• Coding Quality Auditor

    Houston Methodist (GA)
    …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES AND CERTIFICATIONS - PREFERRED… more
    Houston Methodist (04/12/25)
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  • Medical Coding Adjunct Instructor - Pool

    State of Georgia (GA)
    …an approved accredited institution. + Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Medical Coder ... (5) years of work experience in medical billing, coding and insurance. Preferred Qualifications: + Diploma or Associate's degree in medical records administration,… more
    State of Georgia (03/10/25)
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  • Mgr, Compliance Audit & Analys

    Emory Healthcare/Emory University (Atlanta, GA)
    …background preferred (ie, LPN, RN, etc.). + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credentials required. + Certification in ... Health Care Compliance preferred . + Minimum of five (5) years of experience...practices, and professional billing issues. + Project management experience preferred . **Knowledge, skills, and ability requirements:** + Knowledge of… more
    Emory Healthcare/Emory University (04/30/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …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 DRG Coding / Clinical Validation Audit setting or… more
    Elevance Health (04/29/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Savannah, GA)
    **_ Residents in CENTRAL Time Zone preferred . Candidates who do not live in Central Time zone must work CENTRAL DAYTIME BUSINESS HOURS._** **_Work Schedule: 4 days a ... Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3… more
    Molina Healthcare (04/17/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …combination of education and experience, which would provide an equivalent background. ** Preferred Skills, Capabilities and Experiences:** + One or more of the ... following certifications are preferred : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical… more
    Elevance Health (04/29/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Atlanta, GA)
    …with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and ... coding/auditing, medical necessity reviews, or related work. Oncology experience preferred .** + Bachelor's degree in Health Information Management, Business or… more
    Cardinal Health (04/25/25)
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  • Delegation Oversight Nurse Remote based in CA…

    Molina Healthcare (GA)
    …State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. ** Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a ... bachelor's degree in Nursing. ** Preferred Experience** + Three-year NCQA, CMS, and/or state Medicaid UM auditing experience. + Three years' experience in delegation… more
    Molina Healthcare (04/12/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... you will be required to be screened for TB ** Preferred Qualifications:** + Board Certification or Eligible to become...AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred + Active and unrestricted DEA license + Medicare… more
    CenterWell (02/21/25)
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  • Senior CVIR Revenue Integrity Coding Specialist

    HCA Healthcare (Macon, GA)
    …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service...entry / coding) or CV coding. + Associates Degree Preferred | equivalent work experience may substitute education requirement.… more
    HCA Healthcare (03/22/25)
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