• DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of ... **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_...recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
    Elevance Health (10/25/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (Columbus, GA)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... School Diploma / GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in… more
    Molina Healthcare (10/22/25)
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  • Inpatient Audit Specialist FT 2,500 Sign…

    Datavant (Atlanta, GA)
    …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
    Datavant (11/14/25)
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  • ProFee Audit Specialist PRN- 1,000 Sign…

    Datavant (Atlanta, GA)
    …vision for healthcare. **What We're Looking For:** As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (11/12/25)
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  • Inpatient Audit Specialist FT- 2,500 Sign…

    Datavant (Atlanta, GA)
    …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (10/21/25)
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  • Clinical Documentation Specialist , REMOTE

    Trinity Health (Athens, GA)
    …Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) required, licensure as a physician ... at St. Mary's Sacred Heart Hospital in Lavonia, Georgia. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts… more
    Trinity Health (10/23/25)
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  • Medical Record Technician Auditor

    Veterans Affairs, Veterans Health Administration (Atlanta, GA)
    …must have a mastery level certification. Current mastery level certifications include Certified Coding Specialist (CCS), Certified Coding Specialist - ... Health Information Management (HIM) section at the Atlanta VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the… more
    Veterans Affairs, Veterans Health Administration (11/12/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (GA)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
    Molina Healthcare (09/06/25)
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  • Nurse Practitioner/Physician Assistant

    CenterWell (Atlanta, GA)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical… more
    CenterWell (10/12/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Savannah, GA)
    …suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience… more
    Molina Healthcare (11/14/25)
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