• Supervisor, Risk Adjustment Operations

    Datavant (Atlanta, GA)
    …required. + People Leader experience managing a team of employees. + Familiarity with HCC coding . + A strong knowledge base of medical terminology, medical ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, CRC) + Extensive… more
    Datavant (07/24/25)
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  • Sr Analyst, Scope Management

    Evolent (Atlanta, GA)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC... Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) **To… more
    Evolent (07/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (07/17/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …role is preferred. + A minimum of five years of experience working as a medical coder, coding , auditor, and/or coding educator. + Certified in Healthcare ... ensure accurate and compliant reporting of industry standard billing, coding and documentation standards (ICD10, CPT, E/M, HCPCS, CDI,...of hire. + AHIMA or AAPC certification required (eg, CPC , CCS-P, CCS, CPMA, COC) + Strong knowledge of… more
    Emory Healthcare/Emory University (07/19/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Atlanta, GA)
    …opportunities + Community perks and discounts **Certifications and Licensures** + Required CPC ( coding ) **Education** + Required High School or equivalent + ... Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical ...years Coding + And 1 year of Medical Office related experience Equal Opportunity Employer Veterans/Disabled **Position**… more
    BayCare Health System (05/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Columbus, GA)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates… more
    Elevance Health (07/22/25)
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  • Clinic Supervisor - Licensed

    HCA Healthcare (Savannah, GA)
    …a clinical management position. CERTIFICATION/LICENSE: + MA or LPN/LVN is required. CPR Certification. CPC Coding is a requirement if coding duties are ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (07/14/25)
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  • Senior Investigator, Special Investigations Unit…

    CVS Health (Atlanta, GA)
    …of three years Medicaid Fraud, Waste and Abuse investigatory experience. + Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) + Knowledge of ... waste, and abuse investigatory and audits required. + Knowledge of CPT/HCPCS/ICD coding + Knowledge and understanding of clinical issues. + Experience and… more
    CVS Health (07/22/25)
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  • Provider Reimbursement Adm-Certified Professional…

    Elevance Health (Atlanta, GA)
    …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… more
    Elevance Health (06/18/25)
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  • Investigator Senior

    Elevance Health (Atlanta, GA)
    …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more
    Elevance Health (06/27/25)
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