11 jobs found in Alpharetta

Join to apply for the Coder-Certified I role at Southeast Medical Group . Position Summary: Southeast Primary Care Partners is seeking a dedicated and detail‑oriented Certified Coder to join our dynamic team. The successful candidate will play a crucial role in accurately coding healthcare claims for reimbursements, ensuring compliance with federal regulations, and contributing to the efficiency and effectiveness of our healthcare services. The Certified Coder reviews medical records to assure proper billing, participates in audits, and develops methodologies to improve coding issues identified. Codes must meet QA standards following Official Coding Guidelines and Risk Adjustment Guidelines. Key Responsibilities Review patients’ medical records to extract relevant information needed for billing and coding. Apply appropriate ICD‑10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing. Work closely with healthcare providers and billing teams to...

A healthcare solutions company is seeking a Pro Fee Coder for Cardiology. The role involves reviewing clinical documentation to ensure accurate coding for a variety of cardiology procedures, supporting patient billing, and collaborating closely with healthcare providers. Candidates must have relevant coding credentials and a strong background in cardiology coding to achieve compliance and accuracy standards. #J-18808-Ljbffr

Contract Details 6‑month contract (Contract‑to‑Hire potential) Full‑time or Part‑time options Part‑time coders must be able to work at least one weekend day 100% Remote – equipment provided Start date: access setup typically takes 3‑4 weeks from offer Experience (Required) 3+ years of recent, full‑time inpatient facility coding (must include ICD‑10‑PCS surgical cases) Experience coding in academic, university, or Level 1/2 trauma centers Strong ICD‑10‑PCS, ICD‑10‑CM, MS‑DRG/APR‑DRG assignment skills Ability to code high‑acuity, multi‑specialty surgical & medical admissions Productivity of 1‑2 complex inpatient charts per hour Accuracy ≥ 95% Experience with Epic + 3M, Clintegrity, or similar encoders Comfort receiving and applying QA feedback Responsibilities (Inpatient Facility Only) Assign accurate ICD‑10‑CM diagnoses and ICD‑10‑PCS procedure codes Determine and validate MS‑DRG/APR‑DRG with correct CC/MCC and SOI/ROM capture Maintain production requirements...

Job Description – Pro Fee Coder – Cardiology (Full Procedural) The Pro Fee Coder – Cardiology (Full Procedural) will review clinical documentation to assign and sequence diagnostic and procedural codes for a wide range of cardiology services, including both non-invasive and invasive procedures. This role ensures accurate coding for cardiac evaluations, diagnostic testing, interventional cardiology procedures, and electrophysiology studies to support compliant billing and proper reimbursement. The Coder will collaborate with providers and clinical teams to clarify documentation, ensure coding accuracy, and maintain compliance with all regulatory and payer‑specific requirements. Duties and Responsibilities Select and sequence ICD-10 and/or CPT/HCPCS codes for cardiology professional fee services, including but not limited to: Cardiac catheterizations (left/right heart caths) Angioplasty and stent placements Pacemaker and ICD implantations and checks Stress tests, EKGs,...

Job Description – Pro Fee Coder – Hospitalist The Pro Fee Coder – Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet the requirements of physician billing and reimbursement. This role focuses on professional fee (pro‑fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The Coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. Duties and Responsibilities Select and assign ICD‑10‑CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission‑to‑discharge same‑day encounters Critical care...

A healthcare staffing company is seeking coders for a remote inpatient facility coding position. The role requires at least 3 years of experience with a focus on ICD-10 coding and multi-specialty surgical admissions. Candidates must maintain a high accuracy rate and contribute effectively to team collaborations. This position offers full-time or part-time options, with necessary equipment provided and a potential for contract-to-hire. #J-18808-Ljbffr

Cardiology And Pulmonary Critical Care Medical Coder II We have a need for one fully remote Cardiology and Pulmonary Critical Care Medical Coder II. Must have experience coding Cardiology and Pulmonary office, hospital visits, non-invasive testing, PFT testing, Electrocardiograms, Pacer Interrogations, Cardiac Monitoring, Cardiac Cath, and Electrophysiology procedure billing. Stable work history

Job Description Job Description Description: Southeast Primary Care Partners is seeking a dedicated and detail-oriented Certified Coder to join our dynamic team. The successful candidate will play a crucial role in accurately coding healthcare claims for reimbursements, ensuring compliance with federal regulations, and contributing to the efficiency and effectiveness of our healthcare services. Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Position Summary: Requirements: Key Responsibilities: Review patients' medical records to extract relevant information needed for billing and coding. Apply appropriate ICD-10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing. Work closely with healthcare...

Job Type Full-time Description Seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed Requirements Key Responsibilities Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services. Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines. Deliver coding and...

Job Description Job Description Position Title: Internal Medical Biller (No Remote / No Hybrid) Position Summary The Internal Medical Biller performs in-office billing tasks to support surgical assistant medical billing operations. This role focuses on claim preparation, submission, follow-up, documentation, and payment posting. The employee does not handle escalations, disputes, Open Negotiation, or IDR processes. Candidates must be detail-oriented and able to follow structured Standard Operating Procedures (SOPs). Essential Job Duties 1. Claim Intake & Preparation • Review assigned cases for complete documentation. • Verify demographics, insurance, operative reports, CPT/ICD-10 codes, and modifiers. • Identify missing information and communicate with internal staff. 2. Claim Submission • Build accurate claims following internal SOPs. • Submit claims through the clearinghouse within required timeframes. • Correct clearinghouse rejections within 24 hours. 3....

Job Description Job Description About the Role We are seeking detail‐oriented and experienced Medical Billers' to join our administrative team. The ideal candidates will have strong knowledge of medical billing procedures, insurance claims processing, and patient account management. This role is essential in ensuring accurate billing, timely reimbursement, and excellent communication with patients and insurance providers. Responsibilities Prepare, review, and submit medical claims to insurance companies (electronic and paper). Verify patient insurance coverage and eligibility. Follow up on unpaid or denied claims and resolve discrepancies. Post payments, adjustments, and denials to patient accounts. Generate patient statements and handle billing inquiries. Maintain accurate records of billing activities and account statuses. Communicate with insurance companies, providers, and patients regarding billing issues. Ensure compliance with HIPAA, coding...