• Primary Care Physician

    CenterWell (Stone Mountain, 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 (08/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …(CDI, MS-DRG, AP-DRG and APR-DRG)** 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 (09/23/25)
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  • Outpatient Audit Specialist

    Datavant (Atlanta, GA)
    …allowing you to help shape the future of healthcare from your own workspace! ** Preferred : Candidate needs a strong skill set in SDS, ED, Observation and I&I** **What ... Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • 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 ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...teamwork, and leadership skills **What You Need to Succeed:** Preferred : Ideal candidate will preferably have experience with SMART… more
    Datavant (07/29/25)
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  • 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 (09/23/25)
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  • 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)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Atlanta, GA)
    …**What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...Fee coding and/or auditing + CPC (required) + CPMA ( preferred ) + Maintain 95% accuracy rate + Experience with… more
    Datavant (09/13/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Atlanta, GA)
    …a related field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + ... The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
    Evolent (09/23/25)
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  • Billing & Coding Specialist

    Ortho Sport and Spine Physicians (Atlanta, GA)
    …requiring data analysis, in-depth evaluation, and sound judgment. As our Biller and Coder , your daily duties will include entering and coding patient services and ... Remain HIPAA and OSHA compliant. Translate patient information and alphanumeric medical code entries. Electronic "clean" claims submissions to Insurance Carriers.… more
    Ortho Sport and Spine Physicians (07/13/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (GA)
    …must be active and unrestricted in state of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), ... working from home. Care Management & Waiver Service Auditing experience is highly preferred . Work hours: Monday - Friday 8:00am - 4:00pm Remote position **Essential… more
    Molina Healthcare (09/20/25)
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