- Datavant (Atlanta, GA)
- …reflect the complexity and severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + Provide coders' ... by management. **What you will bring to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing experience + High school… more
- Datavant (Atlanta, GA)
- …on a daily basis, including education on time management and best coding practices. + Provide coaching and feedback on achieving production and quality ... standards of the role. + Report trends for education opportunities to management for review and/or action. +...experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base… more
- Evolent (Atlanta, GA)
- …physiology, and medical terminology. + Experience with developing and delivering provider education specific to the clinical documentation requirements for ... correct coding and clinical documentation requirements. + Develop and provide ongoing training and support to health care providers on clinical documentation… more
- Molina Healthcare (Augusta, GA)
- …of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment + Builds positive relationships ... scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in... guidelines (official through CMS) as well as AHA Coding Clinic guidance **JOB QUALIFICATIONS** **Required Education **… more
- Banner Health (GA)
- …Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. ... findings for use as a basis for development of coding education and audit plans. 6. Maintains...limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight… more
- CVS Health (Atlanta, GA)
- …Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. ** Education ** + AA/AS or equivalent experience ... Summary** + Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted… more
- Elevance Health (Atlanta, GA)
- …and a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education ... including associated reporting and KPIs. + Oversees design and execution of provider /chart review workflows to ensure high quality encounter submissions. + Liaises… more