4 jobs found in Fulton

Strategy Consultant IV, Medicare Policy And Audit Risk Adjustment Coder Policy And Audit Risk Adjustment Coder: The Policy And Audit Risk Adjustment Coder ensures accurate and compliant coding within a Medicare risk adjustment framework strong focus on Risk Adjustment coding accuracy, audit readiness, and policy development. This position will support Health Plan coding and compliance initiatives, with a strong focus on Risk Adjustment coding accuracy, audit readiness, and policy development. Facilitates strategy development by defining moderately complex business problems and opportunities and identifying, weighing, and recommending alternative approaches. Performs moderately complex analysis and ensures interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Assembles moderately complex proposals for projects and programs to ensure progress...

Strategy Consultant IV, Medicare Policy and Audit Risk Adjustment Coder Overview: The Policy and Audit Risk Adjustment Coder ensures accurate and compliant coding within a Medicare risk adjustment framework, with a strong focus on coding accuracy, audit readiness, and policy development. The position supports Health Plan coding and compliance initiatives. Job Summary: Facilitates strategy development by defining moderately complex business problems and opportunities, identifying, weighing, and recommending alternative approaches. Performs moderately complex analysis and ensures interpretation of market data, testing hypotheses with advanced qualitative and quantitative analytical tools. Assembles moderately complex proposals for projects and programs to ensure progress on deliverables and effective execution, delivering high-quality business outcomes. Ensures implementation of updated processes to improve ROI, service quality, and operations. Fosters collaborative partnerships...

Strategy Consultant IV, Medicare Clinical Risk Adjustment Coder The Clinical Risk Adjustment Coder plays a key role in ensuring accurate and compliant coding within a risk adjustment framework. This position involves applying deep expertise in RA coding, working within Epic systems, and aligning coding practices with provider workflows. The role will support clinical documentation improvement efforts by translating clinical information into precise coding that reflects the complexity of patient care. Facilitates strategy development by defining moderately complex business problems and opportunities and identifying, weighing, and recommending alternative approaches. Performs moderately complex analysis and ensures interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Assembles moderately complex proposals for projects and programs to ensure...

Current job opportunities are posted here as they become available. The Certified Professional Coder (CPC) will provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. High school diploma or GED, and Certified Professional Coder (CPC) is required. At least one year of coding experience in ICD-10, CPT, and E&M coding in a hospital or healthcare setting. Coding experience in perative reports is preferred. Knowledge of all confidentially requirements regarding...