objective of the program is to… more
- Humana (Atlanta, GA)
- …skills. Other duties include, but may not be limited to, an overview of coding practices and clinical documentation , grievance and appeals processes ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Atlanta, GA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Elevance Health (Atlanta, GA)
- …credential strongly preferred. + Extensive experience in DRG validation audits, medical coding or clinical documentation improvement strongly preferred. + ... ** Director , Payment Integrity- DRG Validation (Dir Program Management)**...Develop, inspire, and retain and high-performing team of DRG coding validation, clinical validation, and readmission auditors… more
- Fresenius Medical Center (Rome, GA)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with audit activities required. + Minimum of three (3) years of experience in hospital/ clinical coding and billing management including ICD-10, and CPT coding ... software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of… more
- TEKsystems (Atlanta, GA)
- …Description Performing clinical reviews of medical records & other documentation to evaluate issues of coding accuracy, medical necessity, the ... & other compliance issues as directed by the Physician Coding Director & Compliance Director ....monitoring process - Assess educational needs of physicians regarding coding & documentation - Conduct regularly scheduled… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …managers and 3rd party clinical reviewers and leads training on proper documentation for facility/professional billing and coding compliance. + Work with the ... software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of… more
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