- Molina Healthcare (Atlanta, GA)
- …for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records , and provider training and education + Assists in ... in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical knowledge by attending… more
- Elevance Health (Atlanta, GA)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Provider Auditor** conducts on-site reviews of ... medical charts, medical notes, itemized bills and...###@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with… more
- Datavant (Atlanta, GA)
- …codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records , ensuring precision and adherence to ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...software **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- TEKsystems (Atlanta, GA)
- Description This role is responsible for accurately coding inpatient medical records using ICD and CPT coding systems, ensuring compliance with MS-DRG ... thrives in a dynamic, team-oriented environment. Key Responsibilities: Review and analyze inpatient medical records to assign accurate ICD and CPT codes. Utilize… more
- Banner Health (GA)
- …researching authoritative reference information from a variety of sources. 2. Reviews medical records . Performs an audit of clinical documentation to ensure ... outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of...required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC)… more
- State of Georgia (GA)
- …Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Medical Coder (CMC), Registered Health Information Administrator (RHIA), or ... coding and insurance. Preferred Qualifications: + Diploma or Associate's degree in medical records administration, medical coding, or medical billing and… more
- Highmark Health (Atlanta, GA)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
- CenterWell (Atlanta, GA)
- … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge… more
- CVS Health (Atlanta, GA)
- …day. **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission ... ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or**… more