• Investigator, Coding SIU

    Molina Healthcare (Atlanta, GA)
    …and Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification , Association** Licensed registered nurse (RN), Licensed practical nurse ... (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree...and the ability to present those findings. **Preferred License, Certification , Association** + AAPC Certified Medical CPC, CPMA, CPCO… more
    Molina Healthcare (06/19/25)
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  • Physician - CenterWell - Wesley Chapel

    CenterWell (Decatur, GA)
    …record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical ... program of CenterWell as needed. + Assures personal compliance with licensing, certification , and accrediting bodies. + Spend 100% of your time clinically focused… more
    CenterWell (06/06/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Atlanta, GA)
    …auditing. + Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as ... Technician, CCS as a Certified Coding Specialist, CIC as a Certified Inpatient Coder , or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10… more
    Elevance Health (06/05/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... program of CenterWell as needed. + Assures personal compliance with licensing, certification , and accrediting bodies. + Spend 100% of your time clinically focused… more
    CenterWell (05/22/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Atlanta, GA)
    …**Minimum Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and ... minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and… more
    Elevance Health (06/21/25)
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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 ... formulating Appeal letters MINIMUM QUALIFICATIONS: + Certified Coding Specialist (CCS) certification . + RHIA/RHIT preferred. + Minimum five (5) years experience with… more
    Emory Healthcare/Emory University (06/06/25)
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  • Manager, Compliance Audit & Analysis

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Clinical background preferred (ie, LPN, RN, etc.). + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credentials required. + ... Certification in Health Care Compliance preferred. + Minimum of five (5) years of experience with audit activities required. + Minimum of three (3) years of… more
    Emory Healthcare/Emory University (04/30/25)
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