47 jobs found in Atlanta

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources,ongoing mentorship and leadership programs for all types of jobs, and asupportive environment that enables you 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 & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship and leadership programs And more! Description The Professional Coding Compliance Auditor develops and executes audit, monitoring, and education for professional billing, coding and documentation programs that confirm compliance, identifies reimbursement implications, and provides billing providers with relevant and timely information regarding audit results and risk areas. Principal duties and responsibilities:...

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Job Description Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...

Professional Coding Compliance Auditor Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you 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 & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship and leadership programs And more! Principal Duties And Responsibilities Prepares and oversees professional billing and coding components of the Compliance work plan reflecting scheduled activities and target dates. Leads focused audits and reviews to assess adherence with professional billing compliance policies, legal and regulatory requirements, and to identify and evaluate risk areas. Assists in development of...

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula:...

Baylor Scott & White Health Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our core values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off benefits...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

Medical Coder II, Physician-Based Coding In addition to the responsibilities listed below, this position is also responsible for reviewing ambulatory medical records to identify edits to be remediated; and performing denial review/processing. Essential Responsibilities : Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department regarding...

Multi-Specialty Profee And/or Facility Medical Coder Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they're our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We've created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as a service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new...

Lead Coder Inpatient - (10k Sign-On Bonus Available) 3 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary The Lead Inpatient Coder serves as a key expert in ICD-10-CM, ICD-10-PCS, and DRG assignment, providing specialized knowledge and guidance to the Inpatient Coding team. This role is responsible for addressing complex coding questions, reviewing, and resolving external audit findings, and contributing to coding improvement initiatives....

A leading medical technology company is seeking a Clinical Educator in the Atlanta Metropolitan Area. The role involves promoting innovative healthcare products, educating medical staff, and providing hands-on training at events. Candidates should have a high school diploma or GED, with RN/LPN degrees preferred, and a passion for travel is essential. The company offers a creative and collaborative work environment along with comprehensive benefits including insurance and paid holidays. #J-18808-Ljbffr

Are you an experienced inpatient coder ready to take the next step in your career? Join our dedicated team and play a vital role in ensuring accurate coding for optimal reimbursement, compliance, and quality care. Position: Inpatient Facility Coder Employment Type: Full-Time Location: Remote eligible / On-site (if applicable) What You’ll Do: Review inpatient medical records and assign accurate ICD-10-CM , ICD-10-PCS , and MS-DRG/APR-DRG codes Use grouper software to determine appropriate MS-DRG or APR-DRG groupings Ensure all coding is timely, accurate, and aligned with official guidelines , CMS regulations , and payer requirements Collaborate with CDI specialists and coding auditors to improve documentation quality Submit provider queries when clarification is needed Respond to coding denials and assist with appeals as necessary Stay current on coding updates, regulatory changes, and best practices Meet productivity and quality standards established by the...

Multi-Specialty Profee and/or Facility Medical Coder About Sutherland: Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they are our core expertise. Company Description We work with iconic brands worldwide. We bring them a unique value proposition through market leading technology and business process excellence. We have created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless as a service model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital...

A leading healthcare solutions provider is seeking an RN Clinical Nurse Educator in Atlanta. This role offers a unique opportunity to leverage clinical nursing expertise for training healthcare professionals on a medical device. The ideal candidate will hold an RN degree with infusion or vascular access experience. Responsibilities include peer education and in-servicing, with no sales or bedside care involved. The position is part-time with an hourly rate of $34-$38, depending on qualifications and experience. #J-18808-Ljbffr

A leading healthcare provider in Atlanta seeks a Lead Inpatient Coder to deliver coding expertise in ICD-10-CM, ICD-10-PCS, and DRG assignment. This role calls for addressing complex coding queries and contributing to continuous improvement initiatives in coding practices. The ideal candidate will have a minimum of 4 years of inpatient coding experience, strong communication skills, and proficiency with relevant coding systems. Join a mission-driven team committed to enhancing health and well-being across the community. #J-18808-Ljbffr

A leading global provider of clinical research services is seeking an RN Clinical Educator in Atlanta, Georgia. In this per-diem role, you will train and educate healthcare professionals on a new medical device, without sales responsibilities. Applicants should have an RN degree, with 3-5 years of Infusion or Vascular Access experience preferred. Flexible schedule and travel across the U.S. are essential, and the position offers a competitive hourly rate of $36-$38. #J-18808-Ljbffr

A healthcare organization is seeking an experienced Inpatient Facility Coder to ensure accurate coding for optimal reimbursement and compliance. You will review inpatient medical records, assign ICD-10 codes, and collaborate with specialists to enhance documentation quality. The ideal candidate has over 2 years of coding experience, active AHIMA certification, and strong analytical skills. This role offers competitive compensation and flexible work options, creating a supportive environment for professional growth. #J-18808-Ljbffr

A public research university in Atlanta is seeking a Research Auditor to assess compliance and internal controls related to sponsored research. The ideal candidate has a Bachelor's degree, five years of related experience, and strong skills in auditing and project management. The role includes executing audit procedures, analyzing data, and contributing to compliance initiatives. Competitive benefits and opportunities for professional growth are offered. #J-18808-Ljbffr

A healthcare institution in Atlanta seeks a candidate for a coding role responsible for ensuring compliance with regulations and accurately coding procedures. This position requires a B.S. degree in a related field and at least 1 year of coding experience, alongside strong communication and independent work skills. Candidates with 3-5 years in a hospital or physician practice will be preferred. The role entails conducting audits, educating others on coding regulations, and resolving billing issues. #J-18808-Ljbffr