- Elevance Health (Atlanta, GA)
- ** Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model ... Document Improvement Director** is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal… more
- Boehringer Ingelheim (Athens, GA)
- **Description** The Senior Clinical Research Associate (SCRA) conducts in-house and external monitoring to verify that reported data collected in Clinical Lab ... raw data, and reports to support registrations and other claims related to veterinary products. The SCRA performs these...these duties for on-site and off-site (national and global) clinical studies and trials for all animal species and… more
- Banner Health (GA)
- …patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health ... record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with...findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity… more
- Healthfirst (GA)
- + Prepare cases for the clinical team by gathering documentation , loading evidence, and making calls to members and providers. + Perform administrative ... + Interacts with other departments including Contact Center Operations, Claims , DSE, and E&B to resolve member and provider...denial files from delegated vendors and prepares cases for Clinical Specialist reviews. + Maintains file integrity … more
- Intermountain Health (Atlanta, GA)
- …RCO Appeals Specialist is responsible for researching and appealing denied medical claims . Responsible to proactively identify insurance denial trends and to then ... self-funded, State and Federal insurance) to appropriately appeal medical claims that have been denied. + Conducts and refers...true reason of the denial and review payer contracts, clinical data and other data to be able to… more