• Manager, Appeals & Grievances

    Molina Healthcare (Savannah, GA)
    …Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient /Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high-dollar complicated ... 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… more
    Molina Healthcare (11/13/25)
    - Related Jobs

  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient , and HACs. + Suggests and develops high quality, high value concept ... 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… more
    Elevance Health (10/25/25)
    - Related Jobs

  • Cardiology Nurse Practitioner

    CenterWell (Decatur, GA)
    …or known heart diseases. The Nurse Practitioner work assignments involve outpatient office and telehealth visits, curbside consults with referring physicians, ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical… more
    CenterWell (10/04/25)
    - Related Jobs