1,921 Results for

Jobs in Maryland, IN

Jobs

Pharmacy/Supplies Senior Data Analyst Northside Hospital Inc

Sandy Springs, GA

Expertise in separately billable supplies and implantable devices, pharmacy Medicare units of measure, NDC package size conversions, NDC validation, and Quantity Calculation Factors (QCF) is highly valued and essential to maintaining accurate reimbursement and regulatory compliance. This role functions as the senior subject-matter expert for hospital supply and pharmacy Charge Description Master (CDM) oversight, ensuring precise charge capture and compliant billing across inpatient and outpatient settings.

30+ days ago

Medical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group Inc

Atlanta, GA

Remote

$248,500–$373,000 / year

Current board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

30+ days ago

Medical Director, Orthopedic Surgery - Remote UnitedHealth Group Inc

Atlanta, GA

Remote

$248,500–$373,000 / year

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.

30+ days ago

Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group Inc

Atlanta, GA

Remote

$248,500–$373,000 / year

Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

30+ days ago

Coder III, Professional Srvcs Emory Healthcare

Atlanta, Georgia

Full time

Description: RESPONSIBILITIES *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto" data-turn-id="request-WEB:a626235a-0600-434a-bfe2-6c9ec2d6289d-0" data-turn-id-container="request-WEB:a626235a-0600-434a-bfe2-6c9ec2d6289d-0" data-testid="conversation-turn-2" data-turn="assistant"> This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

30+ days ago

Field Reimbursement Manager Immunology Gastroenterology - Atlanta North AbbVie Inc

Marietta, GA

The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.

30+ days ago

Account Follow-Up Representative I Harris Computer Systems

Atlanta, GA

Remote

$18–$26 / hour

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.

30+ days ago

Volunteer to Hire Commission On Culture And Society / Me Living

Dallas, Georgia

Our mission is bold: we provide housing, therapy, case management, and reentry support for individuals and families overcoming domestic violence, substance abuse, incarceration, and homelessness. Were looking for passionate people to step in as volunteers today and grow into paid staff tomorrow as our programs scale across Georgia and beyond.

30+ days ago

Patient Care Coordinator Upperline Health Inc

Austell, GA

Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.

9 days ago

Patient Care Coordinator Upperline Health

Austell, GA

11 days ago

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

$46,988–$112,200 / year

This position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.

26 days ago

Hospital Outpatient Coder II Emory Healthcare Inc

Johns Creek, GA

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.

30+ days ago

Inpatient Pediatric Medical Coder Guidehouse Inc

Atlanta, GA

Remote

$59,000–$98,000 / year

What You Will Do: The Inpatient Pediatric Medical Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Duties and Responsibilities: Demonstrates the ability to perform quality hospital coding on Inpatient pediatric accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.

4 days ago

Inpatient Pediatric Medical Coder Guidehouse

Atlanta, Georgia

Remote

The Inpatient Pediatric Medical Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Demonstrates the ability to perform quality hospital coding on Inpatient pediatric accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.

5 days ago

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote Avanos Medical

Alpharetta, GA

Remote

$160,000–$185,000 / year

Develops strategies to optimize the reimbursement landscape to include coding, payment, and coverage from third-party payers, CMS/other government payers, and healthcare customers for Avanos Medical's entire product portfolio, including key brands such as MIC-KEY*, ON-Q*, ambIT*, GAME READY*, and Interventional pain (IVP) management products [TRIDENT* and COOLIEF* cooled radiofrequency technology], etc. Here at Avanos Medical, we passionately believe in three things: Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do; Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation; Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world.

29 days ago

Hospital Outpatient Coder II Emory Healthcare

Johns Creek, Georgia

Full time

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.

30+ days ago

Medical Director Scientific Affairs Oscar Health

Atlanta, GA

Remote

$237,719–$312,006 / year

Work Location: This position is fully remote and open to candidates residing in the U.S., excluding Alaska; Delaware; Hawaii; Louisiana; Montana; North Dakota; Oklahoma; West Virginia; Wyoming; and U.S. Territories. The Medical Director Scientific Affairs provides strategic leadership to the Clinical Policy team, ensuring medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements.

16 days ago

Physician Advisor - Utilization Management - FT/Day - Cobb WellStar Health System Inc

Working in collaboration with the VPMA(s) in the WellStar Health System (WHS), the Physician Advisor (PA) will be involved in the following areas: Utilization Management: The Physician Advisor (PA) will conduct clinical review on cases for commercial payers and medicare advantage plans that are referred by Care Coordination/Case Management staff and/or other health care professionals to assess for appropriateness of care; proper level of care in accordance with hospital objectives for assuring quality patient care and effective, efficient utilization of health care services, and to meet regulatory requirements. These duties will include but not be limited to areas such as concurrent assessment of the clinical situation, determination of medical necessity and appropriate level of care, real time feedback to physicians and case managers and all necessary follow-up with appropriate and clear communications of next actions to physicians; care coordinators, social workers, nursing staff and other key people involved in caring for individual patients whose cases have been referred for consultation: a) Assist with level of care and length of stay management.

15 days ago

Medical Director Scientific Affairs Oscar Health Inc

Atlanta, GA

Remote

$237,719–$312,006 / year

About the role: The Medical Director, Scientific Affairs provides strategic leadership to the Clinical Policy team, ensuring medical and pharmacy policies are rigorously evidence-based and aligned with current clinical advancements. A track record of publishing in peer-reviewed clinical journals or serving on an Institutional Review Board (IRB) or Clinical Practice Guideline panel is highly desirable.

21 days ago

Physician Advisor WellStar Health System Inc

Roswell, GA

Working in collaboration with the CMO(s) in the WellStar Health System (WHS), the Physician Advisor (PA) will be involved in the following areas: Utilization Management: The Physician Advisor (PA) will conduct clinical review on cases for commercial payers and medicare advantage plans that are referred by Care Coordination/Case Management staff and/or other health care professionals to assess for appropriateness of care; proper level of care in accordance with hospital objectives for assuring quality patient care and effective, efficient utilization of health care services, and to meet regulatory requirements. The Physician Advisor will engage with Physicians, Advanced Practice Professionals, nursing and other ancillary personnel as well as administrative leaders as part of his/her role in Performance Improvement, Resource Utilization and ongoing education on imp8ortant trends in healthcare management.

5 days ago

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Jobs in Maryland, IN

Pharmacy/Supplies Senior Data Analyst Northside Hospital Inc

Medical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group Inc

Medical Director, Orthopedic Surgery - Remote UnitedHealth Group Inc

Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group Inc

Coder III, Professional Srvcs Emory Healthcare

Field Reimbursement Manager Immunology Gastroenterology - Atlanta North AbbVie Inc

Account Follow-Up Representative I Harris Computer Systems

Volunteer to Hire Commission On Culture And Society / Me Living

Patient Care Coordinator Upperline Health Inc

Patient Care Coordinator Upperline Health

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

Hospital Outpatient Coder II Emory Healthcare Inc

Inpatient Pediatric Medical Coder Guidehouse Inc

Inpatient Pediatric Medical Coder Guidehouse

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote Avanos Medical

Hospital Outpatient Coder II Emory Healthcare

Medical Director Scientific Affairs Oscar Health

Physician Advisor - Utilization Management - FT/Day - Cobb WellStar Health System Inc

Medical Director Scientific Affairs Oscar Health Inc

Physician Advisor WellStar Health System Inc

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