• 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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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (04/29/25)
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  • Senior CVIR Revenue Integrity Coding Specialist

    HCA Healthcare (Macon, GA)
    …Radiology (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 ... 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 (03/22/25)
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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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  • Primary Care Physician

    CenterWell (Savannah, GA)
    …the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (02/21/25)
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  • Clinical Appeals Nurse (RN)

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

    Elevance Health (Atlanta, GA)
    …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
    Elevance Health (04/29/25)
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  • Primary Care Physician

    CenterWell (Atlanta, GA)
    …the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (04/29/25)
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