• Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a ... **Diagnosis Related Group Clinical Validation Auditor - RN ** **Virtual:** This role enables associates...One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health… more
    Elevance Health (08/13/25)
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  • Inpatient Coding Auditor

    BayCare Health System (Atlanta, GA)
    …7:00 AM to 3:30 PM + **Days:** Monday - Friday The Inpatient Coding Auditor is a full-time remote position. _Sign on bonuses available!_ Responsibilities + The ... Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related...+ **Required:** RHIA/RHIT in conjunction with CCS + **Preferred:** RN , CDIP, CCDS, or clinical degree Education + **Required:**… more
    BayCare Health System (08/08/25)
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  • Clinical Documentation Specialist Auditor

    Intermountain Health (Atlanta, GA)
    **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of ... Minimum Qualifications Bachelor's degree in a clinical field (eg RN , RRT, PT, OT, SLP, LCSW). Education must be...be verified. Clinical license in state of practice (eg RN , RRT, PT, OT, SLP, LCSW). Depending upon your… more
    Intermountain Health (08/27/25)
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  • Director, Clinical Data Acquisition (HEDIS / Risk…

    Molina Healthcare (Columbus, GA)
    …ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
    Molina Healthcare (08/21/25)
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  • Senior Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Atlanta, GA)
    …**Job Duties** + Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and data entered by the ... **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S** **I** **C** **AL DEM** **A**… more
    Molina Healthcare (08/21/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Columbus, GA)
    …Association** + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
    Molina Healthcare (08/02/25)
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  • Senior Specialist, Member & Community…

    Molina Healthcare (GA)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare… more
    Molina Healthcare (07/31/25)
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