- 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
- Elevance Health (Atlanta, GA)
- ** Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote ... and quality of life through home-care and community based services. The ** Clinical Document Improvement Director ** is responsible for leading encounter… 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
- Humana (Atlanta, GA)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… 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, ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Fresenius Medical Center (Lithonia, 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
- 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
- BayCare Health System (Atlanta, GA)
- …physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient ... Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code… more
- BayCare Health System (Atlanta, GA)
- …encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing ... documentation and monitors bill hold reports. + Strong utilization...Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training of Coder I and Coder II… more