- Elevance Health (Columbus, GA)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the… more
- Highmark Health (Atlanta, GA)
- …**ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as well as ... and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies...but not limited to, Developer, Technical Lead and Project Manager , based upon level of experience. + Effectively communicates… more
- NTT America, Inc. (Atlanta, GA)
- …entries, including proper GL account, department, location and project cost coding with appropriate supporting documentation + Selects balance sheet account ... + Analyzes Month-End GL to ensure accurate GL account, location and department coding by accounting staff, documents reasons for account variations from prior month.… more
- Elevance Health (Atlanta, GA)
- …understanding in end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare/ Medicaid regulatory policies regarding FFS and zero-dollar ... a minimum of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and… more
- Truist (Atlanta, GA)
- …financial crimes risk management solutions throughout application's lifecycle to meet compliance requirements. 2. Develop or manage database objects such as tables, ... SQL environments. 3. Ensure applications functionality aligns with organizations compliance policies, providing automated efficient tools for regulatory monitoring.… more
- Bank of America (Atlanta, GA)
- …viability, accessing pertinent databases to source testing data, and collaborating with Compliance and Operational Risk officers and/or Front Line Unit (FLU) process ... a team in support of coverage needs identified by Compliance and Operational Risk officers and/or Front Line Unit...Rules, and Regulations + Quality Assurance + Reporting **Required Education & Experience:** + 5+ years of minimum experience… more
- CenterWell (Savannah, GA)
- …per state protocols + Assisting with panel management + Providing direct education to clinicians around clinical protocols / disease + prevalence / appropriate ... to individual clinicians about patient terminations, in + collaboration with Compliance + Supporting clinicians with schedule templates, coverage, daily issues +… more
- GovCIO (Atlanta, GA)
- …of system and development deployment as well as responsible for meeting software compliance standards. May design graphical user interface (GUI) to meet the specific ... of system and development deployment as well as responsible for meeting software compliance standards. May design graphical user interface (GUI) to meet the specific… more
- HD Supply (Atlanta, GA)
- …(Release Upgrade), backups/restore, EWA setups, and familiarity with SAP Software Update Manager . + Technical experience to manage and support SAP including general ... manage the system's lifecycle program in terms of ensuring compliance with vendor release. + Develops and maintains a...requires overnight travel less than 10% of the time. Education and Experience + Typically requires BS/BA in a… more
- SitusAMC (Atlanta, GA)
- …Approve system generated reporting, queries and related client deliverables for compliance , adherence, accuracy as determined by supporting information + Manage ... + Design and build spreadsheet templates and/or financial models, including the coding of interrelated excel formulas, data tables and macros, to analyze the… more