• Provider Auditor (RN/LPN Medical

    Elevance Health (Atlanta, GA)
    …and experience, which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and ... Experiences:** + Medical coding certification is highly preferred. + Knowledge of contract language and federal guidelines. + Experienced working with Facets… more
    Elevance Health (08/01/25)
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  • Medical Coding Adjunct Instructor - Pool

    State of Georgia (GA)
    …accredited institution. + Current certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Medical Coder ... Medical Coding Adjunct Instructor - Pool Georgia (https://ga.referrals.selectminds.com/jobs/63755/other-jobs-matching/location-only) Education… more
    State of Georgia (06/08/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (GA)
    …highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and ... you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and… more
    Banner Health (06/15/25)
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  • Coding Auditor Educator

    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 (08/08/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, GA)
    …coding experience. **PREFERRED LICENSE, CERTIFICATION , ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal… more
    Molina Healthcare (08/08/25)
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  • 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 (08/08/25)
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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 ... caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety...Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and overnight.… more
    CenterWell (08/08/25)
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  • 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 (07/12/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Atlanta, GA)
    …surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food ... to create compelling presentations. + Active credential or professional coding certification , such as: + Registered Health Information Technician (RHIT) + Certified… more
    Evolent (07/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (GA)
    …Experience** 5+ years Clinical Nursing experience, including hospital acute care/ medical experience. **Preferred License, Certification , Association** Any one ... or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… more
    Molina Healthcare (08/02/25)
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