- Elevance Health (Atlanta, GA)
- …-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent… more
- CVS Health (Atlanta, GA)
- …every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is ... ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits… more
- CenterWell (Atlanta, GA)
- …in practice by displaying a professional and approachable demeanor. . Completes all medical record documentation in a timely manner working with a quality- ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral...based coder to optimize coding specificity. . Follows policy and… more
- CenterWell (Savannah, GA)
- …in practice by displaying a professional and approachable demeanor. + Completes all medical record documentation in a timely manner working with a quality- ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral...based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Scottdale, 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 ... including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as anactive participant and… more
- CenterWell (Atlanta, GA)
- …in practice by displaying a professional and approachable demeanor. + Completes all medical record documentation in a timely manner working with a quality- ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...based coder to optimize coding specificity. + Follows policy and… more
- Humana (Atlanta, GA)
- …Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records , as well as coordinating educational sessions with providers ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing,… more
- Elevance Health (Atlanta, GA)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Elevance Health (Atlanta, GA)
- …and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... Requires an AS in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 5 years related experience, including minimum… more