- Intermountain Health (Atlanta, GA)
- …+ Excel + Collaboration **Physical Requirements:** **Qualifications** **Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical ... Lab and Interventional Radiology procedure coding experience, and Certified Cardiology Coder (CCC) or Certified Interventional Radiology Cardiovascular Coder … more
- CenterWell (Savannah, 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
- Elevance Health (Atlanta, GA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** ... from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… 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 Principal** is responsible for ... auditing inpatient medical records on claims paid based on Diagnostic Relation...Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …is preferred. + A minimum of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in Healthcare Compliance ... (CHC or CPCO) preferred. If no certification , must obtain one within 12 months of hire....Experience working in multispecialty practices, hospital-based clinics, or academic medical centers preferred. + Strong knowledge of HIPAA, Stark-Law,… 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
- Ortho Sport and Spine Physicians (Atlanta, GA)
- …requiring data analysis, in-depth evaluation, and sound judgment. As our Biller and Coder , your daily duties will include entering and coding patient services and ... Remain HIPAA and OSHA compliant. Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers.… more
- Molina Healthcare (GA)
- …supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all ... the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the ... + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded… more