32 jobs found in Augusta

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Build our future together:At Regeneron, we use science and innovation to develop life-changing medicines for people with serious diseases. We are seeking an Associate Director, Field Medical Affairs responsible for engaging in the exchange of scientific data and other medical and/or scientific information with key opinion leaders (KOLs), health care providers (HCPs), researchers, pharmacists and population-based decision makers. We demonstrate a thorough understanding of solid tumors, including thoracic malignancies, and other tumors of interest within clinical development and aligned with our strategic medical plans. This position offers the opportunity to contribute to a fast-growing, science-driven organization making a meaningful difference to patients worldwide.When & where:•    Location: Field- NY, VT, NH, ME•   Travel: approximately 50% of the time, including air travel, overnight and occasionally on weekendsDiscover your role: •   Establish, foster, cultivate and...

Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients' conditions and treatment. Verify required billing information, assigning accurate ICD-10 codes and reviewing for CPT accuracy and modifiers. Respond to all requests for assistance in resolving issues related to coding and billing. Serve as a liaison to faculty, administrators, and personnel for all coding and billing matters Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other related duties as assigned. Requirements Associate degree in a related field Knowledge of surgery coding a plus Minimum 2-years surgery coding experience preferred. Working knowledge of medical terminology and related computer systems

Humana is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle disputes on the Disputes Team. The role emphasizes accuracy, timeliness, and compliance in CPT/HCPCS coding decisions. The position is remote with occasional travel to Humana offices. You will work with coding professionals across departments to ensure high-quality dispute outcomes and adherence to HIPAA and industry standards. #J-18808-Ljbffr

Datavant is seeking an experienced Outpatient Same-Day Surgery/Observation coder to join our fully remote team. You will review medical records, assign accurate codes, and ensure proper APC sequencing while maintaining high accuracy and productivity.A CCS or AHIMA/APC credential along with 2+ years hospital coding experience is required, with Epic and 3M proficiency. We offer competitive pay, comprehensive benefits, and a supportive, education-focused environment that enables you to contributeJ-18808-Ljbffr

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

LPN / Medical Dept Supervisor - YCA Ft. Gordon Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career! The purpose of the Youth Challenge Program (YCP) is to recruit, enroll, and train at-risk youth who have left high school without a diploma (dropouts or expulsions) to complete work on their General Educational Development (GED) Diploma, and to receive life skills training. The program is structured similar to a US Army basic training company, providing military structure and discipline, drill and ceremony, self-control and motivation. Eight core components form the basis of the curriculum: academic excellence; life coping skills; vocational training; responsible citizenship; leader/followership; health, hygiene and sex education; physical fitness; and, community involvement/community service projects. The program is drug-free, gang-free, and tobacco-free. The 22-week residential program ensures a safe, secure...

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens! Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career! Job Title: LPN / Medical Dept Supervisor - YCA Ft. Gordon Agency: Department of Defense Job Requisition ID: JR0000003506 Shift: Any (United States of America) Compensation Details: $50,000 Job Description: The purpose of the Youth Challenge Program (YCP) is to recruit, enroll, and train at‑risk youth who have left high school without a diploma (dropouts or expulsions) to complete work on their General Educational Development (GED) Diploma, and to receive life skills training. The program is structured similar to a US Army basic training company, providing military structure and discipline,...

State of Georgia seeks a LPN / Medical Department Supervisor for the Youth Challenge Program (YCP) at Ft Eisenhower, Augusta. The supervisor oversees cadet medical care, medication administration, and coordination with the health team to ensure compliance with HIPAA and clinical standards. Requires a Georgia LPN license or higher, a relevant diploma/degree, and 2 years of supervisory experience or 1 year at a lower level. Background checks and drug testing are part of the process. #J-18808-Ljbffr

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...

US-Remote Full time Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview The Associate Director, Medical Strategy (Prostate Cancer) will be a key member of the Medical Affairs team and will report to the Medical Affairs Director, Solid Tumors TA Lead. The position will serve as the medical director for assigned prostate cancer projects, providing medical and scientific leadership and partnering with the TA Lead to develop and execute Medical Affairs...

Joseph M. Still Burn Centers, Inc. is seeking an Insurance Billing Specialist to manage outstanding insurance accounts receivable, track denials, and submit complex appeals. The role requires expertise in physician billing and payer guidelines to help ensure timely reimbursement. The ideal candidate will have at least two years of medical billing/coding experience, strong knowledge of CPT/ICD codes, and the ability to communicate with insurers and patients effectively. #J-18808-Ljbffr

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 PMDays: Monday through FridayThe Advanced Inpatient Coding Specialist is a full-time 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...

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote, full-time role. The candidate must have at least 5 years of IP PCS coding experience and 3 years of OP coding (preferred). CCS certification is required; familiar with Cerner, PowerChart, 3M and EPIC systems.Start date is immediate and testing will be required as part of the application process. Responsibilities include reviewing complete medical records, accurate diagnosis/procedure sequencing, DRG optimization,J-18808-Ljbffr

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 through...

Georgia Department of Public Health’s Youth Challenge Academy at Fort Gordon in Augusta seeks an LPN / Medical Department Supervisor to administer medications, coordinate care with the health team, and maintain HIPAA-compliant records for cadets. Minimum qualifications include completing a Georgia LPN program, holding a current GA license, and supervisory experience; a GED or HS diploma plus a technical degree may also qualify. Willingness to work flexible hours and travel between campuses. #J-18808-Ljbffr

Inpatient Coder (CCS Certified) – Remote Location: Remote (work from home office) Experience: 3+ years of facility-based inpatient coding Job Summary The Inpatient Coder is a key role supporting one or more Cognizant clients, responsible for reviewing medical documentation and accurately assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. This role works independently and as part of a team, queries physicians to clarify documentation, and supports coding quality through peer review, while meeting accuracy and productivity standards in a fast-paced remote environment. Key Responsibilities Review documentation to code diagnoses (ICD-10-CM) and procedures (ICD-10-PCS). Communicate with physicians to obtain or clarify diagnoses and/or procedures through the query process. Assign accurate codes using an electronic encoder application in accordance with practice policy and regulatory guidelines. Perform peer reviews of company Health Information Management coding...

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...

Allegheny Health Network is seeking a Hospital Coder to perform thorough medical record reviews, assign ICD-10 codes for diagnoses and procedures, and support revenue cycle initiatives. The role requires 1 year of hospital coding, CCS or CIC certification, and solid knowledge of anatomy, physiology and medical terminology, with attention to detail and teamwork. Compensation ranges from $23.73 to $37.14 per hour; base pay varies by qualifications, experience and location. #J-18808-Ljbffr

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 The Advanced Inpatient Coding Specialist is a full-time 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...

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote, full-time role. The candidate must have at least 5 years of IP PCS coding experience and 3 years of OP coding (preferred). CCS certification is required; familiar with Cerner, PowerChart, 3M and EPIC systems. Start date is immediate and testing will be required as part of the application process. Responsibilities include reviewing complete medical records, accurate diagnosis/procedure sequencing, DRG optimization, #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit. The role involves reviewing medical records to ensure CPT/HCPCS coding aligns with documentation, and to identify potential billing errors or fraud. You will present findings to investigators and plan leadership, while ensuring compliance with state and federal guidelines. Required CPC certification with 3+ years of coding and record review experience. #J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

CVS Health is seeking a Certified Professional Coder to join our Special Investigations Unit (SIU). The CPC will perform medical claim reviews across medical, behavioral health, transportation and related services to ensure coding accuracy. You will produce detailed summaries, discuss findings with investigators and leaders, apply CMS guidelines, and help detect errors, abuse and potential fraud while maintaining thorough records and meeting performance metrics. #J-18808-Ljbffr