4 jobs found in Marietta, GA

Overview The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program.   • Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. • Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the System Director of Pharmacy Services. • Development and updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership team. • Managing multiple audits accurately and consistently tracking and reporting outcomes for compliance and audit purposes. • Developing and/or...

Overview Responsible for the overall planning, organizing, directing, coordinating and evaluating of the Medical Records Department. Prepares the annual budget. Ensures quality of data processed and compliance with all regulatory standards. Serves as a liaison between Medical Records operations and other medical and administrative staff and outside agencies as necessary. Qualifications Education required: Completion of an AHIMA accredited program in Medical Records Management. Associates degree.    Education preferred: Bachelors degree   License, Certification and/or Registration: ART, RRA   Experience : Documented experience with coding, abstracting, medical record processing, chart completion, word processing, and spreadsheet software products. Demonstrated leadership abilities; minimum 3 years management experience in a hospital setting. About Us DeKalb Regional Medical...

Overview The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.   A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database.  A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software. A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management. Some of the many skills performed ·         Coding of diagnoses for ancillary outpatient services,...

Overview Works with Executive Director of Physicians Network, Director of PN Financial Services, physicians, practice administrators and office staff to achieve quality standards on an organizational level as set forth by changing government guidelines. Responsibilities Trains existing staff and providers on any new application upgrades, form changes or changes related to MIPS or any other regulatory requirements.  Responsible for training and assisting clinic with all managed care plans and Medicare quality incentives and measures. Qualifications High School Diploma or GED required.  Five (5) years EMR experience preferred.  Primary Care clinical experience required.  Experience in interpreting payer quality metrics and specifications. About Us Highlands Medical Center   is a 170-bed hospital located in Scottsboro, offering a wide variety of emergency,...