• Outpatient Coder SDS OBS Sign on Bonus…

    Datavant (Atlanta, GA)
    …for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to ... future of healthcare from your own workspace! Preferred: SDS/OBV Coder . EPIC and 3M360 experience a plus. Observation coding...Trauma, plastic surgery. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
    Datavant (09/26/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
    Molina Healthcare (09/06/25)
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  • Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …direction and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical ... a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records… more
    CenterWell (09/25/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Atlanta, GA)
    …Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
    Molina Healthcare (09/26/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years… more
    Highmark Health (09/20/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (GA)
    …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), ... Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare… more
    Molina Healthcare (09/20/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Atlanta, GA)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
    Datavant (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Atlanta, GA)
    …a related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
    Evolent (09/23/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (GA)
    …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that… more
    Banner Health (09/06/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Dublin, 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 ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...with CQR leadership, will work to identify opportunities for coder education via coder reviews, stakeholder feedback,… more
    HCA Healthcare (09/27/25)
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