107 jobs found in Atlanta

Patient Support Medical Claims Processing ?Representative Contract Remote Role Location (Open to Remote US)As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams hel Medical Biller, Processing, Support, Claims, Patient, Representative, Technology

Medical Biller Full Revenue Cycle Addison Group is partnering with our healthcare client to identify an experienced Medical Biller to join a growing in-house Revenue Cycle team. This is an excellent opportunity for someone who enjoys working in a collaborative environment and wants to contribute to the development of a newly structured billing department. This position is onsite in Southwest Atlanta and offers long-term potential through a contract-to-hire arrangement. Key Responsibilities: Manage professional fee and outpatient medical billing processes from start to finish Review, prepare, and transmit insurance claims accurately and timely Research and resolve denied or unpaid claims Perform account follow-up with insurance carriers and patient accounts Enter and review charges for accuracy and compliance Communicate professionally with patients regarding account balances and billing questions Assist with additional revenue cycle functions, including...

Medical Billing Specialist Our client a growing multiple location specialty practice has an immediate need for an experienced Medical Biller that can process 20 to 40 claims a day. MUST HAVE experience processing at least 20 to 40 claims a day! Must have 6+ years of current medical billing experience. Experience with surgery billing a plus Duties and Responsibilities: Patient procedure estimates and benefits verifications. Collects and verifies all patient insurance information needed to complete the billing process. Follows all guidelines as set forth by HIPAA. Completes all necessary insurance forms to process the proper billing information in a timely manner as required by all third-party payers. Deposits any cash/checks to bank daily. Transmits daily all electronic claims to billing company or third-party payers. Researches and resolves any electronic claim delays within 24 hours of exception report print date. Submits all paper claims and supporting...

Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Atlanta, United States of America | Full time | Home-based | R1510283 Patient Support Medical Claims Processing Representative Contract Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

At Houston Methodist, the Senior Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient, emergency room, therapy, and/or clinic 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 degree or higher 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 inpatient coding experience or successful completion of the Houston Methodist Senior Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following:- RHIT - Certified Health Information Technician (AHIMA)- RHIA - Registered Health...

Job Summary In addition to the responsibilities listed below, this position is also responsible for reviewing ambulatory medical records to identify edits to be remediated; and performing denial review/processing. Essential Responsibilities Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship....

divh2Patient Support Medical Claims Processing Representative/h2pContract Remote Role Location (Open to Remote US)/ppAs the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their products value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies./ppIQVIA has the worlds largest Commercial Sales Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and...

Medical Biller/Claims Processing - Patient Support Representative (Home-Based) Atlanta, United States of America | Full time | Home-based | R1510283 Patient Support Medical Claims Processing Representative Contract Remote Role Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of...

Inpatient Coder - Hospital 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 documentation for hospital inpatient medical records to select and sequence the appropriate ICD-9-CM diagnosis, ICD-9-CM procedure codes, ICD-10-CM and ICD-10-PCS as applicable to the transition to ICD-10. Primary coding responsibility is Inpatient Coding. Qualifications: Education H.S. Diploma or General Education Degree (GED) Required Coding Certificate program (AHIMA accredited) Preferred Work Experience 1 year of coding experience Required Experience in coding at a multi-facility organization and remote coding experience is Preferred Licenses and Certifications...

Northside Hospital Nursing Opportunity Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Serves as a role model of excellence in nursing knowledge and clinical practice. Develop and provide clinical educational programs across Northside Hospital System based on identified need in a cost effective manner. Scope of responsibility includes system wide clinical education programs, orientation, internships, in-services, and computer based learning modules. Qualifications REQUIRED Licensed as a Registered Professional Nurse in the State of Georgia in good standing without limitations. Bachelors in Nursing from an accredited school of nursing. Three (3) years' experience in clinical area....

Specialty Coder - Hospital 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: Responsible for primary diagnosis and complex procedural coding for designated hospital service lines. The Specialty Coder focuses work efforts on review of detailed physician documentation within the medical record and accurate ICD-10 and/or CPT code assignments. Primary coding responsibility is Inpatient or Outpatient accounts identified as high priority accounts. Types of accounts may include Cardiovascular, Transplant, Invasive GI, Orthopedic Spinal, and Interventional Radiology- Vascular and Cardiology. Qualifications: Education H.S. Diploma or General Education Degree (GED) Required Coding...

Multi-Specialty Profee And/or Facility Medical Coder You will analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary. In addition, you may be involved in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines. To qualify you must possess: At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices. AND/OR At least 2+ years of relevant facility coding experience, specifically in Clinics (mandatory), Lab/Radiology (mandatory), ED, OBS, SDS, and/or Inpatient (strong preference for injection/infusion experience). CPC, CCS, or CCS-P...

Job Title Core business hours will be ideal, but there is room for flexibility.

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...

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...

Company Description Work with Us. Change the World. At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming skylines, our work helps people and communities thrive. We are the world's trusted infrastructure consulting firm, partnering with clients to solve the world’s most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. We're one global team driven by our common purpose to deliver a better world. Join us. Job Description Job...

Inpatient Coder 3 (10K Sign-On Bonus Available) Join the role at Wellstar Health System. 6 days ago Be among the first 25 applicants How 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 what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Overview The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the...

Overview 2026-108392 Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Under the supervision of the HIS IP Coding Reimbursement/Coordination, the Coder III is responsible for reviewing the medical record in its entirety, applying coding guidelines and regulations, and assigning ICD-CM and/or PCS and CPT diagnoses and procedures codes accurately and timely. Consistently meet/exceed turnaround times and quality expectations. Required Qualifications High School diploma or equivalent required Minimum one year’s experience in acute healthcare setting, preferred. Coding credentials, i.e. CCS, CIC, COC, CCS-P, CPC, RHIT, and RHIA required. Working knowledge of healthcare revenue cycle functions,...

Work Shift Details Work Shift: Day Work Day(s): Monday-Friday Shift Start Time: 8:00 AM Shift End Time: 5:00 PM Worker Sub-Type: Regular Job Description Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters. Experience 3 years of experience in a hospital inpatient setting Preferred Qualifications No preferred qualifications Education High school diploma or equivalent Certification Summary Registered Health Information Technologist (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Knowledge, Skills, and Abilities Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, coding guidelines, and computers Proven detail orientation and good problem-solving related to coding Job Responsibilities Reviews the...

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

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...

How 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 what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary The Facility Surgical Coder 2 position reports directly to the Supervisor of Coding. Key Responsibilities Of The Role Include Reviewing documentation in same day surgery and observation medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and procedural CPT-4/HCPCS codes to the greatest specificity and assigning the most accurate APC when appropriate. Abstracts demographic and coding information accurately and completely...