• Manager , DRG Coding & Validation…

    Molina Healthcare (Atlanta, GA)
    **Job Description** **Job Summary** The Manager , Clinical DRG Coding & Validation must have an extensive background in either facility-based nursing and/or ... claims payment to ensure payment integrity. Responsible for performing clinical reviews of medical records and other documentation... clinical reviews of medical records and other documentation to evaluate issues of coding and… more
    Molina Healthcare (06/14/25)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    … reviewers. + Leads training on proper documentation for inpatient hospital/ clinical billing and coding compliance. + Works with the compliance operations, ... software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of… more
    Emory Healthcare/Emory University (04/22/25)
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  • Professional Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …software and Epic electronic health record systems. + Thorough knowledge of coding documentation improvement practices. + Thorough knowledge and understanding of ... develops and executes audit, monitoring, and education for professional billing, coding and documentation programs that confirm compliance, identifies… more
    Emory Healthcare/Emory University (06/03/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs,...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (05/09/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
    Elevance Health (06/24/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Atlanta, GA)
    … Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... performance of medical audit activities. + Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate… more
    Elevance Health (06/05/25)
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  • Facility Coding Outpatient Complex Coder

    Banner Health (GA)
    …LCDs (Local Coverage Determinations) prior to referral to coding analyst, coding educator, or coding manager /supervisor. MINIMUM QUALIFICATIONS High ... supported in during initial training by both the Banner Coding Education team and your hiring manager ,...Academic, Trauma and high acuity facilities. Reviews health record documentation and assigns diagnoses and/or surgical procedure codes on… more
    Banner Health (05/31/25)
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  • Profee Coding Consultant (General…

    Datavant (Atlanta, GA)
    …monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers,… more
    Datavant (06/10/25)
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  • Outpatient Coding Consultant SDS- FT Sign…

    Datavant (Atlanta, GA)
    …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... coded data for hospital statistical and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel… more
    Datavant (06/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
    Elevance Health (06/10/25)
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