- Houston Methodist (Atlanta, GA)
- …Specialist (AHIMA) -- For inpatient/outpatient coding **OR** + CCS-P - Certified Coding Specialist Physician - based (AHIMA) -- For professional fee ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring...of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical … more
- Highmark Health (Atlanta, GA)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental… more
- CenterWell (Atlanta, GA)
- …health first** The Primary Care Physician (PCP) works as a lead in our team- based care environment. We are a value based care provider focused on quality of ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...documentation in a timely manner working with a quality- based coder to optimize coding specificity. +… more
- Morehouse School Of Medicine (Atlanta, GA)
- Medical Coder Bookmark this Posting Print Preview |...B. Certified Coding Specialist (CCS) C. Certified Coding Specialist- Physician Based (CCS-P) + ... place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place...experience or a minimum of five (5) years of coding experience in a physician billing Revenue… more
- Sutherland Global Services (Atlanta, GA)
- Have you kept up with the changes in medical coding , physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and ... with some of the country's largest healthcare systems and physician practices to help support their coding ...coding for multi-specialty practices + Thorough knowledge of medical terminology and medical abbreviations and the… more
- Houston Methodist (Atlanta, GA)
- …+ CCA - Certified Coding Associate (AHIMA) **OR** + CCS-P - Certified Coding Specialist Physician - based (AHIMA) **OR** + CPC - Certified Professional ... accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical ...and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical… more
- Banner Health (Atlanta, GA)
- …documentation supports the patient's treatment and outcomes. Identifies training needs for medical and coding staff. Provides written updates and spreadsheets as ... Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist- Physician (CCS-P) or Registered Health Information Technologist (RHIT)… more
- Highmark Health (Atlanta, GA)
- … courses in anatomy, physiology and medical terminology + 1 year of Hospital and/or Physician Coding + 1 year coding at mid-level facilities or clinics + ... accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and...1 year coding major surgeries, observations and/or E/Ms + … more
- Houston Methodist (Atlanta, GA)
- …quality reviews, etc.). + Follows established coding rules and guidelines based on accurate documentation in the medical record when reviewing claims. ... results. + Collaborates with key stakeholders to address discrepancies with charges and medical records documentation. + Addresses billing and coding edit issues… more
- Baylor Scott & White Health (Atlanta, GA)
- …of the following: + CCS - Certified Coding Specialist + CCS-P - Certified Coding Specialist- Physician Based + CPC - Certified Professional Coder + RHIA - ... identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding...Manager with educator duties in the clinics on occasional based , as needed + Protects data integrity and validity… more
- Humana (Atlanta, GA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to ... The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- CVS Health (Atlanta, GA)
- …Level Appeals / Special Projects and Committee participation when needed. + The Medical Director will provide clinical, coding , and reimbursement expertise as ... use of health care resources. This is a remote based (work from home) position. Ideal Candidates will reside...Georgia, Louisiana, Alabama, Mississippi or Arkansas and have a medical license without encumbrances in one (1) of those… more
- Centene Corporation (Atlanta, GA)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …OCP. + Independently provides analysis of compliance related matters and opportunities based on sound regulatory research, and by conducting periodic reviews of ... rules. + Knowledgeable in compliance matters including clinical activities, coding , billing, patient privacy, reimbursement, risk management, and strong familiarity… more
- ChenMed (Atlanta, GA)
- …appointment and obtains all documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up ... other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding… more
- Prime Therapeutics (Atlanta, GA)
- …+ Determines appropriateness for medications. Communicates decision to physicians, physician `s office staff, medical management staff and/or pharmacists. ... criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician `s office staff, medical management staff and/or pharmacists.… more
- Prime Therapeutics (Atlanta, GA)
- …(ICR) **Job Description Summary** Facilitates efforts in the development of medical pharmacy solutions programs. Supports drug utilization review (DUR) efforts by ... reviewing physician prescribing patterns, consulting with physicians regarding these patterns...prescribing patterns, consulting with physicians regarding these patterns using evidence- based best practices, working closely with internal staff in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …productivity monitoring and benchmarking activities. Reviews reports to assist in making fact- based decisions. Oversees test fee schedule, coding and cost ... targets and financial goals. **Equipment and Supplies:** Develops procedures for purchasing medical and office supplies and capital equipment necessary for the lab.… more
- Amgen (Atlanta, GA)
- …fuller happier lives. Our award-winning culture is collaborative, innovative, and science based . If you have a passion for challenges and the opportunities that ... procedures involved with infusion to assigned SOC customers/partners; coordinate with Medical Affairs team. + Identifying gaps in existing SOC networks, developing… more
- Cardinal Health (Atlanta, GA)
- …and pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience ... select the best coverage option for their situation * Handle all escalations based upon region and ensure proper communication of the resolution within required time… more