2 claims edit coder jobs found in Alpharetta

Job Description Job Description Description: The Certified Professional Coder (CPC) – Primary Care (with Risk Code Review) is responsible for accurate and compliant coding of professional services, verification of demographic and insurance information, and timely resolution of front-end claim edits prior to submission. This role also includes reviewing encounters for accuracy of risk-related diagnosis codes to ensure proper documentation support in compliance with payer and CMS guidelines. The coder supports Southeast Medical Group’s goals for revenue integrity, compliance, and operational efficiency through close collaboration with providers, front-end staff, and billing teams. Requirements: Essential Duties and Responsibilities Coding and Charge Review Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes for all primary care encounters, including preventive, chronic, and acute visits. Ensure all codes are supported by clinical documentation and...

We are seeking a detail-oriented Medical Coding Specialist to join our team and play a critical role in our revenue cycle management. In this position, you will be responsible for the precise assignment of CPT, ICD-10, and modifier codes for complex surgical procedures, ensuring every entry is supported by a thorough review of operative notes and clinical documentation. Beyond technical coding, you will act as a bridge between departments, partnering with the billing team to resolve denials and discrepancies while maintaining strict compliance with CMS and payer regulations. Your expertise will support our financial health through timely claim processing and organized record-keeping for internal audits. This position is a fully on-site position located in Alpharetta, GA. salary: $25 - $28 per hour shift: First work hours: 8:30 AM - 4:30 PM education: High School Responsibilities Precision Coding: Assign accurate CPT, ICD-10-CM, and HCPCS codes, along with...