• Physician - CenterWell - Wesley Chapel

    CenterWell (Decatur, GA)
    …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (06/06/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Atlanta, GA)
    …considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid… more
    Elevance Health (06/05/25)
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  • Investigator, Coding SIU

    Molina Healthcare (Atlanta, GA)
    …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more
    Molina Healthcare (06/19/25)
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  • Provider Reimbursement Adm-CPC

    Elevance Health (Atlanta, GA)
    …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… more
    Elevance Health (06/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (06/10/25)
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  • Manager, Compliance Audit & Analysis

    Emory Healthcare/Emory University (Atlanta, GA)
    …risk areas. + Implements policies, strategies, and workflows to ensure accurate medical record documentation, professional billing and coding compliance. + Serves as ... is compliant with government and payor guidelines. + Analyzes and reviews medical record documentation and billing data for all pertinent internal and external… more
    Emory Healthcare/Emory University (04/30/25)
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  • Manager, Coding Operations

    Datavant (Atlanta, GA)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible… more
    Datavant (06/24/25)
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  • Clinical Fraud Investigator II

    Elevance Health (Atlanta, GA)
    …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
    Elevance Health (06/21/25)
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  • Client Coding Project Manager

    Datavant (Atlanta, GA)
    …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible… more
    Datavant (06/03/25)
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  • Software Engineering Manager

    Meta (Atlanta, GA)
    …systems, systems analysis, and computer programming. 2. Be both a highly technical, hands-on coder and an effective people manager. 3. Be a subject matter expert in ... color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression,… more
    Meta (06/25/25)
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