• Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... but may not be limited to, an overview of coding practices and clinical documentation, grievance and...well as a focus on collaborative business relationships, value based care, population health, or disease or care management… more
    Humana (05/14/25)
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  • Medical Director - Mid West Region

    Humana (Atlanta, GA)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Atlanta, GA)
    …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (04/24/25)
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  • Medical Records Coder II

    BayCare Health System (GA)
    …Performs other duties as assigned. **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, ... II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. + Assists Manager/Director with… more
    BayCare Health System (03/22/25)
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  • Registered Nurse Consultant (Nationwide)

    Vatica Health (Atlanta, GA)
    …role is considered hybrid, you will have the opportunity to work remotely from home and have expectations to go onsite to practices locally. The distance to commute ... multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources.… more
    Vatica Health (03/11/25)
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  • Medical Assistant (Hybrid)

    CenterWell (Atlanta, GA)
    …experience in PCA in- home primary care * Phlebotomy ​Certification * Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS ... Hours/M-F/8a-5p **Job Type** : Back Office Medical Assistant **Specialty** : In- home Primary Care **Position Type:** Hybrid **Local Travel/Territory Assigned** :… more
    CenterWell (04/09/25)
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  • Director Physician Services I

    HCA Healthcare (Vidalia, GA)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (04/04/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Atlanta, GA)
    …Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol ... Primary Care Organization is one of the largest and fastest growing value- based care, senior-focused primary care providers in the country, operating over 340… more
    CenterWell (05/15/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol ... Primary Care Organization is one of the largest and fastest growing value- based care, senior-focused primary care providers in the country, operating over 250… more
    CenterWell (02/21/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Atlanta, GA)
    … quality and effective use of health care resources. **This is a remote based (work from home ) position.** Preferred candidates will have Internal Medicine or ... Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as well as directing case… more
    CVS Health (05/16/25)
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