• Inpatient Audit Specialist

    Datavant (Atlanta, GA)
    …life experiences to realize our bold vision for healthcare. As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational ... Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work,...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …encounters ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; ... mentorship, development, leadership programs and more! **Description** We are seeking an experienced ** Inpatient DRG Coding Auditor** to extract data from patient… more
    Emory Healthcare/Emory University (09/05/25)
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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 body ... 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)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Augusta, GA)
    …a fully work from home position.** **This position has a specialization in Inpatient Coding.** **Benefits** Parallon offers a total rewards package that supports the ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends.… more
    HCA Healthcare (09/27/25)
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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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  • Vendor Resource Management Manager

    HCA Healthcare (Savannah, GA)
    …incentive eligible. **Introduction** **This position requires experience in Hospital Inpatient Coding.** Experience the HCA Healthcare difference where colleagues ... 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… more
    HCA Healthcare (09/27/25)
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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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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as… more
    Elevance Health (09/23/25)
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  • Compliance Audit Manager

    Cardinal Health (Atlanta, GA)
    …accuracy and adequacy of documentation and coding related to physician or hospital ( inpatient and outpatient) billing and/or medical necessity reviews. + Manages ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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