• Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …is preferred. + A minimum of five years of experience working as a medical coder , coding auditor, and/or coding educator. + Certified in Healthcare Compliance ... + Experience working in multispecialty practices, hospital-based clinics, or academic medical centers preferred. + Strong knowledge of HIPAA, Stark-Law, and other… more
    Emory Healthcare/Emory University (09/23/25)
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  • Senior Outpatient Coder

    Houston Methodist (GA)
    At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and ... observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.… more
    Houston Methodist (10/29/25)
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  • Inpatient Coder

    Houston Methodist (GA)
    At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based ... upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. **PEOPLE ESSENTIAL FUNCTIONS**… more
    Houston Methodist (11/12/25)
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  • Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …part of our caring community and help us put health first** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and ... Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge Services:** +… more
    CenterWell (11/05/25)
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  • Associate Specialist, Appeals & Grievances

    Molina Healthcare (Macon, GA)
    …experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
    Molina Healthcare (11/15/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Atlanta, GA)
    …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/15/25)
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  • Manager, Appeals & Grievances

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

    Molina Healthcare (Atlanta, GA)
    …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
    Molina Healthcare (11/09/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (GA)
    …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified ... a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical... medical coding. **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring… more
    Molina Healthcare (09/06/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Savannah, GA)
    …suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
    Molina Healthcare (11/14/25)
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