• Manager, DRG Coding & Validation (RN) Remote

    Molina Healthcare (Atlanta, GA)
    **Job Description** **Job Summary** The Manager, Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or inpatient ... high quality claims payment to ensure payment integrity. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of… more
    Molina Healthcare (06/14/25)
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  • Manager, Compliance Audit & Analysis

    Emory Healthcare/Emory University (Atlanta, GA)
    …collaboration with Revenue Cycle as appropriate. + Works collaboratively with clinical and administrative departments throughout the organization to further the ... and fosters relationships with internal clinicians and coders and third-party clinical reviewers. + Assists with provision of counseling, education and/or… more
    Emory Healthcare/Emory University (04/30/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. +… more
    Elevance Health (06/24/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …assignment, and abstracted data POA, Discharge Disposition. + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + ... of educational and training programs regarding technical coding and clinical topics for the coding staff. + Coordinates remediation...the CDS team to educate physicians, nursing, and other clinical staff to improve documentation. + Review ?s DRG… more
    Emory Healthcare/Emory University (06/06/25)
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  • Primary Care Physician

    CenterWell (Woodstock, GA)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Clinical Leadership. . Meets with RMD about quality of...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (06/21/25)
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  • Investigator, Coding SIU

    Molina Healthcare (Atlanta, GA)
    …benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely ... + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. + Communicate and participate in meetings related to… more
    Molina Healthcare (06/19/25)
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  • Provider Reimbursement Adm-CPC

    Elevance Health (Atlanta, GA)
    …of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY ... policies, reimbursement policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support… more
    Elevance Health (06/18/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …foster relationships with internal coders and managers and 3rd party clinical reviewers and leads training on proper documentation for facility/professional billing ... degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification required. + Minimum of five to seven (5-7) years of… more
    Emory Healthcare/Emory University (06/03/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Clinical Leadership. + Meets with RMD about quality of...patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we… more
    CenterWell (05/22/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Atlanta, GA)
    …and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and ... hire. Plus one of the following certifications: **Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or… more
    Intermountain Health (06/27/25)
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