• Inpatient Coder

    Houston Methodist (GA)
    …states (TX, GA, FL, TN or WA)** At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately ... to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.… more
    Houston Methodist (04/26/25)
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  • Associate Manager Physician Coder Surgical

    Banner Health (GA)
    …Management Association (AHIMA) or American Academy of Professional Coders (AAPC) or Radiology Certified Coder (RCC) if employed in the Imaging space. Must ... patient care. POSITION SUMMARY This position leads a designated medical coding team across multiple locations. The position has...education. Requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified… more
    Banner Health (04/13/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Atlanta, GA)
    …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... while certified + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability… more
    Datavant (03/27/25)
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  • Inpatient Medical Coder - FT - Up…

    Datavant (Atlanta, GA)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation… more
    Datavant (03/27/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Savannah, GA)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (04/17/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (GA)
    …**Preferred License, Certification, Association** + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + ... Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ) + or other healthcare… more
    Molina Healthcare (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (02/07/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (04/12/25)
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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 ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (04/29/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of… more
    Elevance Health (04/29/25)
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