- CenterWell (Savannah, GA)
- …patients + Ongoing chart review / audit of clinical staff to ensure quality care and identifying opportunities for education /coaching + Identifying trends and ... + Participating in Shared Service Strategy Meetings + Participating in quality improvement programs, population health programs, continuing education , and… more
- Truist (Atlanta, GA)
- …highly complex solutions with significant system linkages, dependencies, associated risk. Lead and perform development efforts such as analysis, design, coding ... complex solutions. 2. Development includes but is not limited to customized coding , software integration, analysis, configuring solutions, or use tools pertinent to… more
- CRC Insurance Services, Inc. (Alpharetta, GA)
- …highly complex solutions with significant system linkages, dependencies, associated risk. Lead and perform development efforts such as analysis, design, coding ... complex solutions. 2. Development includes but is not limited to customized coding , software integration, analysis, configuring solutions, or use tools pertinent to… more
- Elevance Health (Columbus, GA)
- …or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would ... **Performance Quality Analyst II** **Location:** This role requires associates...you will make an impact:** + Assists higher level auditor/ lead on field work as assigned and acts as… more
- Elevance Health (Atlanta, GA)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …executive leadership, claims operations, finance, compliance, and clinical teams. * Lead client discovery sessions, workshops, and presentations to diagnose issues, ... including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. * Leverage… more
- The Hartford (Alpharetta, GA)
- …and continual improvement through Innovation Sprints and technical debt reduction. + Hands-On Coding : Lead teams while also performing hands-on coding to ... dynamic and results-driven IT Leader to drive innovation and lead our engineering teams. If you are passionate about...environment, and have a proven track record of delivering high- quality technical solutions, we want to hear from you!… more
- Highmark Health (Atlanta, GA)
- …May mentor less experienced team members. **ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more ... and making a big impact for those we serve. This job takes the lead in providing more complex application development services typically as part of a project… more
- Trinity Health (Athens, GA)
- …knowledge of Trinity Health policies, practices & processes to ensure quality , confidentiality & safety are prioritized. Demonstrates knowledge of departmental ... or insurance verification experience upon hire. Knowledge of medical terminology, diagnostic coding & procedural coding required. Ability to explain insurance… more
- Truist (Atlanta, GA)
- …Specific activities may change from time to time. 1. Develop customized coding , software integration, perform analysis, configure solutions, using tools specific to ... the project or the area. 2. Lead and participate in the development, testing, implementation, maintenance, and support of highly complex solutions in adherence to… more
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