- Evolent (Atlanta, GA)
- …who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of ... financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and… more
- BayCare Health System (Atlanta, GA)
- …of Inpatient Coding . Why BayCare? Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, outpatient ... PM + **Days:** Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. _Sign on...monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10… more
- BayCare Health System (Atlanta, GA)
- …(ambulatory) + Observation cases Why BayCare? Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, ... 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… more
- 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
- BayCare Health System (Atlanta, GA)
- …+ Pediatric/ Preemie Surgery **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, ... Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. + The Specialty Coder audits physician documentation to assign appropriate… more
- 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 ... Access Nurse Practitioner, Virtual Care (VSP/PT) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Acute Access Nurse… more
- HCA Healthcare (Savannah, 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
- CenterWell (Savannah, GA)
- …+ Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation in value based environment + Leveraging Technology: You ... Organization is one of the largest and fastest growing value- based care, senior-focused primary care providers in the country,...early detection. The PL is responsible for executing the clinical strategy through the management of their own patient… more
- Evolent (Atlanta, GA)
- …is preferred **Healthcare Domain Knowledge That Matters** + Deep understanding of clinical workflows, value- based care models, and healthcare economics + ... other healthcare interoperability standards + Design integration strategies that enable value- based care delivery across Epic, Cerner, Allscripts, and other major… more
- 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