• Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …programs and more! **Description** We are seeking an experienced **Inpatient DRG Coding Auditor** to extract data from patient encounters ensuring the accuracy of ... and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding , DRG assignment, and abstracted data POA, Discharge Disposition. + Reviews… more
    Emory Healthcare/Emory University (03/08/25)
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  • Senior CVIR Revenue Integrity Coding

    HCA Healthcare (Macon, GA)
    …to join an organization that invests in you as a Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology? At Parallon, you come first. ... We are looking for a dedicated Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology (CVIR)...coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service… more
    HCA Healthcare (03/22/25)
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  • Code Edit Disputes Team Medical Coding

    Humana (Atlanta, GA)
    …part of our caring community and help us put health first** The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 3 performs advanced administrative/operational/customer support duties that require… more
    Humana (05/03/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Atlanta, GA)
    …of documentation in support of services billed; compliance with other documentation and coding and billing standards; and physician and coder education. This ... and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed.… more
    Cardinal Health (04/25/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …compliance. **MINIMUM REQUIREMENTS:** + Bachelors degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification ... audit, monitoring, and education for both facility and professional billing, coding and documentation programs that ensure compliance with regulatory standards.… more
    Emory Healthcare/Emory University (03/04/25)
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  • Clinical Documentation Improvement Manager

    Peachtree Orthopedics (Atlanta, GA)
    …oversees daily CDI operations and requires expertise in clinical documentation and coding guidelines for orthopedics and ambulatory surgery centers. The CDI Manager ... will have responsibility to oversee all coding activities in compliance with applicable laws, regulations, standards, internal policies and procedures and the Code… more
    Peachtree Orthopedics (04/11/25)
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  • Client Policy Specialist Team Lead

    Zelis (GA)
    …of Zelis editing products with an ability to clearly articulate correct coding and claim adjudication guidelines, interpretation of client policies and present Zelis ... payers, third party administrators, and health plans. + Current certified coder (AAPC or AHIMA) or Registered Health Information (RHIA/RHIT) certifications required.… more
    Zelis (04/10/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Savannah, GA)
    …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (04/17/25)
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  • Software Engineering Manager, Infrastructure

    Meta (Atlanta, GA)
    …Engineering Manager, Infrastructure Responsibilities: 1. Be both highly technical, hands-on coder and an effective people manager 2. Communicate across functions and ... engineering work experience, including hands-on technical management 7. 5+ years experience coding in one of the following languages: C++, Java, Python and/or PHP… more
    Meta (02/11/25)
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