110 jobs found in Decatur, GA

The Medical Billing & Coding Specialist assures accurate and complete information is collected and reported to private insurance, Medicare, and Medicaid to help complete the revenue cycle. The specialist will scrub encounters for accurate coding prio Medical Billing, Coding Specialist, Billing, Medical, Billing Specialist, Medical Biller, Healthcare

Are you seeking a career with a growing company, a place where you can make an impact in the community? Then Positive Impact Health Centers is the company for you. What makes us different? We offer our employees the following: • 1 Health Wellness day per quarter • Parental Leave • Free parking at our locations/bus line accessibility • Competitive Salary & Benefits • Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program) • 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents • Credit Union Positive Impact Health Centers (PIHC) is a community leader in providing HIV prevention, care and treatment services. The PIHC model of care assures that persons with HIV have access to medical, pharmacy, dental, behavioral health and social services, providing the best opportunity for patients to achieve high-quality health outcomes. Job Summary : The Medical Billing &...

Travel House Supervisor RN Company: Fusion Medical Staffing Facility in Atlanta, GA Job Details Fusion Medical Staffing is seeking a skilled House Supervisor RN for a week travel assignment in Atlanta, GA As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team. One year of recent experience as an RN House Supervisor Valid RN license in compliance with state regulations Summary: The House Supervisor RN provides leadership and oversight of nursing operations during shifts to ensure quality care, patient safety, and smooth hospital functioning. This role encompasses staff supervision, patient flow management, crisis intervention, and collaboration with multidisciplinary teams to optimize patient care and hospital operations. Supervise and support nursing staff during shifts, ensuring efficient patient care and adherence to hospital...

Job Description Job Description Benefits: Opportunity for advancement 401(k) Dental insurance Health insurance Paid time off Profit sharing Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and...

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...

Job Description Job Description (No Remote / No Hybrid) full‐time, in‐office position responsible for supporting surgical assistant billing operations through accurate claim preparation and submission, routine status checks, precise documentation, and payment posting. The position follows structured SOPs and requires strong attention to detail, reliability, and confidentiality. Daily tasks include reviewing case documentation, verifying demographics and coding, submitting claims through the clearinghouse, correcting rejections within 24 hours, posting payments and adjustments, and preparing corrected claims when needed. Fast paced in a professional setting. 

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),...

Entry-Level Medical Coder / Billing Assistant We are seeking a motivated Entry-Level Medical Coder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent HIPAA compliance credential required. Strong communication, organization, and...

Professional Coding Auditor/Consultant PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA's Revenue Integrity team in a professional coding auditor role. Responsibilities: Responsible for the accurate review of PYA clients' professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education (generally, conducted remotely). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, preferably including...

Career Opportunities At Northside Hospital 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 Works directly with the Chief Medical Physicist as the lead member of the Treatment Planning Team. Responsible for overseeing dosimetry performed on all radiation oncology patients under the supervision and medical authority of the Radiation Oncologists. Responsible for the technical supervision, coordination and quality assurance of the dosimetry division for all radiation oncology centers. Oversees the implementation and participation of policies and procedures for all dosimetrists. Coordinates coverage for all sites as well as work schedule for each dosimetrist. Qualifications Required: Certified...

Job Title Medical Coding Auditor Description This position ensures the accuracy, completeness, and compliance of medical coding and documentation for professional coding services. This role involves reviewing patient records, clinical documentation, and coded data to identify discrepancies and ensure adherence to coding guidelines. By working closely with healthcare providers, coders, and compliance teams, the auditor supports accurate professional coding, optimizing reimbursement, and mitigating compliance risks. Key responsibilities include conducting comprehensive chart reviews, evaluating provider documentation accuracy, and participating in regular audits to maintain high standards of coding accuracy and compliance. The role may involve providing training to healthcare professionals, analyzing coding data, and generating audit reports. Key Responsibilities Audit and Review: Conduct regular audits of medical coding to verify accuracy, completeness, and compliance with...

Job Title Inpatient Coding Specialist Responsibilities Responsible for: 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 Minimum Education Required: High school diploma or equivalent required. Minimum Experience Required: One (1) year of coding experience required. Minimum Licensure/Certification Required by Law: None. Additional Qualifications: One or more certifications required - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H. Coding Certificate program (AHIMA accredited) preferred. Experience in coding at a multi-facility organization and remote coding experience is a plus. Business Unit: Company Name Piedmont Healthcare Corporate

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! 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...

Compliance Audit And Analysis Primary function: Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education for professional billing, coding and documentation programs that confirm compliance, identifies reimbursement implications, and provides billing providers with relevant and timely information regarding audit results and risk areas. Serves as a resource for providers on professional billing and coding. 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 organizational compliance auditing and monitoring activities for professional billing and coding, including periodic reviews of the individual...

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....

Medical Billing Specialist (Remote) Join the TransPerfect Health family as a Medical Billing Specialist. This is a fully remote position with occasional travel to the Atlanta home office for trainings and meetings. As a TransPerfect Health partner, you will have access to competitive pay and benefits, opportunities for career growth, and the flexibility of remote work to support valuable work-life balance. We are seeking a candidate with strong medical billing experience, particularly within skilled nursing, assisted living, direct bill, insurance, and private pay. Qualifications: Medicare billing Commercial insurance billing Private pay billing Claims submission, follow-up, and denial management Hands-on experience with Net Health and Waystar Strong understanding of revenue cycle processes Electronic payment/835 formatting Key responsibilities: Submit and monitor claims to ensure timely and accurate reimbursement Perform follow-up on outstanding claims and...

Risk Adjustment Coder Specialist Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for...

Multi-Specialty Profee And/or Facility Medical Coder Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they're our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We've created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as a service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new...

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)...

Position Summary: Under the direction of the Coding Compliance Manager, the OP Ancillary/Physician Coder will play a key role in reviewing and analyzing billing and coding for charge processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement, as well as ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to each patient. Essential Duties: -Possess analytical skills. -Possess critical thinking and problem-solving skills. -Solid understanding of the health care revenue cycle. -Strong communication skills with the ability to communicate information accurately and clearly. -Provide excellent customer service. -The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams. -Detail oriented. -Strong work ethic, honest, and dependable....

Company Description About Sutherland Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities,...

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job 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. Core Competencies These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Senior auditor responsible for clinical or physician compliance topics. Assigned the most complex clinical/documentation/coding/billing reviews. Provides guidance to other auditors within AHN on audit approach and analysis. Responsible for creating and overseeing orientation of auditors. Leads all hospital or physician audits/investigations, auditing support and responses related to external audit activity. ESSENTIAL RESPONSIBILITIES: Establishes and implements orientation for all members of the AHN audit compliance team. Evaluates the progress of team members including review of reports and audit activities. Works with senior management responsible for AHN-wide case management/physician programs to develop processes that meet Medicare and 3rd party payor requirements. Provides guidance to staff auditors on audit topics and reports. (20%) Conducts educational sessions for...

A leading financial institution is seeking a Senior Auditor to join their Audit Services team in Atlanta. The role involves overseeing audit engagements, evaluating business processes, and ensuring compliance with internal policies. A bachelor's degree in Accounting or Finance is required, along with five to seven years of relevant experience. Ideal candidates will have strong analytical skills and be able to effectively manage multiple tasks. This position also offers a significant benefits package and requires to work from the office three or more days a week. #J-18808-Ljbffr