- STG International (Milledgeville, GA)
- …entries. + Attend and contribute in facility "triple check" process for reviewing coding for accuracy. + Perform administrative duties such as completing medical ... convenience that are not required to treat the residents' medical symptoms. + Assist in coordinating nursing services with...choices. + Review the controlled substance and drug disposal records for accuracy and notify the Director of Nursing… more
- Datavant (Atlanta, GA)
- …effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued stay in the inpatient patient care ... to an alternative level of care. Using nationally recognized medical necessity criteria and standards of care, along with...and keeps in total confidence, all files, documents and records + Meets or exceeds production and quality metrics… more
- CVS Health (Atlanta, GA)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- CenterWell (Decatur, 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 ... Acts as an active participant and key source of medical expertise with the care team through daily huddles....manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Amazon (Atlanta, GA)
- …(eg, for training, fine tuning, and inferences) - 3+ years of coding , data querying languages (eg SQL), scripting languages (eg Python) Preferred Qualifications ... we will consider for employment qualified applicants with arrest and conviction records . Pursuant to the San Francisco Fair Chance Ordinance, we will consider… more
- Amazon (Atlanta, GA)
- …at enterprise scale in a contact center environment - 2+ years hands-on coding experience with REST APIs and web services, including successful integration of ... we will consider for employment qualified applicants with arrest and conviction records . Pursuant to the San Francisco Fair Chance Ordinance, we will consider… more
- CenterWell (Avondale Estates, 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 ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical… more
- CenterWell (Atlanta, GA)
- …patient information according to both state and federalguidelines and regulations + Maintaining medical history and medical records + Ordering studies, tests ... ancillary services + Participating as a back-up on-call physician + Prescribing medical treatment and clinical drugs to patients + Referring patients to specialists… more
- CenterWell (Marietta, 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 ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- Vatica Health (Atlanta, GA)
- …ALL MARKETS to apply. Responsibilities + Create detailed and comprehensive patient medical records . Research and gather information from multiple sources and ... patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track...ED) + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include… more