- Sharecare (Atlanta, GA)
- …**Essential Functions: ** + Completes release of information requests including retrieving patient's medical chart and returning chart , scanning medical ... visit www.sharecare.com . **Job Summary:** The mission of the Audit Fulfillment Program is to track, retrieve, & deliver...Program is to track, retrieve, & deliver timely, accurate medical record sets, for all valid use cases, to… more
- Chart Industries (Duluth, GA)
- Controller-Project Revenue **Location:** Duluth, GA, United States, 30096 **Company:** Chart Industries **_Ensuring Chart 's Success _** Cooler By Design"- ... and build are pretty cool too. Also, we're problem solvers. Customers don't come to Chart with an equipment specification, they come to Chart with a challenge.… more
- Chart Industries (Duluth, GA)
- …schedule. Peferred location for candidates is Georgia. **_Our Benefits Package _** Medical , dental, vision and several other benefits. Chart Industries is ... Director, Finance **Location:** Duluth, GA, United States, 30096 **Company:** Chart Industries **_Ensuring Chart 's Success _** Cooler By Design" - Chart 's… more
- Molina Healthcare (Macon, GA)
- …functions. These functions include, but may not be limited to: chart retrieval strategy, risk adjustment retrieval performance, process effectiveness, market ... performance, project build, chart retrieval maximization and risk adjustment compliance. Molina Risk...and education programs; ensures accurate and timely collection of medical records and data related to Risk projects; conducts… more
- Molina Healthcare (GA)
- …experience including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review, chart audit , provider disputes, appeals, and 1500 & UB04 claim ... new programs. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified… more
- Molina Healthcare (GA)
- …Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and ... other state specific audit projects and deliverables related to accurate billing and...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- Elevance Health (Atlanta, GA)
- …you will make 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, clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes … more
- Molina Healthcare (Atlanta, GA)
- …notes or feedback from the HEDIS audit . Makes recommendations based off of the audit and chart review. + Assists with ad hoc projects. + Participates in ... conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection.… more
- Elevance Health (Atlanta, GA)
- …you will make 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. +… more
- Datavant (Atlanta, GA)
- …experience or deep engagement with clinician stakeholders. + Familiarity with audit requirements, medical record standards, and regulatory guidance impacting ... platforms, and third party integrations. + Balance innovation with compliance, audit defensibility, and clinical integrity across all product decisions. **Execution… more