- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** The ** Utilization Review (UR) Specialist ** is a Registered Nurse ... assist with determining appropriate patient class designation. The UR Specialist will: + Perform timely and comprehensive reviews of...experience or a minimum of two years of previous utilization review experience. + Must have a… more
- Houston Methodist (GA)
- …caring for adults in an acute care hospital setting + Coding and utilization review experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality...of the clinical information used for measuring and reporting physician and hospital outcomes and educating all members of… more
- Pfizer (Atlanta, GA)
- …lives. **What You Will Achieve** The Gastroenterology Health & Science Sales Specialist is responsible for launching new products, deciding upon best strategies to ... and Key Opinion Leaders (KOLs). The Gastroenterology Health & Science Sales specialist should possess customer, market and business acumen combined with strong… more
- STG International (Milledgeville, GA)
- …forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc., ... the status of residents; follow up on critical labs, order requests and physician notifications. + Arrange for an interpreter or translation services in accordance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to ... Works with Coders and CDSs to draft and initiate physician queries. + Performs reviews in a timely manner...nursing, and other clinical staff to improve documentation. + Review ?s DRG Reassignment letters and assists in formulating… more
- Cognizant (Atlanta, GA)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of… more