• Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
    Molina Healthcare (09/06/25)
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  • Supervisor, Revenue Cycle Ops

    Emory Healthcare/Emory University (Atlanta, GA)
    …and coordinates clinic revenue cycle functions that include charge capture, coding , and edit/denial management; provides recommendations to optimize resources and ... + Hires and trains new employees. + Works with manager to formulate a plan for professional development. +...by management. + Works with physicians to ensure consistent coding and documentation practices are followed. + Trains staff… more
    Emory Healthcare/Emory University (09/05/25)
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  • Senior Director, Active Directory

    ADP (Alpharetta, GA)
    …**PowerShell** , **Python** , or similar scripting languages. + Implement secure coding and automated deployment practices into **CI/CD pipelines** to support rapid, ... working in a team to understand responsibilities, identify issues, and communicate coding priorities while choosing user stories to complete. You must know Agile… more
    ADP (08/22/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/26/25)
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  • Clinical Compliance Medical Director

    Elevance Health (Atlanta, GA)
    …Director** is responsible for providing clinical guidance related to the company's coding guidelines, provider coding audits, and participates in developing an ... includes provider medical record documentation. + Provides clinical guidance regarding coding guidelines and develops provider educational material. + Develops a… more
    Elevance Health (09/24/25)
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  • Lead SAP Software Engineer- Quality Engineer (Open…

    Nike (Atlanta, GA)
    …design and creation of scalable software. Test and fix bugs or other coding issues. Work with development teams and product managers to conceptualize software ... evaluating technical feasibility * Building automated testing for web applications, coding with Pythion, JavaScript and Node.js * Deep understanding and practical… more
    Nike (09/10/25)
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  • Supv, Revenue Cycle Ops

    Emory Healthcare/Emory University (Atlanta, GA)
    …and coordinates clinic revenue cycle functions that include charge capture, coding , and edit/denial management; provides recommendations to optimize resources and ... performance feedback and corrective action as necessary. + Works with manager to formulate a plan for professional development. Attends educational in-services… more
    Emory Healthcare/Emory University (10/01/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Augusta, GA)
    …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
    Molina Healthcare (09/28/25)
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  • Patient Account Coordinator, Occupational Medicine

    Peachtree Orthopedics (Atlanta, GA)
    …a key member of our team, you'll work closely with the Business Operations Manager and Medical Director to ensure that every patient and client receives a seamless, ... This role blends patient support, front desk operations, and billing and coding responsibilities - perfect for someone who thrives in a fast-paced, service-oriented… more
    Peachtree Orthopedics (09/10/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, GA)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (09/06/25)
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