• Clinical Fraud Investigator Senior

    Elevance Health (Atlanta, GA)
    …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... Requires an AS in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 5 years related experience, including minimum… more
    Elevance Health (08/08/25)
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  • Senior Coding Educator

    Humana (Atlanta, GA)
    …Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
    Humana (08/08/25)
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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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  • Inpatient DRG Coding Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …ensuring the accuracy of DRGs. This individual will: + Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the ... + Reviews discrepancies between the Clinical Documentation Specialist (CDS) DRG and the Coder DRG. + Reviews non-CC/MCC records to determine if record was miscoded… more
    Emory Healthcare/Emory University (06/06/25)
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  • Client Coding Project Manager - Full Time - Remote

    Datavant (Atlanta, GA)
    …**What you will bring to the table:** + Bachelor's degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible… more
    Datavant (07/26/25)
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  • Manager, Coding Operations

    Datavant (Atlanta, GA)
    …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... + Experience with Microsoft Office Suite (Word, Excel, Outlook) preferred . + Must be ambitious, accountable, flexible, mature, and...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
    Datavant (06/24/25)
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