- 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
- Fresenius Medical Center (Rome, GA)
- …the delivery of maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Vatica Health (Alpharetta, GA)
- …sessions or create resource materials to educate clients and internal teams on proper coding , documentation , and billing best practices. + Perform a variety of ... We are seeking a knowledgeable and collaborative Medical Billing Manager to serve as our CPT Subject Matter Expert...to users of our software regarding best practices in coding and billing compliance. Responsibilities: + Serve as the… more
- Intermountain Health (Atlanta, GA)
- …to commercial and government requests, denials and recoupment efforts. Additionally, the Manager will support coordinating efforts on clinical denials for ... **Job Description:** The Manager , RN Revenue Integrity Audit, Recovery and Appeals...audits practices, trends, and compliance related topics. Partners with clinical areas and revenue cycle areas affected by the… more
- United Musculoskeletal Partners (Suwanee, GA)
- …(per QA Committee instructions) and reviews errors with clinicians regarding coding and documentation deficiency reports; **NON-ESSENTIAL DUTIES AND ... as a clinician and complete the responsibilities required of their respective clinical job description MANAGERIAL: + Responsible for ensuring that all regulatory… more
- United Musculoskeletal Partners (Atlanta, GA)
- …(per QA Committee instructions) and reviews errors with clinicians regarding coding and documentation deficiency reports; **NON-ESSENTIAL DUTIES AND ... as a clinician and complete the responsibilities required of their respective clinical job description MANAGERIAL: + Responsible for ensuring that all regulatory… more
- BayCare Health System (GA)
- …physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient ... Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code… more
- PruittHealth (Norcross, GA)
- …and patient condition. + Report potential financial losses and/or under-utilization to the clinical manager or designee. + Stay informed about changes in the ... improve audit outcomes. + Work closely with the agency clinical manager (CM) and other office peers...in home health agency operations. + Demonstrated knowledge of clinical record review processes, ICD-10 coding requirements… more
- BayCare Health System (GA)
- …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 ... documentation and monitors bill hold reports. + Strong utilization...Strong utilization of medical terminology and anatomy. + Assists Manager /Director with mentoring/training of Coder I and Coder II… 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 ... the work of Level 1 & 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant… more