• Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/27/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
    Highmark Health (09/20/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …Methodist consists of eight hospitals: Houston Methodist Hospital , its flagship academic hospital in the heart of the Texas Medical Center, and seven ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (09/30/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (Savannah, GA)
    …is incentive eligible. **Introduction** **This position requires experience in Hospital Inpatient Coding.** Experience the HCA Healthcare difference where colleagues ... 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 (09/27/25)
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  • Nurse Practitioner/Physician Assistant

    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 ... Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
    CenterWell (09/06/25)
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  • Investigator

    Highmark Health (Atlanta, GA)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit...1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in… more
    Highmark Health (09/10/25)
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  • Compliance Audit Manager

    Cardinal Health (Atlanta, GA)
    …multi-job functions. + Knowledge of medical terminology and electronic medical records. + Professional and/or hospital services auditing experience. + ... accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. +… more
    Cardinal Health (08/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …(CDI, MS-DRG, AP-DRG and APR-DRG)** 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 (09/23/25)
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  • Primary Care Physician

    CenterWell (Stone Mountain, 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 (08/29/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Atlanta, 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 (09/26/25)
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