• Consultative Coding Professional

    CenterWell (Atlanta, GA)
    …direction and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical ... a part of our caring community and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records… more
    CenterWell (09/25/25)
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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 (09/06/25)
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  • 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/27/25)
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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 (09/30/25)
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  • 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)
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  • Investigator

    Highmark Health (Atlanta, GA)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
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  • Mgr II Grievance/Appeals- Medical Coding

    Elevance Health (Atlanta, GA)
    …** Preferred Skills, Capabilities and Experience:** + Certified Professional Coder -AAPC Please be advised that Elevance Health only accepts resumes for ... 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)
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  • Compliance Audit Manager

    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 ... physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to… more
    Cardinal Health (08/27/25)
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  • Nurse Audit Senior (Operating Room)

    Elevance Health (Atlanta, GA)
    …locations as necessary. + BA/BS preferred . + Certification as a Professional Coder preferred . For candidates working in person or virtually in the below ... Skills, Capabilities and Experiences:** + **Operating room and/or auditing experience highly preferred .** + ** Medical claims review with prior health care fraud… more
    Elevance Health (09/30/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Atlanta, 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 (09/26/25)
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