• Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Atlanta, GA)
    …background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes ... for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated… more
    Elevance Health (09/24/25)
    - Related Jobs
  • Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... Apply Today! **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent and retrospective… more
    HCA Healthcare (09/27/25)
    - Related Jobs
  • Compliance Audit Manager

    Cardinal Health (Atlanta, GA)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. ... in support of services billed; compliance with other documentation and coding and billing standards; communication of audit results to physicians, physician… more
    Cardinal Health (08/27/25)
    - Related Jobs
  • HIM ProFee Auditing Specialist FT

    Datavant (Atlanta, GA)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
    - Related Jobs
  • Outpatient Audit Specialist

    Datavant (Atlanta, GA)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
    - Related Jobs
  • Inpatient Audit Specialist

    Datavant (Atlanta, GA)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
    - Related Jobs
  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
    - Related Jobs
  • Clinical Compliance Medical Director

    Elevance Health (Atlanta, GA)
    …Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in developing an ... includes provider medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material. + Develops a… more
    Elevance Health (09/24/25)
    - Related Jobs
  • Investigator

    Highmark Health (Atlanta, GA)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and… more
    Highmark Health (09/10/25)
    - Related Jobs
  • Production Assistant-PLE Operator

    Nestle (Savannah, GA)
    …commercial distribution. The PLE Operator is also responsible for setting up coding equipment and inspecting product to ensure adherence to specifications. This ... limited to the accumulator, cap applicator, mead wrapper, cardboard packer, and inkjet coder . + Data-entry of SKU, lot code, and expiration date information into… more
    Nestle (09/30/25)
    - Related Jobs