• Mgr, Compliance Audit & Analys

    Emory Healthcare/Emory University (Atlanta, GA)
    …Compliance Audit and Analysis, oversees audits, monitoring, and education for hospital and professional billing, coding and documentation programs that confirm ... timely information regarding audit results and risk areas. + Evaluates hospital and professional billing compliance activities to assess compliance and appropriate… more
    Emory Healthcare/Emory University (04/30/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …and creates audit result reports to be reviewed with providers and hospital departments. + Serve as primary lead for facility/professional billing compliance ... trending, and feedback to facility/professional coders and providers working in the hospital and office setting, as applicable. + Manage and foster relationships… more
    Emory Healthcare/Emory University (03/04/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired Conditions (HACs). + Suggests and develops high quality, high ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (04/29/25)
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  • Senior CVIR Revenue Integrity Coding Specialist

    HCA Healthcare (Macon, GA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge… more
    HCA Healthcare (03/22/25)
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  • Primary Care Physician

    CenterWell (Atlanta, GA)
    …coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + ... record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined byClinical… more
    CenterWell (04/29/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
    Elevance Health (04/29/25)
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  • Supervisor Coding

    Highmark Health (Atlanta, GA)
    …in lieu of Associate's degree + 3 years experience as a production coder related to the coding team being supervised which includes assigning ICD-10-CM codes, ... coding team being supervised. + Inpatient coding - CCS or CIC + Hospital outpatient, Emergency Department, or Professional coding - CPC or CCS-P **_Disclaimer:_**… more
    Highmark Health (04/29/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Savannah, GA)
    …**Preferred Experience** 5+ years Clinical Nursing experience, including hospital acute care/medical experience. **Preferred License, Certification, Association** ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (04/17/25)
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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical… more
    CenterWell (02/21/25)
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