21 professional coding specialist jobs found in Atlanta

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Overview 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! 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...

DRG CODING AUDITOR Virtual _: _ _ _ ​ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...

A prominent healthcare organization in Atlanta is seeking an individual to perform thorough medical record reviews, abstract data, and assign ICD codes. The position requires a high school diploma or GED with at least one year of hospital coding experience. Certification as a Coding Specialist or In-Patient Professional Coder is also necessary. The role offers a salary range between $23.03 and $35.70, depending on qualifications and experience. #J-18808-Ljbffr

Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews. Strong utilization of anatomy, pathophysiology, and...

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 updates in daily work. (5%) Performs...

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. (60%) 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 and implementing these updates in daily...

A healthcare organization is seeking an Advanced Inpatient Coding Specialist for a PRN remote position. This role involves analyzing complex inpatient documentation and assigning diagnosis and procedural codes using ICD-10 standards. The ideal candidate will have a minimum of 5 years in acute care and 3 years in inpatient coding, along with a Certified Coding Specialist (CCS) certification. This opportunity allows for flexible scheduling and is integral in ensuring accurate medical documentation and coding within the healthcare system. #J-18808-Ljbffr

Overview 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! 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 between the Clinical...

Medical Records Coder III Outpatient BayCare is currently in search of our newest team member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position details include: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder III will work remotely on a full-time basis. Sign on bonuses available! Responsibilities include: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists...

Non-Clinical Coding Position 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)...

Baylor Scott & White Health 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. 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 access to time off benefits...

Advanced Inpatient Coding Specialist BayCare is currently in search of our newest team member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday Responsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi-day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold reports. Serves as a liaison to Clinical...

Medical Coder II, Physician-Based Coding 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...

Coder III (Neurosurgery Specialty) Professional Billing - FT - Days SUMMARY 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. QUALIFICATIONS 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),...

Location: Atlanta, GA Job Type: Full Time Shift/ Schedule: Remote SUMMARY 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. QUALIFICATIONS 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),...

A medical staffing firm is seeking an Inpatient Coder to join a hospital team. This fully remote position offers flexible hours, competitive salary, and benefits including paid time off. The ideal candidate should have RHIA, RHIT, and/or CCS qualifications and a minimum of 3 years of experience in an inpatient coding role within a hospital. This is a direct-hire position with an impressive bonus structure, and the hospital utilizes EPIC and 3M 360 systems. #J-18808-Ljbffr

A leading healthcare provider in Atlanta is seeking a Coding Specialist responsible for ensuring compliance with federal and state coding regulations. The role requires a B.S. degree in Nursing or related fields and at least one year of relevant coding experience. Candidates should possess strong communication skills and proficiency in Microsoft Office. This position offers opportunities for continuous professional development and plays a critical role in the quality of healthcare services provided. #J-18808-Ljbffr

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Overview Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. Summary The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal stakeholders...

Job Description Accounts Receivable Specialist (Healthcare and Legal Billing) Key Responsibilities: Communicate and collaborate with PCM/CSR to request payment and update payment status. Follow up on unpaid medical insurance claims within the standard billing cycle timeframe. Review and appeal denied or unpaid medical claims. Generate and review statements for legal services related to healthcare billing. Call patients regarding all non-responsive attorneys. Schedule follow-up reminders for assigned attorneys. Document actions in the practice management system. Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records. Prepare reports and analyze accounts receivable status for management review. Answer all attorney/patient inquiries pertaining to assigned accounts. Carry out collection and reporting activities according to specific deadlines. Collaborate with teams and the Director to discuss...