- Molina Healthcare (Macon, GA)
- …support for development of educational/training content and resources for clinical systems applications/platforms. Responsible for implementation and training ... care management, long-term services (LTSS), behavioral health, and other applicable clinical systems functions. Contributes to overarching strategy to provide… more
- Danaher Corporation (Macon, GA)
- …- innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic ... Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and...one million tests are run on Beckman Coulter Diagnostics systems , impacting 1.2 billion patients and more than three… more
- Molina Healthcare (Macon, GA)
- …process improvements, tools, etc. * Integrates medical chart coding principles, clinical guidelines, and objectivity in performance of medical audit activities. ... Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. * Audits inpatient medical records and generates… more
- Molina Healthcare (Macon, GA)
- …instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and medical records to document relevant ... findings of a post pay clinical review. This position manages documents and prioritizes case...with UNET, Comet, Macess/CSP, or other similar claims processing systems . + Demonstrated ability to use MS Excel/Access platforms… more