• 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)
    - Related Jobs
  • Primary Care Physician

    CenterWell (Atlanta, GA)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (06/18/25)
    - Related Jobs
  • Primary Care Physician

    CenterWell (Savannah, GA)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... 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 (05/22/25)
    - Related Jobs
  • Special Investigation Unit (SIU) Coding Review…

    CVS Health (Atlanta, GA)
    …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
    CVS Health (08/08/25)
    - Related Jobs
  • 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 (08/09/25)
    - Related Jobs
  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. ** Preferred Qualifications** ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (08/09/25)
    - Related Jobs
  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    preferred . + A minimum of five years of experience working as a medical coder , coding, auditor, and/or coding educator. + Certified in Healthcare Compliance ... + Experience working in multispecialty practices, hospital-based clinics, or academic medical centers preferred . + Strong knowledge of HIPAA, Stark-Law,… more
    Emory Healthcare/Emory University (07/19/25)
    - Related Jobs
  • Inpatient Audit Specialist

    Datavant (Atlanta, GA)
    …to help shape the future of healthcare from your own workspace! Preferred : Ideal candidate will preferably have experience with SMART software experience. Candidate ... cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient,… more
    Datavant (07/29/25)
    - Related Jobs
  • Acute Access NP, Virtual Care

    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 ... the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (08/08/25)
    - Related Jobs
  • Primary Care Physician

    CenterWell (Scottdale, 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 (08/09/25)
    - Related Jobs