112 jobs found in Atlanta

Medical Billing Specialist-Revenue Cycle Management The primary duty is to perform functions related to medical which include, but are not limited to, charge entry and payment posting for our Revenue Cycle Management division. Enter or verify patient demographic and insurance information. Post charges to accounts, utilizing client specific guidelines provided. Accurately post payments and adjustments to accounts and identify any claims requiring additional review. Approve pended charges for RCM clients. Reconcile payment batches to system reports for balancing purposes. Correct insurance or patient information on rejected claims and resubmit for processing. Follow up on unpaid aged receivables. Provide courteous and professional customer service to clients, patients, insurance companies and/or third parties. Assist with billing system maintenance, as required. Follow company policies, procedures and protocol; report compliance issues. Adhere to all HIPAA regulations by keeping all...

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Variable Shift Start Time 7:00 AM Shift End Time 7:00 PM Worker Sub-Type Regular Job Description Assesses, plans, coordinates, implements, and evaluates education for clinical employees which promotes clinical and professional development resulting in improved quality of care for patients and families. Performs duties associated with clinical practice, professional development, leadership and quality, and evidence-based practice. Develops and implements education plan for assigned unit to proactively support delivery of safe patient care. Experience 3 years of pediatric experience Preferred Qualifications Specialty certification or equivalent experience Nursing Professional Development (NPD) certification Master’s degree preferred. Experience in pediatric designated...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree. EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program. LICENSES AND CERTIFICATIONS Required RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCA -...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...

Job Description Job Description Duties include Medical Billing in addition to Front Office tasks Ideal candidate has specific billing experience in Pediatrics and Georgia Medicaid . Billing duties/Revenue Cycle Management includes posting charges, reviewing coding, working denials and AR, tracking electronic claims, and posting payments. Knowledge of how to generate and interpret financial reports is helpful. Front office duties include appointment scheduling, answering phones, generating referrals and assisting patients with requested paperwork. This is a very busy Pediatric office and requires an individual who is happy to be a team player willing to assist in all front office tasks when called upon. Experience with Greenway Primesuite and Waystar a plus. Superb customer service skills required as is a warm personality that welcomes interactions with other staff and families. Benefits including significant year-end bonus, premium contribution for health insurance, 17...

The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works...

Rooted Talent Solutions is seeking remote medical billers and coders for flexible independent contractor roles. This opportunity supports healthcare providers with claim processing, coding, and admin tasks from home. Entry-level and experienced candidates welcome. Training details discussed during interview; HIPAA compliance and attention to detail are required. Compensation varies by client placement. #J-18808-Ljbffr

## Associate Director, Medical Affairs (Rare Disease Division, Southeast)Candidatar-selocations: Los Angelestime type: Full-Timeposted on: Publicado ontemjob requisition id: R3374**Act with Purpose. Innovate with Care.**At Biocodex, we believe we can be global without being impersonal, demanding without being rigid, and innovative without losing sight of care. As a human-sized pharmaceutical company, we operate with high standards, a strong team mindset, and a clear ambition: to create meaningful, lasting impact. Here, you can own your role, grow your expertise, and be fully yourself. We’re not looking for cookie-cutter profiles. We’re looking for strong expertise, fresh thinking, and people who want to build something that matters.**Why This Role Matters:** The Associate Director, Medical Affairs will serve as a liaison to the medical/scientific community and will be responsible for establishing, developing, and maintaining relationships with prominent experts in...

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

Associate Director Medical Science Liaison The Associate Director Medical Science Liaison is a manager-leader within the Medical Affairs department. Direct and indirect responsibilities include solid tumor oncology HCP engagement, investigator-initiated studies, support of company sponsored trials, scientific congress support, development of MSL plans, and management of a regional MSL team as assigned. Essential Duties And Responsibilities: Responsible for providing direction, guidance, and support to a team of MSLs in an assigned region Responsible for direct territory responsibilities in situations when no MSL coverage available Assessment, recognition, and improvement of MSL performance at the individual and group level Ensure the successful execution of MSL strategic, operational, and tactical plans Keep the executive director of MSLs informed about key information in a timely manner Represent Exelixis Medical Affairs as managers in the field Represent Medical...

Outpatient Diagnostic Coder An experienced Outpatient Diagnostic Coder is sought to support a Hospital Billing (HB) outpatient coding team. This position focuses on diagnostic coding within an acute care hospital environment, including imaging, therapy services, and select outpatient procedural areas. The ideal candidate will have previous hospital outpatient coding experience and be comfortable coding a variety of outpatient encounters with minimal training. Key Responsibilities Assign accurate ICD-10-CM, CPT, and HCPCS codes for outpatient hospital services. Code diagnostic imaging encounters including X-rays, MRI, CT, and biopsy-related services. Review and code therapy-related encounters including Physical Therapy (PT), Speech Therapy, Infusion Services, and Radiation Oncology. Support coding for Same-Day Surgery, Observation Services, Emergency Department (ED) visits, wound care, and Interventional Radiology (IR). Maintain coding accuracy and productivity standards,...

IN SUMMARY The primary duty is to perform functions related to medical which include, but are not limited to, charge entry and payment posting for our Revenue Cycle Management division. WHAT YOU WILL DO Enter or verify patient demographic and insurance information. Post charges to accounts, utilizing client specific guidelines provided. Accurately post payments and adjustments to accounts and identify any claims requiring additional review. Approve pended charges for RCM clients. Reconcile payment batches to system reports for balancing purposes. Correct insurance or patient information on rejected claims and resubmit for processing. Follow up on unpaid aged receivables. Provide courteous and professional customer service to clients, patients, insurance companies and/or third parties. Assist with billing system maintenance, as required. Follow company policies, procedures and protocol; report compliance issues. Adhere to all HIPAA regulations by keeping all patient...

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 procedural information for the correct ICD-9 and/or ICD-10 and/or CPT-4 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. Develops effective working relationships with physicians and other stakeholders. Qualifications Education H.S. Diploma or...

Join the WellStreet Urgent Care Revenue Cycle Team! WellStreet Urgent Care is seeking an experienced Certified Medical Coder to support our growing Revenue Cycle team. In this role, you will accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation & Management (E&M) codes for urgent care encounters while ensuring compliance with coding guidelines, quality standards, and productivity expectations. This is an excellent opportunity for a detail-oriented coding professional with Epic experience who enjoys working in a collaborative, fast-paced healthcare environment. What You'll Do Code patient encounters for WellStreet Urgent Care Centers using internal coding software. Accurately assign ICD-10-CM, CPT, HCPCS, and E&M codes based on provider documentation. Apply current coding guidelines and regulatory requirements to ensure coding accuracy and compliance. Utilize coding encoders and other coding resources to support accurate code selection....

Compliance Auditor The Compliance Auditor reports directly to the Vice President of Compliance to conduct compliance audits for Health Care Centers, Hospice, Home Health and/or SOURCE/CCSP service lines. The CA performs routine and focused internal compliance investigations, audits and assessments throughout the organization and develops detailed reports of findings. Key Responsibilities: 1. Demonstrates good analytical and organizational skills and the ability to collect, analyze and utilize data. 2. Possesses good people skills for effective liaison with department, company and agencies while maintaining objectivity, accuracy, and confidentiality. 3. Demonstrates knowledge of state and federal laws and regulations that apply to Home Health, Hospice and HCC operations and billing requirements. In addition to state policies related to community services. 4. Demonstrates knowledge of organizational processes, policies, procedures, and systems related to compliance audits and...

IN SUMMARY...: The primary duty is to perform functions related to medical which include, but are not limited to, charge entry and payment posting for our Revenue Cycle Management division. WHAT YOU WILL DO... Enter or verify patient demographic and insurance information. Post charges to accounts, utilizing client specific guidelines provided. Accurately post payments and adjustments to accounts and identify any claims requiring additional review. Approve pended charges for RCM clients. Reconcile payment batches to system reports for balancing purposes. Correct insurance or patient information on rejected claims and resubmit for processing. Follow up on unpaid aged receivables. Provide courteous and professional customer service to clients, patients, insurance companies and/or third parties. Assist with billing system maintenance, as required. Follow company policies, procedures and protocol; report compliance issues. Adhere to all HIPAA regulations by...

Cognizant is seeking an Inpatient Medical Coding Auditor to audit consultant inpatient records and verify coding accuracy. You will review physician documentation, identify ICD-10-CM and ICD-10-PCS codes using Solventum (3M), and complete audit reports. You will mentor clients on coding and compliance, perform peer reviews, and ensure services stay current with industry standards while maintaining a 98% accuracy target. Remote work within the US is available. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Professional Coding Auditor & Educator The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies...