• Emergency Room Medical Coder - Level 1 Trauma…

    Cognizant (Atlanta, GA)
    …160-240 encounters/day + **Ambulatory/Outpatient/Interventional:** 32-48 encounters/day + ** Inpatient :** 24 encounters/day **Required Qualifications** + **Current ... **Job Title: Emergency Room Medical Coder - Level 1 Trauma Center ( Remote )** **Company:** Cognizant Technology Solutions **Location:** Remote (Flexible Hours,… more
    Cognizant (10/30/25)
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  • Clinical Documentation Specialist, REMOTE

    Trinity Health (Athens, GA)
    …time, Monday thru Friday. Position requires current RN license or CCS or RHIT with Inpatient Coding experience. This position will be based at St. Mary's Sacred ... Lavonia, Georgia. The Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical… more
    Trinity Health (10/23/25)
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  • Medical Director - Claims Mgmt ( Remote )

    Humana (Atlanta, GA)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
    Humana (11/01/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Atlanta, GA)
    …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more
    Datavant (11/11/25)
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  • Medical Record Technician Auditor

    Veterans Affairs, Veterans Health Administration (Atlanta, GA)
    …offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign ... code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases… more
    Veterans Affairs, Veterans Health Administration (11/12/25)
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  • Medical Records Technician (Coder-Outpatient)

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    …surgical cases, diagnostic studies and procedures, and outpatient encounters, and/or inpatient professional fee services coding . Skill in interpreting and ... of medical record content, terminology, anatomy, physiology, disease processes, and official coding guidelines to assign basic and routine outpatient or inpatient more
    Veterans Affairs, Veterans Health Administration (11/15/25)
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  • Medical Review Nurse (RN)

    Molina Healthcare (GA)
    …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
    Molina Healthcare (09/06/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Atlanta, GA)
    …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
    Humana (11/07/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Atlanta, GA)
    …care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external ... An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and… more
    Humana (10/25/25)
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