• Investigator

    Highmark Health (Atlanta, GA)
    …of the allegation or special project by assembling the necessary information , statistics, policies and procedures, licensure information , doctors' agreements, ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… more
    Highmark Health (09/10/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (GA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Hierarchical Condition Categories (HCC) required. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) and CRC (Certified… more
    CVS Health (10/02/25)
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  • Quality Senior Analyst

    CVS Health (GA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified… more
    CVS Health (09/30/25)
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  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC… more
    CVS Health (09/27/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Dublin, GA)
    …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and ... three years. **Benefits** Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (09/27/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and ... Parallon offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends.… more
    HCA Healthcare (09/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Experiences:** + One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information ... conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings… more
    Elevance Health (09/23/25)
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  • Nurse Practitioner/Physician Assistant

    CenterWell (Atlanta, GA)
    …of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our ... part of our caring community and help us put health first** Humana's Primary Care Organization is one of...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (09/06/25)
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  • Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ... database. Responds to or clarifies internal requests for medical information . Understands department, segment, and organizational strategy and operating objectives,… more
    CenterWell (09/25/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines. + ... professional fee) **LICENSES AND CERTIFICATIONS - REQUIRED** + RHIT - Certified Health Information Technician (AHIMA) -- For inpatient/outpatient coding **OR** +… more
    Houston Methodist (09/30/25)
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