- Emory Healthcare/Emory University (Atlanta, GA)
- …letters and assists in formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification. + RHIA/RHIT preferred. + Minimum ... data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC… more
- Molina Healthcare (Columbus, GA)
- …to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving...and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip,… more
- Datavant (Atlanta, GA)
- …an interest in mentoring new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related… more
- Datavant (Atlanta, GA)
- … coding in multiple settings **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and ... vision for healthcare. **What We're Looking For:** As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Trinity Health (Athens, GA)
- …Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) required, licensure as a physician ... at St. Mary's Sacred Heart Hospital in Lavonia, Georgia. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …must have a mastery level certification. Current mastery level certifications include Certified Coding Specialist (CCS), Certified Coding Specialist - ... Health Information Management (HIM) section at the Atlanta VA Medical Center. MRTs ( Coder ) are skilled in...courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);… more
- Molina Healthcare (GA)
- …and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... schedule) Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal… more
- CenterWell (Atlanta, GA)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... 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… more
- Molina Healthcare (Savannah, GA)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more