- Elevance Health (Atlanta, GA)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Elevance Health (Atlanta, GA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- Molina Healthcare (GA)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina...programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and… more
- NTT America, Inc. (Atlanta, GA)
- …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... preserved so that claims will be resolved in a timely manner as...medical , dental, and vision benefits, life and supplemental insurance , short-term and long-term disability, flexible spending account, and… more
- Molina Healthcare (Atlanta, GA)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education + Assists in coordinating… more
- Ryder System (Alpharetta, GA)
- …only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life insurance and disability insurance ... professional to serve as the primary point of contact for Certificate of Insurance (COI) compliance. This role is responsible for ensuring that all COIs meet… more
- Aflac (GA)
- …Beginning progress toward one or more of the following designations/certifications: Fraud Claims Law Specialist (FCLS), Health Care Anti-Fraud Associate (HCAFA), ... Fortune 500 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and...an array of benefits to meet your needs including medical , dental, and vision coverage, prescription drug coverage, health… more
- HCA Healthcare (Augusta, GA)
- …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Highmark Health (Atlanta, GA)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- United Musculoskeletal Partners (Austell, GA)
- …the patient visit, the patient is ready for check out. The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all ... patients. General duties include insurance benefit review with the patient, collection of time...creations in EMR system at Check-Out + Submits appropriate claims for Real Time Adjudication + Works "Day End… more