153 jobs found in Atlanta

Medical Billing Specialist-Revenue Cycle Management In summary... The Revenue Cycle Account Specialist is responsible for executing day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant processing across all billing activities. This role serves as a primary point of contact for clients while managing tasks such as charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution. The Revenue Cycle Account Specialist supports the financial health of client accounts by maintaining workflow efficiency, resolving routine issues, and adhering to established billing guidelines and performance standards. This position requires strong attention to detail, effective communication, and a solid understanding of revenue cycle processes to ensure high-quality service and client satisfaction. What you will do... Function as primary liaison between RCM and client. Build team relationships with...

Medical Biller/Claims Processing - Patient Support Representative (Home-Based)At IQVIA, we are driven by a shared purpose: to improve patients' lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact.As a Patient Support Medical Billing Representative, you'll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.We are excited to announce an opening for a 100% remote (work from home) Patient Support Medical Billing Representative to join our team! In this role, you will provide payment assistance solutions such...

Medical Billing SpecialistLocation: Atlanta, GA 30327 | Full-Time | In-PersonJoin Our Team at Ortho Sport & Spine PhysiciansOrtho Sport & Spine Physicians is seeking an experienced and detail-oriented Medical Billing Specialist to join our growing Revenue Cycle team.In this role, you will help ensure claims are submitted accurately and timely, follow up on outstanding accounts, resolve claim rejections and denials, and work with insurance carriers to support appropriate reimbursement.We are looking for someone who understands the full medical billing cycle, is comfortable working high-volume accounts, and knows how to identify and resolve issues before they delay payment.What You'll Do· Submit clean and accurate claims to commercial insurance carriers, Medicare, Medicaid, and other payers.· Review claims for accuracy and completeness prior to submission.· Work claim scrubber edits, rejected claims, and outstanding encounters.· Follow up on unpaid, underpaid, and denied...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Inpatient/Outpatient Facility Coding Auditor Full Time PYA Atlanta, Atlanta, GA, US 30+ days ago Requisition ID: 1017 PYA is seeking an experienced Inpatient/Outpatient Facility Coding Auditor to join our nationally recognized Revenue and Compliance Advisory team. As a trusted advisor to leading healthcare organizations, you will apply your expertise in coding, reimbursement, compliance, and documentation to help clients improve revenue integrity and reduce risk. WHAT YOU'LL DO Perform inpatient and outpatient facility coding audits and reimbursement reviews, including: ICD-10-CM/PCS, CPT, and HCPCS coding validation MS-DRG and APC validation Charge capture and revenue integrity reviews Clinical documentation improvement (CDI) assessments Third-party payer compliance evaluations Deliver...

PYA is seeking an Inpatient/Outpatient Facility Coding Auditor 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 and Compliance Advisory Program . RESPONSIBILITIES: Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following: ICD-10-CM and PCS/CPT/HCPCS code assignment MS-DRG and other DRG validation APC validation and charge capture Clinical documentation improvement Regulatory compliance for third party payors Work in collaboration with the PYA executive team and other service lines to offer complete business solutions to clients Manage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional standards QUALIFICATIONS: Professional credential required such...

Posterity Group LLC is a veteran owned, service-disabled small business, headquartered in Rockville, MD, that specializes in federal government contracting and staffing. We are tasked with staffing The Richard L. Roudebush VA Medical Center with Medical Coders. The Medical Coder is expected to do the following: Accurately attaching images to the appropriate electronic health record elements. Verifying that images are uploaded correctly and are legible for viewing. Locating Financial Identification Numbers (FINs) and accurately linking documents to the correct veteran record. Indexing documents within the correct section, note title, date of service, and visit location. Performing 100% internal QA on all work before submission. Requirements Knowledge and understanding of medical clinics and clinical documentation. Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle. Ability to index documents within...

Job Description Job Title: Revenue Cycle Coder/Biller Department: Ambulatory Surgery Center (ASC) CBO Reports To: ASC Revenue Cycle Manager FLSA Status: Non-Exempt Approval Date: September 8, 2026 Summary The Revenue Cycle Coder/Biller supports the coding, billing, reimbursement, and compliance functions of the Ambulatory Surgery Center (ASC) revenue cycle. This role reviews operative reports, assigns accurate diagnosis and procedure codes, captures technical and implant charges, submits clean claims, and supports claim correction and resolution. As ASC coding transitions in-house, this position will help establish standardized coding processes, workflows, and quality controls while collaborating with physicians, Revenue Cycle, payers, and internal departments. The role will also support the evaluation and implementation of AI-assisted coding, charge capture, and denial management technologies while maintaining professional accountability for coding...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Job Description Job Description Medical Coding Specialist – Orthopedics Location: Atlanta, GA 30327 | Full-Time | In-Person Join Our Team at Ortho Sport & Spine Physicians Ortho Sport & Spine Physicians is seeking an experienced, highly detail-oriented Medical Coding Specialist to join our growing team. This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement. The ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service. What You'll Do Medical Coding · Review provider documentation, medical records, operative reports, and clinical notes to accurately assign ICD-10-CM, CPT, and HCPCS codes. · Assign diagnosis...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Job Description Job Description Outpatient Remote Coder JTS Health Partners is hiring full-time Outpatient Remote Coders. Looking for a stable, fully remote role with a healthcare powerhouse? Step into an impactful career with JTS, a premier professional services firm focused on Revenue Cycle Management and Health Information Technology. This is your chance to grow your skills with an innovative industry leader and enjoy the ultimate flexibility of working from your own secure home office! Schedule Information: Hours: 40 hours weekly (Full-Time) Note: Requires high-speed internet, a documented secure home office space, and the ability to work independently with minimal supervision. What Youll Do: Chart Analysis: Review, analyze, and interpret medical records for assigned encounters, accurately identifying all documented diagnoses and procedures. Expert Coding: Deliver top-tier expertise in same-day surgery, observation, and ancillary coding,...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Description Job Description JTS is hiring Full Time and Part Time Remote Inpatient Coders with 5+ years of experience. Inpatient candidates need 5+ years experience with extensive inpatient coding, MS-DRG and case mix experience, 3M experience, however will consider other encoder experience. Experience working with Cerner and Epic a plus. All candidates must maintain certification through either AHIMA or AAPC. We maintain a unique business and employment solution that benefits both clients and our employees varied needs. Primary Responsibilities: Receive assigned medical charts to code Review medical charts electronically Abstract and code diagnosis and documentation information Research and resolve coding projects Perform ongoing analysis of medical record charts for the appropriate coding compliance Ability to work independently with little to no supervision Other duties as assigned Required Qualifications: High school diploma or GED 5+ years of...

Piedmont Healthcare is seeking a dedicated Medical Coder to review and code medical records across surgical specialties, ensuring ICD-10, CPT, and HCPCS accuracy. You will abstract data into the system, assess medical necessity, and audit orders before submission while collaborating with physicians and staff to resolve complex coding issues. Qualifications include a GED, an AAPC coding certificate preferred, and at least one year of coding experience across multiple specialties; remote coding #J-18808-Ljbffr

Overview At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. Responsibilities Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for hosptial outpatient medical record documentation to include, but not limited to: medical, diagnostic and procedural information for the correct ICD-10-CM and /or CPT-4 HCPCS codes. Primary coding responsibility is Diagnostic/Clinical, Emergency Room, Recurring and Specimen patient types in an acute hospital setting. Qualifications Education H.S. Diploma or General Education Degree (GED) Required Coding Certificate program (AHIMA accredited) Preferred Work Experience No experience required Required Hospital coding experience...

Piedmont Healthcare is seeking a hospital coder to review, analyze, and assign ICD-10-CM and CPT-4/HCPCS codes for outpatient records. The role emphasizes accurate diagnostic, clinical, ER, recurring, and specimen coding in an acute hospital environment. Education includes a high school diploma or GED with AHIMA coding credentials preferred; certifications such as RHIA, RHIT, or CPC may be required upon hire. This is a full-time position within Piedmont Healthcare Corporate. #J-18808-Ljbffr

Piedmont Healthcare is seeking a hospital coding professional to review, analyze, and assign codes for outpatient medical records, focusing on hospital outpatient surgery, wound care, and observation. The role requires accurate application of ICD-10-CM and CPT/HCPCS guidelines. Ideal candidates will have hospital coding experience, with a preference for those who have worked in multi-hospital systems and remote coding. RHIA/RHIT or equivalent certifications are highly valued. #J-18808-Ljbffr

Overview At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future. Responsibilities Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for general surgical specialties for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and...

Piedmont Healthcare is seeking a hospital coder to review, analyze, and assign ICD-10-CM and CPT-4 HCPCS codes for outpatient documentation in an acute hospital setting. The role focuses on diagnostic/clinical coding, ER, recurring and specimen cases, ensuring accurate coding to support patient care and billing processes. Qualifications include a GED or high school diploma and an AHIMA-accredited coding certificate is preferred; no experience is required, with hospital coding experience and #J-18808-Ljbffr

Piedmont Healthcare is seeking a skilled Medical Coder to review, analyze, and code complex medical records across subspecialties, ensuring ICD-10, CPT, Modifiers and HCPCS accuracy. You will abstract demographic data, verify medical necessity, and help minimize claim denials while collaborating with physicians and staff. This role covers multiple specialties including Radiology, Surgery, Cardiology and Orthopedics, and requires eligible certifications such as RHIA, RHIT, CCS, or CPC; a GED and #J-18808-Ljbffr