- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... + Engages with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **Recoveries & Disputes** + Review… more
- Coinbase (Atlanta, GA)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... Coinbase. Our mission is to streamline operations for customer support and compliance teams while delivering exceptional customer experiences. As a Machine Learning… more
- EPAM Systems (Atlanta, GA)
- …capabilities to improve automation, intelligence, and customer experience. + Ensure compliance with coding standards, performance optimization, and platform best ... the Future with a Career at EPAM (https://www.youtube.com/embed/NU\_mnNITn2o?si=IiCxyQ4sr1YJWxDG) **This Remote Position Cannot be Performed in New York City.** This… more
- RELX INC (Atlanta, GA)
- …technical problems, writes complex code for computer systems, and serves as a senior source of expertise. About the Team: This team supports a banking product ... screening systems designed to monitor payments and trades, ensuring compliance with sanctions, watchlists, PEPs, and other financial crime...end users. Serve as acknowledged "go to" person on coding and technical issues. Requirements + Acting as a… more
- CenterWell (Atlanta, GA)
- …Excellence will lead strategic initiatives to enhance the efficiency, accuracy, and compliance of medical coding operations across the organization. This role ... Coding Educators and Program Managers supporting consultative, onshore, and offshore coding teams. **Quality and Compliance :** + Oversee coding quality… more
- CenterWell (Atlanta, GA)
- …service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include national clinical ... resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …inform process improvement initiatives aimed at reducing denial rates. + Regulatory Compliance : + Ensure all denial management activities comply with federal, state, ... Cross Functional Collaboration: + Work closely with departments such as Billing, Coding , and Case Management to streamline processes and improve communication. +… more
- CenterWell (Savannah, GA)
- …Location** : Savannah, GA **On-site Working Expectations:** . This is not a remote or work-from-home position. This position requires you to work on-site at our ... Bilingual. . Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. . Experience in Primary Care, Internal… more
- SitusAMC (Atlanta, GA)
- …meet multiple deadlines with minimum supervision + Pro-active approach to problem recognition and resolution \#LI-MS1 #LI- REMOTE Note: This job description is ... Approve system generated reporting, queries and related client deliverables for compliance , adherence, accuracy as determined by supporting information + Manage… more
- Humana (Atlanta, GA)
- …implementations for widespread adoption within agile teams. + Work with senior leadership to influence project timelines, deliverables, and strategic direction. + ... Qualifications:** + At least 8 years of experience in coding and development on cloud-based platforms + Demonstrated experience...ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote Travel: While this is a remote … more