• Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, 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...to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends.… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • Clinical Compliance Medical Director

    Elevance Health (Atlanta, GA)
    **Clinical Compliance Medical Director** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of required ... an accommodation is granted as required by law._ The **Clinical Compliance Medical Director** is responsible for providing clinical guidance related to the company's… more
    Elevance Health (09/24/25)
    - Related Jobs

  • Medical Coding Appeals Analyst

    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, HCPCS and ICD-10 code. +… more
    Elevance Health (09/12/25)
    - Related Jobs

  • Quality Senior Analyst

    CVS Health (GA)
    …) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** ... **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the… more
    CVS Health (09/30/25)
    - Related Jobs

  • Coding Quality Auditor

    Houston Methodist (GA)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (09/30/25)
    - Related Jobs

  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
    CVS Health (09/27/25)
    - Related Jobs

  • Nurse Practitioner/Physician Assistant

    CenterWell (Atlanta, GA)
    …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
    CenterWell (09/06/25)
    - Related Jobs

  • Vendor Resource Management Manager

    HCA Healthcare (Savannah, 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...+ Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under… more
    HCA Healthcare (09/27/25)
    - Related Jobs

  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Atlanta, GA)
    …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...any other EHR + Knowledge of Anatomy, Physiology and Medical Terminology The annual salary range for this position… more
    Guidehouse (08/19/25)
    - Related Jobs

  • Mgr II Grievance/Appeals- Medical Coding

    Elevance Health (Atlanta, GA)
    …background. **Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
    Elevance Health (09/24/25)
    - Related Jobs