• Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …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 payment systems,… more
    Elevance Health (09/23/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Atlanta, GA)
    …of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment ... coding, with a focus on clinical documentation. + Technical proficiency, strong knowledge of coding languages within multiple EMRs with familiarity of coding standards and best practice. + Previous managerial experience or supervisory role with strong… more
    Evolent (09/23/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (GA)
    …be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a… more
    Molina Healthcare (09/20/25)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Atlanta, GA)
    …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Atlanta, GA)
    …cases concurrently to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in a professional, efficient ... and positive manner + Adhere to the American Health Information Management Association (AHIMA)'s code of ethics + Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment… more
    Datavant (09/13/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Atlanta, GA)
    …experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification ... required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
    Elevance Health (09/12/25)
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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 longer hires… more
    Baylor Scott & White Health (09/10/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …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 certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more
    Molina Healthcare (09/06/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded ... or if additional documentation is needed. + Works with Coders and CDSs to draft and initiate physician queries. + Performs reviews in a timely manner to maintain DNFB target of 4 days. + Provides Coding development with coordination of educational and training… more
    Emory Healthcare/Emory University (09/05/25)
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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 ... improvement efforts, providing formal development plans when standards are not met. + Manage attendance and PTO schedules. **Employee Relations** + Conduct regular check-ins and one-on-one discussions with employees. + Address employee concerns promptly and… more
    Datavant (09/04/25)
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