126 coder 1 jobs found

Job Description Job Description Description: Job Title: Certified Medical Coder/Biller Location: Richmond Hill, GA | Hybrid Remote Employment Type: Full-time Reports to: Billing Manager Department: Revenue Cycle Management Job Summary: The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key Responsibilities: 1. Claims Processing: · Prepare and submit accurate and timely insurance claims for services rendered. · Verify patient insurance coverage...

Lead Medical Coder and Auditor ProSidian Consulting is looking for a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units. The ProSidian Engagement Team Members work to provide health...

Professional/Physician Medical Coder I - FT - Days - HPG Administration Hybrid HAMILTON PHYSICIAN GROUP - Dalton, GA 30722 Overview Position Type: Full Time Job Shift: Days Category: Health Information Management / Medical Records Description Hours: Monday - Thursday 8AM - 5PM, Friday 8AM - 12PM Job Summary Under indirect supervision, reviews medical records and assigns/verifies the appropriate CPT and ICD-9 code(s) while adhering to published compliance regulations and guidelines. The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and the ability to work with physicians and other healthcare providers with cooperation and flexibility. This position serves as a resource for physicians in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work daily and ensures timely processing of assignments. Maintains strict confidentiality with regard to protected...

Job Description Job Description Job Summary Very busy Orthopaedic Specialty practice seeking a full-time detail-oriented and highly organized Medical Coder/Charge Entry Clerk to join our team. This is not a remote position . Responsibilities to include but not limited to: Entry of all office based charges Review documentation and extract all applicable CPT, ICD-10, HCPS codes Knowledge of modifiers and correct coding guidelines Ensure all codes are accurate, active and billable Requesting addendums to documentation if necessary Assist office staff with billing/coding questions Compliance with all governmental and regulatory agencies Self-Pay collections process Knowledge of appeal process Payment Entry and balancing of daily payments/charges Position requires a Certified Medical Coder or minimum of 2 years prior medical charge entry and claims follow up experience. Hourly rate will be determined by current certifications and/or previous years charge entry...

Certified Medical Coder/Biller The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. 1. Claims Processing: Prepare and submit accurate and timely insurance claims for services rendered. Verify patient insurance coverage and ensure correct billing to the appropriate payer. Review and process Explanation of Benefits (EOBs) and insurance payments. 2. Billing and Coding: Ensure that all medical services are accurately coded according to current guidelines (CPT, ICD-10,...

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,...

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...

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...

A healthcare provider in Atlanta, GA is seeking a qualified Coding Specialist to manage patient services coding and invoice generation. The ideal candidate will have a minimum of 2 years of experience in medical coding and be well-versed in coding classifications like ICD-10 and CPT. Strong communication skills are essential as the role involves interactions with clients and insurance agents. This position offers a dynamic work environment focused on compliance and effective patient billing. #J-18808-Ljbffr

PB 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),...

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...

Cardiology And Pulmonary Critical Care Medical Coder II We have a need for one fully remote Cardiology and Pulmonary Critical Care Medical Coder II. Must have experience coding Cardiology and Pulmonary office, hospital visits, non-invasive testing, PFT testing, Electrocardiograms, Pacer Interrogations, Cardiac Monitoring, Cardiac Cath, and Electrophysiology procedure billing. Stable work history

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...

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...

Career Opportunities At Northside 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 Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies. Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present to support selected procedure codes or to code cases as needed. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improved coding issues identified. Qualifications Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). Minimum of 3 years of specialty and or surgical coding experience Familiarity with data processing applications in a...

Inpatient Coder-Hospital, PRN 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: Piedmont Healthcare Corporate

A medical dermatology practice located in Georgia is seeking an Experienced Medical Biller for a full-time position in its Revenue Cycle Management Department. The role involves managing billing workflows, resolving claims efficiently, and ensuring accurate reimbursement processes. Candidates should have a high school diploma and at least 1–2 years of medical billing experience. The position offers a competitive salary, comprehensive benefits, and opportunities for career advancement in a supportive team environment. #J-18808-Ljbffr

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose . No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence . We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides. WHY YOU WILL LOVE SGMC HEALTH SGMC has great benefit options, depending on the role that you are going into- including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities...

Job Description Job Description The Medical Coder / Coder PAR at Apex Spine and Neurosurgery is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for spine, neurosurgical, and interventional pain management services. This role ensures compliant, complete, and timely coding to support revenue integrity, authorization accuracy, and efficient claims processing in accordance with CMS and payer guidelines. Key Responsibilities Review operative reports, clinic notes, imaging, and diagnostic studies to accurately assign CPT, ICD-10, and HCPCS codes for spine and neurosurgical procedures. Code surgical and procedural services including (but not limited to): spine surgeries, decompressions, fusions, discectomies, laminectomies, injections, nerve blocks, ablations, and other interventional pain procedures. Ensure compliance with CMS guidelines, NCCI edits, payer-specific policies, and internal coding standards. Communicate directly...

A multi-state medical practice is seeking a full-time medical billing specialist. The role involves ensuring accurate claims submissions, addressing inquiries from insurance companies, and maintaining documentation standards. Candidates should have a minimum of 3 years of experience in medical billing, with strong knowledge of CPT and ICD.10 coding. Familiarity with eClinicalWorks is preferred. Competitive salary and benefits offered, and the ideal candidate will be based in Georgia or nearby states. #J-18808-Ljbffr

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

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...

A leading technology and business services provider is seeking an Inpatient Medical Coder for a fully remote position. The ideal candidate will have at least three years of outpatient coding experience and a CCS certification, with a minimum of one year of inpatient coding in a hospital setting. Responsibilities include accurate coding of inpatient accounts, ensuring compliance with federal and state regulations, and collaborating with various departments to resolve billing issues. The role offers a pay range of $35.00 - $40.00/hr. #J-18808-Ljbffr