- Peachtree Orthopedics (Atlanta, GA)
- …in CPT, HCPCS, and ICD-10 guidelines for orthopedics and ambulatory surgery centers. The Coding Manager will have responsibility to oversee all coding ... Conduct and Ethics ("Code of Conduct"). + Oversight of coding specialists. + Assigns CPT, HCPCS, and ICD-10 guidelines...CPT, HCPCS, and ICD-10 guidelines in accordance with authoritative coding standards and guidelines. + Review and resolve … more
- CVS Health (Atlanta, GA)
- …Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team of coding /nursing professionals who conduct reviews of medical records and claims for ... oversight of coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of SIU coding… more
- Highmark Health (Atlanta, GA)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
- Datavant (Atlanta, GA)
- …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a...make a significant impact in the field of medical coding . You will provide essential consulting services and educational… more
- Datavant (Atlanta, GA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Level Facility. Experience using EPIC and 3M360 is a plus. Observation coding requires extensive injection and infusion experience. SDS includes but not limited… more
- Datavant (Atlanta, GA)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...of the Risk Adjustment Operations both internally and with coding vendors + Provides expertise as it relates to… more
- Datavant (Atlanta, GA)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... 2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an… more
- TEKsystems (Atlanta, GA)
- Description The Inpatient Medical Coder, under the supervision of the Manager of Coding and Data Quality, accurately codes hospital inpatient accounts for the ... and policies. Performs other duties or projects, such as coding corrections as assigned by the manager . Required Minimum Experience: + At least three years of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** Reporting to the Manager , Compliance Audit and Analysis, develops and executes audit, monitoring, and ... education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory...or other reviews in MDAudit, and works with the Manager , Compliance Audit and Analysis, if issues need to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship and leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for ... professional billing, coding and documentation programs that confirm compliance, identifies reimbursement...and audit findings in MDAudit and communicates with the Manager , Compliance Audit and Analysis if audit findings need… more
- Elevance Health (Atlanta, GA)
- **DRG CODING AUDITOR** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Atlanta, GA)
- …Program Management Lead optimizes the effectiveness of the Wholly Owned & IPA Medical Coding teams. The lead analyzes the performance of the Wholly Owned & IPA ... Medical Coding teams and creates strategies to maximize associate output....of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …audits, monitoring, and education for hospital and professional billing, coding and documentation programs that confirm compliance, identify reimbursement ... and workflows to ensure accurate medical record documentation, professional billing and coding compliance. + Serves as a resource for the organization regarding … more
- The Hartford (Alpharetta, GA)
- Manager Software Engineering - IE07FE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... Join our team as we help shape the future. Manager of Software Engineering - Innovate with Us at...through Innovation Sprints and technical debt reduction. + Hands-On Coding : Lead teams while also performing hands-on coding… more
- Amazon (Atlanta, GA)
- …them to completion. Amazon Web Services is looking for a Technical Infrastructure Program Manager (TIPM) to support and deploy one of the world's largest and most ... organization process improvements. * Reports to the Long-Haul Fiber Deployment Manager , and updates regularly with Fiber Deployment leadership through standardized… more
- United Musculoskeletal Partners (Atlanta, GA)
- …meetings + Oversee the inventory and ordering of supplies, including appropriate coding and submission of clinic invoices to accounts payable + Address and ... rehab updates and maintain positive relationships with Physicians, Regional Director, Site Manager , MRI, and other site specific managers. . Ensures a safe and… more
- Datavant (Atlanta, GA)
- …life experiences to realize our bold vision for healthcare. The Customer Success Manager is part of the Datavant organization and is responsible for successful ... resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. + Ensure smooth… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access… more
- CVS Health (Atlanta, GA)
- …for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand business processes and translate them into ... interpreting medical claim data + Advanced experience in SQL coding sourcing from a data warehouse + 3+ years...healthcare fraud, waste and abuse + Proficiency in Python coding + Knowledge of Medicaid healthcare claims adjudication (QNXT)… more
- Cognizant (Atlanta, GA)
- **Service Delivery Manager Associate** **Job Description** + Manage a team size of 10 or more. + Handle customer escalations and maintain customer relationships. + ... + Perform User acceptance testing for new requirements\system fixes + Review/help with coding for System fixes. **Required Skills** + 10 years' experience in full… more