• Appeals & Grievances Specialist (Complaints…

    Molina Healthcare (Augusta, GA)
    …* Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). 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 competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 -… more
    Molina Healthcare (12/14/25)
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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 ... 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… more
    Elevance Health (12/09/25)
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  • Diagnosis Related Group Clinical Validation…

    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, ... MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based Diagnosis-Related Group (DRG) Coding/Clinical Validation Audit setting or hospital coding or quality assurance environment… more
    Elevance Health (12/09/25)
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  • Medical Coding Appeals Analyst

    Elevance Health (Atlanta, GA)
    …of education and 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… more
    Elevance Health (12/12/25)
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  • Payment Integrity Clinician

    Highmark Health (Atlanta, GA)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... to solve issues that are complex in nature with minimal direction and latitude to proceed on some actions or decisions **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position… more
    Highmark Health (11/14/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    …+ Experience with Epic, Cerner, eCW, Nextgen, Meditech and other PM/HIS systems + Certified medical coder (CPC, RHIT, CPB, CCS, etc) + Experience with Waystar ... EDI solutions **ABOUT WAYSTAR** Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar's healthcare payments platform combines innovative,… more
    Waystar (09/23/25)
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  • Director, Clinical Data Acquisition

    Molina Healthcare (GA)
    …Health Quality (CPHQ) * Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you ... are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $107,028 -… more
    Molina Healthcare (10/22/25)
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  • Coding Team Lead, HCC Risk Adjustment Coding…

    Datavant (Atlanta, GA)
    …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified more
    Datavant (12/10/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …preferred. + A minimum of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in Healthcare Compliance (CHC ... or CPCO) preferred. If no certification, must obtain one within 12 months of hire. - AHIMA or AAPC certification required (eg, CPC, CCS-P, CCS, CPMA, COC) + Strong knowledge of teaching physician rules, E/M leveling, and/or split/shared services. + Experience… more
    Emory Healthcare/Emory University (09/23/25)
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  • Outpatient Coding Consultant FT 1,500 Sign…

    Datavant (Atlanta, GA)
    …you to help shape the future of healthcare from your own workspace! Seeking coder that can code Same Day Surgery, ED, and Observation. CCS credential required, and ... skills. + Comply with all HIM Division Policies. Seeking coder that can code Same Day Surgery, ED, and...3M360 systems. **What You Need to Succeed:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified more
    Datavant (11/01/25)
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