• Investigator, Coding SIU

    Molina Healthcare (Atlanta, GA)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... ability to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred +… more
    Molina Healthcare (06/19/25)
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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 (06/10/25)
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  • Manager, Compliance Audit & Analysis

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Bachelors degree required. + Clinical background preferred (ie, LPN, RN, etc.). + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) ... risk areas. + Implements policies, strategies, and workflows to ensure accurate medical record documentation, professional billing and coding compliance. + Serves as… more
    Emory Healthcare/Emory University (04/30/25)
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  • Primary Care Physician

    CenterWell (Woodstock, GA)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (06/21/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (05/22/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Bachelors degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification required. + Minimum of five to seven ... billing, coding, and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues.… more
    Emory Healthcare/Emory University (06/03/25)
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  • Physician - CenterWell - Wesley Chapel

    CenterWell (Decatur, GA)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (06/06/25)
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  • Provider Reimbursement Adm-CPC

    Elevance Health (Atlanta, GA)
    …would provide an equivalent background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder (CPC) CEMC and CEDC encouraged. Please ... based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective… more
    Elevance Health (06/18/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Atlanta, GA)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
    Elevance Health (07/02/25)
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  • Manager, Coding Operations

    Datavant (Atlanta, GA)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... + Relevant Associate or Bachelor's degree, ideally from an AHIMA- certified HIM Program or Nursing Program. + At least...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (06/24/25)
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