• Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …in medical record documentation review, diagnosis coding, and/or auditing. + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word, Excel,… more
    CVS Health (09/27/25)
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  • Investigator

    Highmark Health (Atlanta, GA)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and financial aspects of the health… more
    Highmark Health (09/10/25)
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  • Medical Coding Adjunct Instructor - Pool

    State of Georgia (GA)
    …field from an approved accredited institution. + Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), ... Certified Medical Coder (CMC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). + Minimum of two (2) of the last five (5) years of work experience in medical billing, coding and insurance.… more
    State of Georgia (09/07/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit ... Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare… more
    Molina Healthcare (09/06/25)
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  • Medical Records Coder III Outpatient

    BayCare Health System (Atlanta, GA)
    …AM to 3:30 PM + **Days:** Monday through Friday The Medical Records Outpatient Coder III will work remotely on a full-time basis. _Sign on bonuses available!_ ... Responsibilities + The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM… more
    BayCare Health System (08/08/25)
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  • Inpatient Coder Specialist (PRN)

    BayCare Health System (Atlanta, GA)
    …This position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient Coders serve multiple ... and pharmacology knowledge for accurate code assignments. + Assists Manager/Director with mentoring/training of Coder I, Coder II and Coder III team members… more
    BayCare Health System (10/02/25)
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  • Inpatient Coder Specialist

    BayCare Health System (Atlanta, GA)
    …This position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient Coders serve multiple ... and pharmacology knowledge for accurate code assignments. + Assists Manager/Director with mentoring/training of Coder I, Coder II and Coder III team members… more
    BayCare Health System (08/08/25)
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  • Medical Coding Auditor

    CenterWell (Atlanta, GA)
    …**ONE** of the certifications from AAPC or AHIMA from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA) ... * CCS-P - Certified Coding Specialist-Physician Based (AHIMA) + 2 or more years of outpatient coding experience (Preferably in a risk adjustment setting) + Knowledge of various reimbursement methodologies, including risk adjustment and fee for service +… more
    CenterWell (10/01/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and… more
    Elevance Health (09/23/25)
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  • Supervisor, Coding

    Baylor Scott & White Health (Atlanta, GA)
    …(CCS), or + Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA), ... or + Reg Health Info Technician (RHIT) As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no… more
    Baylor Scott & White Health (09/10/25)
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