• Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Atlanta, GA)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and… more
    Cardinal Health (04/25/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
    Elevance Health (04/29/25)
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  • Primary Care Physician

    CenterWell (Atlanta, 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 (04/29/25)
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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 (04/29/25)
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  • Mgr, Compliance Audit & Analys

    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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  • Client Policy Specialist Team Lead

    Zelis (GA)
    …payers, third party administrators, and health plans. + Current certified coder (AAPC or AHIMA) or Registered Health Information (RHIA/RHIT) certifications required. ... has built and continues to add to our benefits offerings by including medical , dental, 401k, fertility and family building, education assistance , pet insurance,… more
    Zelis (04/10/25)
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  • AR Manager

    Peachtree Orthopedics (Atlanta, GA)
    …education degree (GED). + Bachelor's degree preferred. + Minimum 3 or more years of medical billing and account follow up experience. + 3 or more years of EDI, ERA ... practices in ASC setting. Certificates, Licenses, Registrations Certified Professional Coder (CPC) preferred Physical Demands The physical demands described here… more
    Peachtree Orthopedics (03/14/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the ... + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded… more
    Emory Healthcare/Emory University (03/08/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification required. + Minimum of five to seven (5-7) years of ... billing, coding, and documentation requirements, Federal and State regulations, medical necessity, clinical best practices, and facility/professional billing issues.… more
    Emory Healthcare/Emory University (03/04/25)
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  • Software Engineering Manager, Infrastructure

    Meta (Atlanta, GA)
    …Engineering Manager, Infrastructure Responsibilities: 1. Be both highly technical, hands-on coder and an effective people manager 2. Communicate across functions and ... color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression,… more
    Meta (02/11/25)
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