- Humana (Atlanta, GA)
- …The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete, compliant ... the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical record documentation to ensure billing for services is complete, accurate and… more
- Humana (Newnan, GA)
- …(Certified Professional Coder ) Certification + 3 or more years of medical coding education and/or auditing in a healthcare setting experience + Proficiency with ... **Preferred Qualifications** + Bachelor's Degree + CRC -Certified Risk Adjustment Coder + Experience interacting with healthcare providers + Strong technical… more
- CenterWell (Atlanta, GA)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Houston Methodist (GA)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing ... inpatient medical records and generating high quality recoverable claims for...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- CenterWell (Decatur, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Avondale Estates, GA)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Nurse Audit Senior** will be responsible for ... make an impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing +… more
- Datavant (Atlanta, GA)
- …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... and alternative care settings. **We're seeking an experienced Radiology Imaging Coder . The ideal candidate will accurately identify ICD-10 diagnosis codes, CPT… more
- CenterWell (Atlanta, GA)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
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