• Coding Auditor - Inpatient

    BayCare Health System (GA)
    …related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including ... position; Meeting facilitation skills. **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health… more
    BayCare Health System (03/22/25)
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  • Senior CVIR Revenue Integrity Coding

    HCA Healthcare (Macon, GA)
    …opportunities. **What you will do in this role:** + Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines ... to join an organization that invests in you as a Senior Revenue Integrity Coding Specialist for Cath Lab and Interventional Radiology? At Parallon, you come first.… more
    HCA Healthcare (05/14/25)
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  • Manager, Quality Improvement, Clinical

    CenterWell (Stone Mountain, GA)
    …development, implementation and management oversight of the Primary Care Organization's clinic- based Stars Program. The Manager, Stars Improvement, Clinical ... **Job Description** The work of the Manager, Stars Improvement, Clinical focuses on areas of clinical emphasis....programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider performance, member… more
    CenterWell (04/08/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Columbus, GA)
    **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within compliance ... standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (05/16/25)
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  • Patient Support Medical/Biller Claims Processing…

    IQVIA (Atlanta, GA)
    …on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field ... announce that currently we are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team.… more
    IQVIA (05/01/25)
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  • Patient Services Coordinator Home Health

    CenterWell (Duluth, GA)
    …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... internal transfer of patients between branch offices. + If clinical , receives lab reports and assesses for normality, fax...assignments. + Must have at least 1 year of home health experience. + Prior packet review / QI… more
    CenterWell (05/16/25)
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  • Inpatient DRG Quality Auditor

    Humana (Atlanta, GA)
    …is a full-time, remote/work-from- home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical...managing diverse priorities, adept at swiftly transitioning between tasks based on urgency and demand with minimal instruction. +… more
    Humana (05/03/25)
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  • Advanced Inpatient Coder Specialist

    BayCare Health System (GA)
    …of Inpatient Coding . **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, outpatient ... AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. Team members must reside in Florida,… more
    BayCare Health System (03/22/25)
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  • Medical Records Coder III Outpatient

    BayCare Health System (GA)
    …day surgery + Observation cases **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health services, ... encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing… more
    BayCare Health System (03/22/25)
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  • Specialty Coder II - Anesthesia

    BayCare Health System (Atlanta, GA)
    …Cardiothoracic Surgery + Neurosurgery **Why BayCare?** Our network consists of 16 community- based hospitals, a long-term acute care facility, home health ... Coder who assigns diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. + The Specialty Coder audits physician documentation to assign appropriate… more
    BayCare Health System (03/27/25)
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