• DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical ... **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_...responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
    Elevance Health (10/03/25)
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  • Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …with clinicians, identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement ... and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** + Perform Quality Assurance on post-visit reviews.… more
    CenterWell (09/25/25)
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  • Mgr II Grievance/Appeals-Medical Coding

    Elevance Health (Atlanta, GA)
    …manages inventory and production levels, and operational and plan risk, ensures quality , and regulatory compliance.** PRIMARY DUTIES: + Leads team of coders in ... appeals and grievances related to non-clinical and clinical services, quality of service and quality of care...experience in the healthcare industry; or any combination of education and experience which would provide an equivalent background.… more
    Elevance Health (09/24/25)
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  • Lead SAP Software Engineer- Quality…

    Nike (Atlanta, GA)
    …scale are expected. WHO WE ARE LOOKING FOR We are seeking an experienced and skilled Lead Quality Test Engineer to join our integration team. As a Tech Lead ... Scrum and DevOps WHAT YOU'LL WORK ON As the Lead Quality Software Engineer within the Integration...Regression/performance testing and End to End process automation * Lead hands-on software engineering and coding tasks… more
    Nike (09/10/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education , answering ... **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead , you will be responsible for...the monthly random, focus, prebill review, and Ad Hoc quality review process + Submits and reviews coding… more
    HCA Healthcare (09/27/25)
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  • Facility Outpatient Coder Team Lead

    HCA Healthcare (Savannah, GA)
    …**Job Summary and Qualifications** In this work from home position as an Acute Care Outpatient Coding Lead , you will perform as the daily contact for coding , ... provide support to coding leadership by coordinating coding and education activities within the HSC....in this role:** + Leads, coordinates and performs HSC coding quality reviews (eg, routine, policy driven,… more
    HCA Healthcare (09/27/25)
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  • Lead Configuration Quality /Audit…

    Molina Healthcare (Savannah, GA)
    …contracting, benefits, prior authorizations, fee schedules, and other business requirements. Lead and participate in audit initiatives, develop quality control ... and initiatives. + Negotiates expected completion dates with Health Plans. + Lead audits of claims and QNXT configuration to ensure accuracy, completeness, and… more
    Molina Healthcare (10/05/25)
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  • Lead Software Engineer

    Highmark Health (Atlanta, GA)
    …Description :** **JOB SUMMARY** + We are seeking a highly skilled and motivated Lead Engineer to serve as an integral member of our agile software engineering team, ... hands-on leader will oversee the ongoing support of critical applications, lead the resolution of complex technical issues, streamline project delivery, collaborate… more
    Highmark Health (09/30/25)
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  • ServiceNow Lead Developer

    Truist (Atlanta, GA)
    …(United States of America) **Please review the following job description:** The ServiceNow Lead Developer will be a part of transformative team that is focused on ... optimizing the teammate support experience at Truist. This lead will collaborate with analysts and product owners to design and implement solutions that meet the… more
    Truist (09/03/25)
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  • Software Engineer IV- Java Team Lead

    Truist (Atlanta, GA)
    …highly complex solutions with significant system linkages, dependencies, associated risk. Lead and perform development efforts such as analysis, design, coding ... complex solutions. 2. Development includes but is not limited to customized coding , software integration, analysis, configuring solutions, or use tools pertinent to… more
    Truist (09/11/25)
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