• Coding Quality Auditor

    Houston Methodist (GA)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (11/12/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (GA)
    …appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct ... applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified… more
    Molina Healthcare (09/06/25)
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  • Clinical Documentation Specialist, REMOTE

    Trinity Health (Athens, GA)
    …practice nurse (NP/APN), medical school graduate or as an inpatient coder preferred. Excellent communication (verbal and written), interpersonal, ... diagnoses codes, establishing a working principle diagnosis and working DRG (MS or APR). Collaborates with coding staff to...(CDIP) preferred. Two (2) years experience in Critical Care, Medical or Surgical Inpatient Care Nursing, as… more
    Trinity Health (10/23/25)
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  • Manager, Appeals & Grievances

    Molina Healthcare (Savannah, GA)
    …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/ Inpatient UB92, Universal Claims, ... Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If… more
    Molina Healthcare (11/13/25)
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