69 jobs found in Alpharetta, GA

Job Description Job Description Description: Seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed Requirements: Key Responsibilities Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services. Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines. Deliver coding...

A healthcare solutions company is seeking a Pro Fee Coder for Cardiology. The role involves reviewing clinical documentation to ensure accurate coding for a variety of cardiology procedures, supporting patient billing, and collaborating closely with healthcare providers. Candidates must have relevant coding credentials and a strong background in cardiology coding to achieve compliance and accuracy standards. #J-18808-Ljbffr

Job Description – Pro Fee Coder – Cardiology (Full Procedural) The Pro Fee Coder – Cardiology (Full Procedural) will review clinical documentation to assign and sequence diagnostic and procedural codes for a wide range of cardiology services, including both non-invasive and invasive procedures. This role ensures accurate coding for cardiac evaluations, diagnostic testing, interventional cardiology procedures, and electrophysiology studies to support compliant billing and proper reimbursement. The Coder will collaborate with providers and clinical teams to clarify documentation, ensure coding accuracy, and maintain compliance with all regulatory and payer‑specific requirements. Duties and Responsibilities Select and sequence ICD-10 and/or CPT/HCPCS codes for cardiology professional fee services, including but not limited to: Cardiac catheterizations (left/right heart caths) Angioplasty and stent placements Pacemaker and ICD implantations and checks Stress tests, EKGs,...

Job Description – Pro Fee Coder – Hospitalist The Pro Fee Coder – Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet the requirements of physician billing and reimbursement. This role focuses on professional fee (pro‑fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The Coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. Duties and Responsibilities Select and assign ICD‑10‑CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission‑to‑discharge same‑day encounters Critical care...

Job Description Job Description Sleep Better Georgia is a patient-focused medical practice specializing in the treatment of obstructive sleep apnea and snoring through oral appliance therapy. We pride ourselves on high-quality care, excellent customer service, and a supportive work environment. We are growing and looking for a skilled Medical Biller who can also support provider credentialing tasks. Position Summary The Medical Biller will be responsible for managing the full revenue cycle process, assisting with provider credentialing, and handling all medical billing tasks. This role requires strong attention to detail, excellent communication skills, and the ability to work both independently and collaboratively. Key Responsibilities Medical Billing (Primary Role) Submit medical and DME claims accurately and timely to commercial payers, and Medicare. Review, correct, and resubmit denied or rejected claims. Follow up on outstanding A/R and ensure timely...

Job Description Job Description Culture and Values:   At Pandya Medical Center, we believe in going above and beyond for every patient. Our team members are dedicated professionals who truly care about making a difference. We listen, understand, and treasure each personal story shared by our patients. Our commitment extends beyond our clinic walls, with active involvement in community health fairs and volunteering initiatives. We are a highly reputed medical practice in North Atlanta, offering strong growth opportunities and robust benefits for our employees. Be a part of our dynamic team and take your career to the next level with Pandya Medical Center.   Job Summary   The Medical Billing & Coding Specialist assures accurate and complete coding information is collected and reported to private insurance and Medicare to help complete the revenue cycle. The specialist will scrub encounters for accurate coding prior to claim creation, assure correct modifiers and ICD10...

Job Description Job Description Talent Surge is seeking a meticulous and dedicated Medical Billing Specialist to join our clients private Neurology practice team. This role is essential for our client within the healthcare sector. As a Medical Billing Specialist, you will be responsible for managing the billing process for medical services provided to patients, ensuring accurate submission of claims to insurance companies, and following up on outstanding accounts. Your expertise in medical billing and coding will ensure compliance with relevant regulations, minimize claim rejections, and improve revenue cycle management. You will also work closely with healthcare providers to resolve billing discrepancies and provide exceptional customer service to patients regarding their billing inquiries. This position requires an understanding of medical terminology, a keen eye for detail, and the ability to navigate complex billing software efficiently. By considering this role, you...

Job Description Job Description Join Our Team as a Medical Coding SpecialistJob Description CarePerks LLC, a leading healthcare organization in Tucker, GA, is seeking a detail-oriented and experienced Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will play a crucial role in ensuring accurate patient records and billing processes within our organization. Key Responsibilities: Assigning appropriate medical codes to diagnosis and procedures Reviewing patient information for accuracy and completeness Ensuring compliance with all coding guidelines and regulations Communicating with healthcare providers to clarify documentation Resolving any coding-related denials or discrepancies Qualifications: Minimum of 2 years of medical coding experience Certification in medical coding (e.g. CPC, CCS) Proficiency in ICD-10-CM and CPT coding Strong knowledge of medical terminology and anatomy Excellent attention to detail and organizational skills If...

Job Description Job Description Are you someone who thrives in a fast-paced environment and has a keen eye for detail? Do you have a passion for helping others and ensuring that healthcare services are accurately billed and paid for? If so, CarePerks LLC in Tucker, GA is looking for a skilled Medical billing specialist to join our team! As a Medical billing specialist at CarePerks LLC, you will play a crucial role in ensuring that our healthcare providers receive accurate and timely reimbursement for the services they provide. Your responsibilities will include reviewing patient records, coding diagnoses and procedures, and submitting claims to insurance companies. You will also be responsible for following up on unpaid claims, resolving billing discrepancies, and communicating with patients and insurance companies to resolve any issues that may arise. The ideal candidate for this position will have a strong background in medical billing and coding, excellent communication...

Job Description Job Description Top Doc OB/GYN is looking to hire an experienced Medical Biller/Coder for our OB/GYN Practice in Decatur, Georgia.  Applicant must have a minimum of 3 years of Billing/Coding experience, preferably in an OB/GYN setting. Must be able to: Create and submit claims electronically Post payments Resubmit, correct denials Prepare estimates for patient office visits and procedures Send statements to patients once insurance has paid Review EOBs with patients as needed Follow-up on secondary and tertiary billing Prepare list of patients for collections Maintain insurance provider list Keep up with industry changes in insurance billing and coding; continuing education High school diploma required. College degree preferred Medical billing certification Basic knowledge of medical terminology Experience with electronic revenue management Comfortable communicating with patients and insurance companies regarding...

Overview Be inspired. Be valued. Belong. At Emory Healthcare 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 Responsibilities: This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. Front end coder: This position is accountable for the performance of charge capture, TES edit maintenance and resolution, denial prevention, and special projects in order to optimize the revenue potential for the department. Revenue cycle responsibilities include daily functions that...

Lead Coder Inpatient - (10k Sign-On Bonus Available) 3 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. 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. Job Summary The Lead Inpatient Coder serves as a key expert in ICD-10-CM, ICD-10-PCS, and DRG assignment, providing specialized knowledge and guidance to the Inpatient Coding team. This role is responsible for addressing complex coding questions, reviewing, and resolving external audit findings, and contributing to coding improvement initiatives....

A leading healthcare provider in Atlanta seeks a Lead Inpatient Coder to deliver coding expertise in ICD-10-CM, ICD-10-PCS, and DRG assignment. This role calls for addressing complex coding queries and contributing to continuous improvement initiatives in coding practices. The ideal candidate will have a minimum of 4 years of inpatient coding experience, strong communication skills, and proficiency with relevant coding systems. Join a mission-driven team committed to enhancing health and well-being across the community. #J-18808-Ljbffr

Job Description Job Description 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses...

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role 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...

Medical Billing Specialist Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Work directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and the patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Hospital Inpatient Coder 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 Work Location: Atlanta, GA (100% remote, candidates must live or have existing plans to relocate to the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia and Wisconsin) Candidates are required to take a coding skills assessment within 5 days of contact and must have a passing score of 90% or higher for consideration. We are...

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...

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...

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...

Allegheny Health Network Job Posting 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 other duties as...

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in, the Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Allegheny Health Network Job Posting 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...

Professional Coding Compliance Auditor Be inspired. Be rewarded. Belong. At Emory Healthcare. 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 and leadership programs And more! Principal Duties And Responsibilities Prepares and oversees professional billing and coding components of the Compliance work plan reflecting scheduled activities and target dates. Leads focused audits and reviews to assess adherence with professional billing compliance policies, legal and regulatory requirements, and to identify and evaluate risk areas. Assists in development of...