• Professional Coding Compliance…

    Emory Healthcare/Emory University (Atlanta, GA)
    …Ongoing 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 implications, and provides billing … more
    Emory Healthcare/Emory University (09/02/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
    Elevance Health (10/25/25)
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  • Nurse Auditor 2

    Humana (Atlanta, GA)
    …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... and billing for services rendered is complete, compliant and accurate...compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require… more
    Humana (11/15/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
    Elevance Health (11/14/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …preferred. + A minimum of five years of experience working as a medical coder, coding auditor , and/or coding educator. + Certified in Healthcare Compliance ... laws, and industry standards. + Strong understanding of CMS and correct coding and billing requirements + Excellent communication, interpersonal, and… more
    Emory Healthcare/Emory University (09/23/25)
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  • Specialist, Config Oversight (healthcare Medical…

    Molina Healthcare (GA)
    …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (09/24/25)
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