• Coding Auditor & Educator

    WelbeHealth (Atlanta, GA)
    …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual... experience in a managed care environment + Current CCS , CCS -P, CPC , CPC… more
    WelbeHealth (09/19/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (GA)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... - Registered Health Information Administrator (AHIMA) -- For inpatient/outpatient coding **OR** + CCS - Certified ...Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional… more
    Houston Methodist (09/30/25)
    - Related Jobs

  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified ... Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or… more
    Highmark Health (09/20/25)
    - Related Jobs

  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …in medical record documentation review, diagnosis coding , and/or auditing. + CPC (Certified Professional Coder) or CCS -P (Certified Coding ... internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
    CVS Health (09/27/25)
    - Related Jobs

  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Atlanta, GA)
    …experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or ... to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical...to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing… more
    Datavant (08/08/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + Experience with third ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/23/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). **Preferred Skills, Capabilities, ... **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (09/26/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Columbus, GA)
    …of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS , CPMA). For candidates working in ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.… more
    Elevance Health (09/06/25)
    - Related Jobs

  • Quality Senior Analyst

    CVS Health (GA)
    …for CPC . + CPC (Certified Professional Coder) **or** CCS -P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder) required. ... recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with...+ Completion of AAPC/AHIMA training program for core credential ( CPC , CCS -P) with associated work history/on the… more
    CVS Health (09/30/25)
    - 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 ... providers and other stakeholders to ensure accurate and compliant coding , with an emphasis on Evaluation and Management (E/M)...of hire. - AHIMA or AAPC certification required (eg, CPC , CCS -P, CCS , CPMA, COC)… more
    Emory Healthcare/Emory University (09/23/25)
    - Related Jobs