• Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …compliance. **MINIMUM REQUIREMENTS:** + Bachelors degree required. + Current Certified Coding Specialist ( CCS ) or Certified Professional Coder certification ... coding , and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues.… more
    Emory Healthcare/Emory University (03/04/25)
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  • Medical Records Coder II

    BayCare Health System (GA)
    …and a great place to work! **Certifications and Licensures** + **Preferred:** CCS ( Coding ) + **Preferred:** RHIT (Health Information) **Education** + ... in Health Information Management **Experience** + **Required:** 2 years of Coding Equal Opportunity Employer Veterans/Disabled **Position** Medical Records Coder… more
    BayCare Health System (03/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (04/29/25)
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  • Regional CDI Associate Director

    Emory Healthcare/Emory University (Atlanta, GA)
    …strong working relationships with other leaders in the CDI and HIM Departments, CDI Medical Directors and other Medical Staff leaders, and CFO's and other ... + Maintains a working knowledge of CMS and other payers with regards to Coding guidelines. + Communicates and interacts with physicians and clinical staff at the… more
    Emory Healthcare/Emory University (05/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification (CPC, CCS , CPMA). **Preferred Capabilities,… more
    Elevance Health (05/02/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Atlanta, GA)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (03/27/25)
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  • Inpatient Facility Coder - remote

    Cognizant (Atlanta, GA)
    …requested by management. Qualifications: + 2+ years of experience in facility based inpatient coding . + Credentials: CCS , RHIT, RHIA (AHIMA) or CPC, CPC-H (AAPC) ... + Perform Peer Reviews of Company Health Information Management coding auditors and coders. + Maintain minimum accuracy rate...federal, state, and payer regulations. + Capable of interpreting medical records reports and chart entries. + Able to… more
    Cognizant (04/03/25)
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  • Director, Payment Integrity- DRG Validation

    Elevance Health (Atlanta, GA)
    …CDIP credential strongly preferred. + Extensive experience in DRG validation audits, medical coding or clinical documentation improvement strongly preferred. + ... + Develop, inspire, and retain and high-performing team of DRG coding validation, clinical validation, and readmission auditors through coaching, mentoring, and… more
    Elevance Health (04/22/25)
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