32 jobs found in Augusta

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Inpatient Coder 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Outpatient Coder 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Supervisor, Medical Records, Release Of Information Job Category: Health Information Management Requisition Number: SITES005637 Location: Augusta, GA 30912, USA Job Type: Full-Time Position Type: On-site Description Role: The Site Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specific client site. The Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Tasks and Responsibilities: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of...

divh2Op Coder 2/h2pHow 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 whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives./ppWork Shift Various (United States of America)/ph2Job Summary:/h2pA new chapter awaits at Wellstar! We value your experience and want to help you continue your career in a supportive environment./ppExperience the Wellstar Difference/ppCompetitive pay benefits/ppCareer growth development programs/ppFlexible schedules/ppSupportive, team-oriented culture/ppEmployee wellness programs/ppThe OP Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include:...

Job Description Job Description Are you ready to take your career to the next level in a dynamic and supportive environment? A O Multispecialty Clinic is seeking motivated individuals to join our Insurance Department as Insurance Reimbursement and Prior Authorization Specialists. If you have billing experience and a passion for helping others navigate the complexities of healthcare, we want to hear from you! Key Responsibilities: -Process insurance reimbursements and prior authorizations efficiently and accurately. -Communicate with insurance companies, healthcare providers, and patients to resolve billing issues and ensure timely payments. -Maintain up-to-date knowledge of insurance policies, coding practices, and regulations. -Collaborate with the clinical team to ensure seamless patient care and billing processes. Qualifications: Previous experience in medical billing or insurance reimbursement is required, 1-2 years minimum. -Strong attention to detail and...

Job Description Job Description Position Summary The Certified Medical Coder and Biller is responsible for accurate medical coding, charge capture, and timely billing of services provided within a Federally Qualified Health Center (FQHC). This role ensures compliance with federal, state, and payer-specific regulations, including HRSA, CMS, Medicare, Medicaid, and managed care requirements. The position plays a key role in maintaining revenue integrity while supporting the organization’s mission to provide high-quality, affordable care to underserved populations. Responsibilities and Duties Coding Responsibilities Assign accurate CPT, HCPCS, and ICD-10-CM codes in accordance with official coding guidelines and FQHC requirements Review clinical documentation to ensure coding accuracy, completeness, and medical necessity Apply appropriate modifiers, revenue codes, and PPS/encounter billing methodologies (e.g., T1015 where applicable) Identify documentation...

Baylor Scott & White Health Job Posting 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. Our 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...

Join Datavant, a leading data platform company revolutionizing health data exchange! We are dedicated to ensuring every healthcare decision is supported by the right data at the right time. Our extensive health data network provides secure, accessible, and usable data, enabling healthcare professionals to make informed decisions. By becoming a part of our high-performing team, you will tackle some of healthcare's most complex challenges with innovative technology solutions. We value diversity in professional, educational, and personal experiences to achieve our ambitious vision. We are seeking experienced and credentialed outpatient coders to enhance our team. Candidates should have exceptional attention to detail and a robust understanding of medical terminology. This fully remote role offers a flexible schedule, allowing you to contribute to the future of healthcare from your own workspace! Key Responsibilities: Review medical records and accurately assign codes for...

Hcc Coder 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 using a standardized system,...

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as an Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! As an Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10-CM and ICD-10-PCS codes. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge disposition,...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

Coding Position This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU. Monitor activity for compliance with federal and/or state...

divh2Coder Quality Auditor/h2pThe Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties./ppJob Responsibilities:/pulliQuality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess...

Remote Coding Professional This is a remote position We are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties, with a focus in orthopedic surgeries, as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will bring deep expertise in surgical and outpatient coding, strong knowledge of payer guidelines, and proven experience working with denials related to orthopedic and neurosurgical services. Key Responsibilities: Resolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed. Review and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits....

ROLE: The Site Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specific client site. The Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. This is an On Site position in Augusta, GA TASKS AND RESPONSIBILITIES: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of backlogs, illness, vacation or leave of absence of medical record staff. Performs Quality Assurance monitoring of work performance for the ROI Specialists. Conducts...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT 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,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...