- Emory Healthcare/Emory University (Atlanta, GA)
- …accurately, and thoroughly by ensuring criteria guidelines applied are addressed in the clinical review. + The UR Specialist is responsible for timely ... Specialist is responsible for real time communication and documentation of authorized, unauthorized or denied days to the...team in order to reduce patient and hospital financial risk . + The UR Specialist will initiate… more
- Highmark Health (Atlanta, GA)
- …categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing ... **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health… more
- Highmark Health (Atlanta, GA)
- …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …heightened risk . + Serves as primary lead for inpatient hospital/ clinical billing compliance education including auditing, trending, and feedback to hospital ... Compliance Audit and Analysis Program and appropriate focus on risk areas. Serves as a resource for providers and...relationships with internal coders and managers and 3rd party clinical reviewers. + Leads training on proper documentation… more
- Fresenius Medical Center (Douglasville, GA)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to… more
- Fresenius Medical Center (Stockbridge, GA)
- …applicable in order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary healthcare team, ... patients according to established FMCNA guidelines. Maintains complete and accurate documentation of all appropriate information in medical record according to… more