• 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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  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
    Highmark Health (09/20/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Atlanta, GA)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health Information… more
    Cognizant (09/23/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
    Elevance Health (09/23/25)
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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** **Location:** _Hybrid1:_ This role requires associates...an Impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
    Elevance Health (09/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, 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 (09/06/25)
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  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Atlanta, GA)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (09/24/25)
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  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Columbus, GA)
    …standard principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and ... and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules… more
    Molina Healthcare (09/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Savannah, GA)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has committed up… more
    HCA Healthcare (09/27/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent...weekly/monthly quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and… more
    HCA Healthcare (09/27/25)
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