• Clinical Provider Auditor I…

    Elevance Health (Atlanta, GA)
    ** Clinical Provider Auditor I ( CPC )** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... granted as required by law.** The ** Clinical Provider Auditor I ( CPC )** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
    Elevance Health (10/10/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    ** Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II** is...provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Skills, Capabilities, and Experiences:** +… more
    Elevance Health (10/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible… more
    Elevance Health (09/23/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (GA)
    …Coder) required **Preferred Qualifications** + CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC -I ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Leads dispute resolution. + Acts as mentor to provide education to internal staff based on audit findings;… more
    CVS Health (10/02/25)
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  • Coding Auditor & Educator

    WelbeHealth (Atlanta, GA)
    …culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by ... clinical documentation within the health records, as well as...post-visit chart reviews + Oversee audits and participate in provider education programs to ensure compliance with CMS risk… more
    WelbeHealth (09/19/25)
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  • Professional Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... leadership programs + And more! **Description** The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional… more
    Emory Healthcare/Emory University (09/02/25)
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  • Auditor , HCC Risk Adjustment Coding - Full…

    Datavant (Atlanta, GA)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + … more
    Datavant (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (GA)
    …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and… more
    Houston Methodist (10/10/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Atlanta, GA)
    …Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (09/20/25)
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  • Compliance & Audit Partner

    Emory Healthcare/Emory University (Atlanta, GA)
    …an emphasis on Evaluation and Management (E/M) services, procedural coding, and clinical documentation improvement. + Participate in provider orientation to ... career and be what you want to be. We provide : + Comprehensive health benefits that start day 1...support, and fostering a culture of compliance within the provider network. **KEY RESPONSIBILITIES:** **1. MANAGEMENT & COMMUNICATION:** +… more
    Emory Healthcare/Emory University (09/23/25)
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