- Molina Healthcare (Savannah, GA)
- … Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. ** Preferred License, Certification, Association** Any one ... **_ Residents in CENTRAL Time Zone preferred . Candidates who do not live in Central...of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist +… more
- Elevance Health (Atlanta, GA)
- …Clinical Validation Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims billing/payment systems ... be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… 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
- Cardinal Health (Atlanta, GA)
- … medical necessity reviews, or related work. Oncology experience preferred .** + Bachelor's degree in Health Information Management, Business or related ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- Elevance Health (Atlanta, GA)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …background preferred (ie, LPN, RN, etc.). + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credentials required. + Certification in ... + Implements policies, strategies, and workflows to ensure accurate medical record documentation, professional billing and coding compliance. +...Health Care Compliance preferred . + Minimum of five (5) years of experience… more
- HCA Healthcare (Macon, GA)
- …Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CenterWell (Atlanta, 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
- Molina Healthcare (GA)
- …Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified ... State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. ** Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a… more
- Peachtree Orthopedics (Atlanta, GA)
- …degree (GED). + Bachelor's degree preferred . + Minimum 3 or more years of medical billing and account follow up experience. + 3 or more years of EDI, ERA and ... collection practices in ASC setting. Certificates, Licenses, Registrations Certified Professional Coder (CPC) preferred Physical Demands The physical demands… more