- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... claims payment to ensure payment integrity. Responsible for performing clinical reviews of medical records and other documentation... clinical reviews of medical records and other documentation to evaluate issues of coding and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … reviewers. + Leads training on proper documentation for inpatient hospital/ clinical billing and coding compliance. + Works with the compliance operations, ... software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of ... develops and executes audit, monitoring, and education for professional billing, coding and documentation programs that confirm compliance, identifies… more
- Highmark Health (Atlanta, GA)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs,...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Elevance Health (Atlanta, GA)
- …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- Elevance Health (Atlanta, GA)
- … Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... performance of medical audit activities. + Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
- Banner Health (GA)
- …LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator, or coding manager /supervisor. MINIMUM QUALIFICATIONS High ... supported in during initial training by both the Banner Coding Education team and your hiring manager ,...Academic, Trauma and high acuity facilities. Reviews health record documentation and assigns diagnoses and/or surgical procedure codes on… more
- Datavant (Atlanta, GA)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers,… more
- Datavant (Atlanta, GA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... coded data for hospital statistical and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel… more
- Elevance Health (Atlanta, GA)
- …Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
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