- Banner Health (GA)
- …claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or ... you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and… 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
- Molina Healthcare (Columbus, GA)
- …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
- CVS Health (Atlanta, GA)
- …) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** ... **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the… 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
- CenterWell (Atlanta, GA)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... 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
- Datavant (Atlanta, GA)
- …impacts on schedule and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. + Manage client satisfaction ... teams deliver on them through collaboration with those responsible for coder performance management. + Drive quality assurance and performance improvement activities… more
- Evolent (Atlanta, GA)
- …surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food ... + Working knowledge of SQL or Python for data analysis. **Qualifications Preferred :** + Experience with Business Intelligence (BI) tools such as Power BI… 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 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more