- Datavant (Atlanta, GA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... of healthcare from your own workspace! Preferred: Strong SDS/OBS coder with 3+years experience, Must have CPC, CCS or...Must pass assessment. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Molina Healthcare (Atlanta, GA)
- …administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating ... in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical knowledge by attending… more
- Elevance Health (Atlanta, GA)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… more
- TEKsystems (Atlanta, GA)
- Description This role is responsible for accurately coding inpatient medical records using ICD and CPT coding systems, ensuring compliance with MS-DRG classification ... in a dynamic, team-oriented environment. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD and CPT codes. Utilize Epic, 3M… more
- Molina Healthcare (Columbus, GA)
- …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
- CenterWell (Atlanta, GA)
- …direction and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical ... a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records… more
- Molina Healthcare (GA)
- …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
- Highmark Health (Atlanta, GA)
- …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years… more
- Datavant (Atlanta, GA)
- …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more