• Auditor , HCC Risk Adjustment Coding…

    Datavant (Atlanta, GA)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
    Datavant (08/08/25)
    - Related Jobs

  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …preferred. + A minimum of five years of experience working as a medical coder, coding , auditor , and/or coding educator. + Certified in Healthcare Compliance ... programs for providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M) services, procedural … more
    Emory Healthcare/Emory University (09/23/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient… more
    Elevance Health (09/23/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose… more
    Elevance Health (09/26/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Columbus, GA)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (09/06/25)
    - Related Jobs

  • Provider Auditor (Certified Medical Coder)

    Elevance Health (Atlanta, GA)
    **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Claims Auditor II

    Elevance Health (Atlanta, GA)
    **Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... accommodation is granted as required by law._ The **Claims Auditor II** is responsible for audits of high dollar...and initiates basic and complex system requests related to coding or system issues. + Refers overpayment opportunities to… more
    Elevance Health (09/10/25)
    - Related Jobs

  • Medical Records Tech [Coder/ Auditor…

    State of Georgia (Richmond County, GA)
    Medical Records Tech [Coder/ Auditor ] Augusta Georgia - Richmond - Augusta (https://ga.referrals.selectminds.com/jobs/72470/other-jobs-matching/location-only) New ... (2) years of experience in a medical records unit, which involved the independent coding of diagnostic data; or one (1) year of experience required at the… more
    State of Georgia (09/24/25)
    - Related Jobs

  • Analyst, Configuration Oversight (Claims…

    Molina Healthcare (Columbus, GA)
    …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
    Molina Healthcare (09/17/25)
    - 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, ... of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have...topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
    Datavant (08/13/25)
    - Related Jobs