8 jobs found in Albany, GA

Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

Acute Inpatient Coding Auditor We are seeking an experienced Acute Inpatient Coding Auditor with recent acute care hospital experience. This role is responsible for auditing facility-based inpatient coding, DRG assignment, ICD-10-CM/PCS coding accuracy, documentation review, and compliance. Candidates must have a strong background in acute inpatient hospital coding and auditing. This position focuses exclusively on facility (hospital) inpatient services and is not a professional fee/physician coding role. Job Summary: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Educates physicians and clinical personnel to ensure complete documentation in the medical record and queries physicians to resolve incomplete or conflicting information to ensure...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2-3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2-3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

Phoebe Physician Group, Inc. is seeking a qualified Medical Billing/Coding Specialist to classify medical data from patient records for ICD-10-CM and CPT coding across multiple specialties. You will review billing details for accuracy and assist in resolving denials while staying current with payer policies. Ideal candidates have 2–3 years of coding experience, knowledge of medical terminology, and a background in health information management. #J-18808-Ljbffr

Phoebe Putney Health System in Albany, GA is seeking a skilled Medical Claims Coder to assign ICD-10-CM, CPT, and HCPCS Level II codes for diverse clinical settings. The role requires attention to detail to ensure accurate billing and compliant documentation. Candidates should have CPC or CCS certification and 2–3 years of coding experience in clinics or revenue cycle environments, plus strong medical terminology knowledge. #J-18808-Ljbffr

DEPARTMENT: CODING FACILITY: Tift Regional Medical Center WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Under the supervision of the Coding Supervisors and Manager, the Coder II assigns codes to discharge records for inpatients, outpatients and emergency room patients based on diagnoses and operative procedures. RESPONSIBILITIES: * Selection/sequencing of principal and secondary diagnosis done correctly at least 98% of the time. * Uses manual or computer encoder for appropriate coding system (ICD-9-CM or CPT) to assign code to completely describe physician documentation of diagnosis or procedure. * If diagnosis is unclear, contacts documentation specialists for query. * Ensures corrections made by physician and other medical personnel are properly recorded and complete. * Enters coded information in computer system for billing purposes. * Meets minimum standard of 98% productivity requirements. * Assists case managers in coding and reimbursement issues. *...

DEPARTMENT: Physician Practice Management FACILITY: Medical Office Building WORK TYPE: Full Time SHIFT: Daytime SUMMARY: Assess the educational needs of coding specialists and providers regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet the needs of the health system. Serve as the primary resource to physicians for documentation and coding issues. Conduct ongoing coding and billing training programs for billing and coding specialists and providers. Creates presentations, develops learning material, handbook, and other training materials. Conducts coding and data quality reviews and prepares complex reports as required. Ensures all education activities comply with clinical billing standards and government regulation with concentration on hospital inpatient procedures, ambulatory, and specialty physician services. RESPONSIBILITIES: * Keeps abreast of pertinent federal, and state regulations...