• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Savannah, GA)
    …are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of ... ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare… more
    Molina Healthcare (11/14/25)
    - Related Jobs
  • Claims Examiner - Workers Compensation…

    Sedgwick (Atlanta, GA)
    …Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation ( REMOTE - Southeast State experience ) Are you looking for an opportunity ... We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here,...+ Ensures claim files are properly documented and claims coding is correct. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
    Sedgwick (11/25/25)
    - Related Jobs
  • HCC Risk Adjustment Coder - Full Time…

    Datavant (Atlanta, GA)
    …credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 years HCC coding experience , while certified. + Full understanding and knowledge of ICD-10, ... an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (11/14/25)
    - Related Jobs
  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Atlanta, GA)
    …to Succeed:** + 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in ... a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and...secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the… more
    Datavant (11/11/25)
    - Related Jobs
  • ( Remote ) Claims Team Lead - Workers…

    Sedgwick (Atlanta, GA)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ,...the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context… more
    Sedgwick (11/08/25)
    - Related Jobs
  • Claims Examiner | Multi-Line | Public Entity…

    Sedgwick (Atlanta, GA)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join...are an agile multi-line examiner with 5+ years of experience handling both 3rd party liability and 1st party… more
    Sedgwick (10/15/25)
    - Related Jobs
  • Claims Examiner | General Liability BI | Captive…

    Sedgwick (Atlanta, GA)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have...service. **ARE YOU AN IDEAL CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner**… more
    Sedgwick (09/06/25)
    - Related Jobs
  • Claims Advisor | Professional Liability…

    Sedgwick (Atlanta, GA)
    …who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what ... Services & Insurance Claims Advisor | Professional Liability | Remote This person will analyze professional liability, error and...+ Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to… more
    Sedgwick (11/18/25)
    - Related Jobs
  • Senior Field Sales Manager ( Remote )

    Wolters Kluwer (Atlanta, GA)
    Senior Field Sales Manager- Remote Work with Healthcare Providers, Payers, Consultants, Insurance Companies, Corporations and State/Local Government Agencies to sell ... and maintain Wolters Kluwer Healthcare Regulatory & Coding Solutions. **_ This position will work from a remote office and can be based anywhere in the US_**… more
    Wolters Kluwer (09/10/25)
    - Related Jobs
  • WebLogic Application Developer/Administrator…

    VetsEZ (GA)
    …and implementation. + Proficiency in full software development lifecycle including design, coding , testing, and deployment. + Strong experience with REST and ... looking for a WebLogic Application Developer/Administrator for a 100% remote position on a large federal government project. The...a related field. + 5+ years of hands-on development experience with Java, WebLogic, and IBM ODM. + 5+… more
    VetsEZ (11/16/25)
    - Related Jobs