• Coding Audit Training

    Intermountain Health (Atlanta, GA)
    **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, ... conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding...Electronic health record + Anatomy, physiology & pathophysiology + Training + Detail oriented + Coding software… more
    Intermountain Health (07/16/25)
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  • Hospital Coding Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …+ Clinical background preferred (ie, LPN, RN, etc.). + Current Certified Coding Specialist (CCS) certification required. Certification in Healthcare Compliance ... audit , monitoring, and education for inpatient hospital billing, coding and documentation programs that ensure compliance with regulatory standards. Continuously… more
    Emory Healthcare/Emory University (04/22/25)
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  • Coding Auditor Educator

    Highmark Health (Atlanta, GA)
    …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified… more
    Highmark Health (05/09/25)
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  • Coding Data Quality Auditor

    CVS Health (Atlanta, GA)
    …**Required Qualifications** **CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician).** **CRC (Certified Risk Adjustment Coder) must ... mentor to provide education to internal staff based on audit findings; provides general education on ICD codes as... Coding Clinic guidance to identify and resolve coding issues.** **Remains current on educational training more
    CVS Health (07/18/25)
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  • SIU Specialist - Remote in the California…

    Prime Therapeutics (Atlanta, GA)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse… more
    Prime Therapeutics (06/24/25)
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  • Senior Compliance Auditor

    Emory Healthcare/Emory University (Atlanta, GA)
    …compliance. **MINIMUM REQUIREMENTS:** + Bachelors degree required. + Current Certified Coding Specialist (CCS) or Certified Professional Coder certification ... leads training on proper documentation for facility/professional billing and coding compliance. + Work with the compliance operations, billing team, senior… more
    Emory Healthcare/Emory University (06/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
    Elevance Health (07/17/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Atlanta, GA)
    …following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. + Provides training , leadership and mentoring for less experienced appeal LVN, RN… more
    Molina Healthcare (07/20/25)
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