- CVS Health (Atlanta, GA)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight...directing case management when necessary. The Medical Director will act as a business and clinical… more
- Intermountain Health (Atlanta, GA)
- …may offer a sign-on and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: + Cultivate exceptional relationships and ... **Job Description:** The Senior Director of HIM (Health Information Management) holds a...with diverse stakeholders including across revenue cycle, executive leaders, clinical teams, medical staff and DTS. +… more
- Humana (Atlanta, GA)
- **Become 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 work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
- Datavant (Atlanta, GA)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or… more
- Sumitomo Pharma (Atlanta, GA)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... Serious Adverse Event Reports (SAEs), and Product Complaints (PCs) + Contributes to medical safety of clinical trials, including monitoring of clinical … more
- Fresenius Medical Center (Lithonia, GA)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Loganville, GA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
- BayCare Health System (Atlanta, GA)
- …missing documentation and monitors bill hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training ... of Coder I and Coder II team members and clinical practice students from various colleges. + Performs other...of Outpatient Facility Coding + Strong CPT coding Equal Opportunity Employer Veterans/Disabled **Position** Medical … more
- Evolent (Atlanta, GA)
- …authorization and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more