- Elevance Health (Atlanta, GA)
- … chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Molina Healthcare (Columbus, GA)
- …appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/ medical reviews of ... of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Location:** Atlanta, GA **Description** + Reporting to the Director, Compliance Audit and Analysis, oversees audits, monitoring, and education for hospital and ... and provides billing providers with relevant and timely information regarding audit results and risk areas. + Evaluates hospital and professional billing… more
- Dialysis Clinic, Inc. (Atlanta, GA)
- …and if needed, provide additional training to those not meeting requirements + Audit medical records, infection control and regulatory compliance annually and ... a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Educator** **( RN )** provides initial and ongoing...a charge nurse preferred + Current GA Registered Nurse license + Current CPR/AED certification… more
- Molina Healthcare (GA)
- …care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED ... health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU… more
- Assured & Associates (Douglasville, GA)
- Job Requirements: Provides supervision and medical oversight to ensure that clients are being served effectively and safely and supervises all client care and ... accordance with acceptable professional standards and guidelines + Conduct audit on clients' record monthly (end of month) +...and clients + Conduct interview for potential LPN and RN with General Manager + Schedules, coordinates, and presents… more
- Fresenius Medical Center (Cartersville, GA)
- …PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with, and as permissible per state ... and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit ...changes in patient status during treatment to the HT RN , and documents in the medical record.… more
- Fresenius Medical Center (Brunswick, GA)
- …the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with and as permissible per state ... and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit ...changes in patient status during treatment to the HT RN , and documents in the medical record.… more
- STG International (Milledgeville, GA)
- …regulations and guidelines that govern the facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on duty at least 8 hours a day/7 ... a current unencumbered active license to practice as a Registered Nurse ( RN ) or LPN/LVN... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more
- PruittHealth (Norcross, GA)
- …Oasis C-2 Certification within 9 months from hire date** + Current and unrestricted Registered Nurse ( RN ) licensure in state of practice. **ADDITIONAL ... physician's plan of Care (POC) as it relates to the patient's medical conditions, including any co-morbidities and current guideline requirements and conventions. +… more