124 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...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Overview At Piedmont Healthcare, youll 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...

Are you looking for a career in healthcare and have experience with Hospital or Surgical Coding? Randstad is seeking a highly skilled and detail-oriented Hospital/Surgical Medical Coder to join our client's healthcare practice. The ideal candidate will possess an expertise in hospital-based or surgical/procedure coding (ICD-10-CM/PCS, CPT, HCPCS) and have demonstrated proficiency using EMR/epic. In this role, you will be responsible for reviewing physician's notes to assign accurate codes for diagnoses and procedures, ensuring compliance with federal and state regulations, and managing coding work queues directly within EPIC to facilitate timely billing and reimbursement. Education & Certification: High School Diploma or GED required; Associate's Degree in Health Information Management preferred or..... Certification: CCS or CPC preferred MUST HAVE a minimum of 2 years experience with Hospital/Surgical Coding ENT Coding perferred Note: This position could be...

6 month contract to Permanent, direct hire, Surgery and Observation Coder, remote/work from home - 40/hours a week, not part-time Job Purpose: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation to include, but not limited to: medical, diagnostic and surgical documentation for assignment of the correct ICD-10-CM and /or CPT-4 HCPCS codes. Primary coding responsibility is Outpatient Surgery, Emergency Department (ED), Wound Care and Observation. Responsibilities: Assign diagnosis and surgical codes utilizing the 3M CAC 360 system to patient records using ICD-10- CM and CPT/HCPCS and any other designated coding classification system in accordance with the UHDDS coding guidelines. Assign procedural categories and modifiers as applicable. Assign appropriate discharge disposition as necessary. Maintain or exceed established coding accuracy and productivity standards. Ensure...

About Us Are you ready to transform lives through academic excellence, innovative research, strong community partnerships and economic opportunity? Kennesaw State University is one of the 50 largest public institutions in the country. With growing enrollment and global reach, we continue to expand our institutional influence and prominence beyond the state of Georgia. We offer more than 190 undergraduate, graduate, and doctoral degrees to empower over 50,000 students to become thought leaders, lifelong learners, and informed global citizens. Our entrepreneurial spirit, high-impact research, and Division I athletics draw students from throughout the region and from more than 100 countries across the globe. Our university's vibrant culture, career opportunities, rich benefits, and values of respect, integrity, collaboration, inclusivity, and accountability make us an employer of choice. We are part of the University System of Georgia . We are searching for talented people to join...

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...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2823 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we...

Description TSP Talent Solutions has been retained by a global biopharmaceutical company specializing in severe orphan diseases to recruit an Associate Director, Medical Affairs – Southeast. This role will serve as a key liaison to the medical and scientific community, focusing on building and maintaining relationships with leading experts in pediatric neurology and epilepsy across the Southeast. This position reports to the Medical Officer, North America within the North America subsidiary. Responsibilities Build, maintain, and manage professional relationships with Key External Experts (KEEs) to organize networks at state levels within their designated region Ensure the appropriate dissemination of clinical and scientific information regarding marketed and pipeline compounds in a timely, ethical and health care provider (HCP)-focused manner Implement clinical and educational strategies in collaboration with other company colleagues for designated HCPs/KEEs. This includes...

Children's Healthcare of Atlanta Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. 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...

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,...

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...

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...

Inpatient Drg Coding Auditor Be inspired. Be valued. Belong. 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, development, leadership programs...and more! Job Description We are seeking an experienced Inpatient DRG Coding Auditor to extract data from patient encounters ensuring the accuracy of DRGs. This individual will: Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Reviews discrepancies...

Job Title The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. Job Qualification High School Diploma or GED is required At least 2 years relevant coding and abstracting experience in an acute care hospital. Experience with Epic and 3M CAC systems preferred. Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS or CCS-P). Accredited Coding...

Surgery And Observation Coder 6 month contract to permanent, direct hire, Surgery and Observation Coder, remote/work from home 40/hours a week, not part-time Job Purpose: Reviews, analyzes, and assigns codes based on appropriate coding guidelines and criteria for outpatient medical record documentation to include, but not limited to: medical, diagnostic and surgical documentation for assignment of the correct ICD-10-CM and/or CPT-4 HCPCS codes. Primary coding responsibility is Outpatient Surgery, Emergency Department (ED), Wound Care and Observation. Responsibilities: Assign diagnosis and surgical codes utilizing the 3M CAC 360 system to patient records using ICD-10-CM and CPT/HCPCS and any other designated coding classification system in accordance with the UHDDS coding guidelines. Assign procedural categories and modifiers as applicable. Assign appropriate discharge disposition as necessary. Maintain or exceed established coding accuracy and productivity standards....

Associate Director, Medical Science Liaison As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development, and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in several ways to foster a healthy working environment, meaningful work, mobility, networking, and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. The Associate Director, Medical Science Liaison is part of a regionally focused therapeutic area MSL team within Field Based Medicine (FBM), who reports into the MSL Sr. AD. The focus of this role is field based scientific exchange (SE), for which the AD Medical Science Liaison...

Hospital/Surgical Medical Coder Are you looking for a career in healthcare and have experience with hospital or surgical coding? Randstad is seeking a highly skilled and detail-oriented hospital/surgical medical coder to join our client's healthcare practice. The ideal candidate will possess expertise in hospital-based or surgical/procedure coding (ICD-10-CM/PCS, CPT, HCPCS) and have demonstrated proficiency using EMR/epic. In this role, you will be responsible for reviewing physician documentation and translating it into appropriate codes for billing and record-keeping purposes.

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...

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...

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 Comission on Accreditation for Health Informatics and Information Managment 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 Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information...

Hospital/Surgical Medical Coder Are you looking for a career in healthcare and have experience with hospital or surgical coding? Randstad is seeking a highly skilled and detail-oriented hospital/surgical medical coder to join our client's healthcare practice. The ideal candidate will possess expertise in hospital-based or surgical/procedure coding (ICD-10-CM/PCS, CPT, HCPCS) and have demonstrated proficiency using EMR/epic. In this role, you will be responsible for reviewing physician documentation and translating it into appropriate codes for billing and record-keeping purposes.

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...

Randstad USA is seeking a highly skilled Hospital/Surgical Medical Coder to join our client's healthcare practice in Atlanta. The role focuses on accurate coding of inpatient, outpatient, and ED encounters using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS guidelines. You'll work with Epic Resolute, manage work queues, and collaborate with physicians to clarify documentation. A minimum of 2 years’ experience and CCS or CPC preferred; associate degree preferred. Monday–Friday, 8 AM–5 PM. #J-18808-Ljbffr