- Emory Healthcare/Emory University (Atlanta, GA)
- …compliance. **MINIMUM REQUIREMENTS:** + Bachelors degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification ... coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues.… more
- Elevance Health (Atlanta, GA)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- Zelis (GA)
- …of Zelis editing products with an ability to clearly articulate correct coding and claim adjudication guidelines, interpretation of client policies and present Zelis ... payers, third party administrators, and health plans. + Current certified coder (AAPC or AHIMA) or Registered Health Information (RHIA/RHIT) certifications required.… more
- CenterWell (Savannah, GA)
- … medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Molina Healthcare (Savannah, GA)
- …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- CenterWell (Atlanta, GA)
- …allmedical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as… more
- Meta (Atlanta, GA)
- …Engineering Manager, Infrastructure Responsibilities: 1. Be both highly technical, hands-on coder and an effective people manager 2. Communicate across functions and ... engineering work experience, including hands-on technical management 7. 5+ years experience coding in one of the following languages: C++, Java, Python and/or PHP… more