• Facility Coding Inpatient Complex Coder

    Banner Health (GA)
    …experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to join our talented Acute ... (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Ability to address related and complex matters… more
    Banner Health (07/10/25)
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  • Investigator Senior

    Elevance Health (Atlanta, GA)
    …specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. + May interface internally ... development of policy and/or procedures to prevent loss of company assets. + May be called upon to represent...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (08/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or CIC. + ... based on a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to ensuring equal pay opportunities for equal work… more
    Elevance Health (08/13/25)
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  • Investigator Senior

    Elevance Health (Atlanta, GA)
    …specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. + May interface internally ... development of policy and/or procedures to prevent loss of company assets. + May be called upon to represent...Capabilities, and Experiences:** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (08/28/25)
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  • Investigator

    Highmark Health (Atlanta, GA)
    ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for developing and maintaining an anti-fraud program which includes ... + Certified Fraud Examiner (CFE) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Accredited Healthcare...set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees… more
    Highmark Health (08/15/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA)… more
    Highmark Health (08/08/25)
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  • Physician Compliance Auditor

    TEKsystems (Atlanta, GA)
    …years in professional billing coding (distinct from hospital billing); Certified Professional Coder CPC , RHIA, RHIT, AAPC or AHIMA + 3+ years of experience auditing ... Retirement 401K retirement plan with up to 4 percent company match Workplace Type This is a hybrid position...power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity… more
    TEKsystems (08/20/25)
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  • Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …(including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and overnight. **Preferred Qualifications:** ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more
    CenterWell (08/20/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Atlanta, GA)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters. -...investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of Behavioral Health… more
    CVS Health (08/20/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Atlanta, GA)
    …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... and Federal Agencies within the timeframes required by Law. + Facilitates the recovery of company and customer money lost as a result of fraud, waste and abuse. +… more
    CVS Health (08/24/25)
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