18 medical billing specialist jobs found in Atlanta, GA

Job Description destinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they arise. Location: Various locations across Georgia The Medical Billing Specialist is responsible for managing the billing process for a healthcare practice, ensuring accurate and timely submission of claims and payments. This role is critical in maintaining the financial health of the organization and ensuring compliance with insurance regulations. Key Responsibilities: Prepare and submit accurate claims to insurance companies and government programs. Verify patient insurance coverage and benefits before services are rendered. Review and post payments, adjusting accounts as necessary. Follow up...

Medical Billing Specialist Our client, a growing multiple location specialty practice, has an immediate need for an experienced Medical Biller that can process 20 to 40 claims a day. MUST HAVE experience processing at least 20 to 40 claims a day! Must have 6+ years of CURRENT medical billing experience. Experience with surgery billing a plus. Duties and Responsibilities: Patient procedure estimates and benefits verifications. Collects and verifies all patient insurance information needed to complete the billing process. Follows all guidelines as set forth by HIPAA. Completes all necessary insurance forms to process the proper billing information in a timely manner as required by all third-party payers. Deposits any cash/checks to bank daily. Transmits daily all electronic claims to billing company or third-party payers. Researches and resolves any electronic claim delays within 24 hours of exception report print date. Submits all paper claims and...

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...

OrthoAtlanta is the second largest orthopedic and sports medicine practice in the greater Atlanta, Georgia, area offering comprehensive orthopedic care.Working at OrthoAtlanta means being part of a team of dedicated Healthcare Professionals that are driven to improving the quality of life for our patients. We offer a wide range of career opportunities for talented individuals seeking professional growth and development. We provide a supportive and rewarding work environment where you can make a real impact. Description: This is an in office position. The Medical Billing and Collections Specialist will be responsible for medical billing and collections of either governmental or non-governmental claims to third party payors. The Medical Billing and Collections Specialist will be capable of reviewing and troubleshooting claims within the billing system to correct errors, edits, or nuances preventing a bill from going to the payer. The Billing and Collections Specialist will...

Job Description Job Description   We are seeking a Medical Office billing specialist to join our Medical Billing team! Your responsibilities will include but not limited to some of the functions listed below: R esponsibilities: Enter information necessary for insurance claims such as patient insurance ID, diagnosis and treatment codes, modifiers and provider information. Ensure claim information is complete and accurate. Submit insurance claims to clearing houses or individual insurance companies electronically or via paper with CMS -1500 form within timely filling guidelines. Print patient statement. Post insurance AND patient payment . ​Answer patient questions on copay's, deductibles and write off's. Work insurance AR and make soft calls on patient balances. Answer calls. Other Medical administrative duties involved in the running of a Medical Office. ​ Qualifications: Previous experience working as a Billing Specialist with a 2 years...

Job Overview We are seeking a detail-oriented and knowledgeable Medical Biller to join our healthcare team. The ideal candidate will have a strong understanding of medical terminology, coding systems, and billing processes. As a Medical Biller, you will play a crucial role in ensuring accurate billing and collections for medical services provided to patients. This position requires proficiency in managing medical records, processing claims, and communicating effectively with insurance companies and patients. Responsibilities Review and verify patient information and insurance coverage for accuracy. Prepare and submit electronic claims to insurance companies using appropriate coding systems such as ICD-9 and ICD-10. Ensure compliance with medical billing regulations and guidelines, including DRG (Diagnosis-Related Group) coding. Manage accounts receivable by following up on unpaid claims and resolving any discrepancies. Maintain accurate medical records and documentation...

Job Description Job Description Medical Billing Description Medical billing involves the process of submitting and managing healthcare claims to insurance companies and patients to collect payment for medical services rendered. It encompasses a series of tasks aimed at ensuring accurate, timely, and compliant billing procedures.  Key Responsibilities:  Billing Submission:  Submitting claims electronically or manually to insurance companies.  Payment Posting:  Receiving and processing payments from insurance companies or patients.  Claims Follow-up:  Monitoring claim status, resolving denials, and pursuing outstanding payments.  Patient Collections:  Contacting patients regarding unpaid bills and establishing payment plans.  Compliance:  Ensuring adherence to medical billing regulations and industry standards.  Data Management:  Maintaining accurate patient records and billing documentation.  Patient Registration:  Gathering and verifying patient...

Job Description Job Description Qualifications: Medical Billing and Coding Experience in a Primary Care setting Knowledge of CPT-II and ICD-10 coding Experience with Athenahealth Strong communication and interpersonal skills Detail-oriented Entrepreneurial Key Responsibilities: Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and documents amounts due for medical service. Work closely with office management on Accounts Receivable goals. Monitor and record late or held payments. Follow up on missed payments; resolve financial discrepancies. Examine patient bills for accuracy and request any missing information. Analyzes medical record documentation to determine the principal diagnosis and procedures and the presence of co-morbid or complicating conditions associated with the primary care visit. Assigns ICD9 and CPT2 codes to diagnoses and...

Job Summary: With minimal supervision, coordinates and conducts code assignments and validation for KFHP professional services and procedures. Utilizes established documentation and coding criteria based on the National Cooperating Party Guidelines and Standards. Responsible for concurrent analysis of coding for all professional evaluation/managementand procedural encounters and provides coding assistance through interpretation of guidelines and query/communication to practitioner. Performs coding assignment and validations and prepares queries for practitioners on their medical service for all practice locations (all Medical Office Buildings). Ensures the organization submits compliant, accurate, and complete clinical encounters for appropriate reimbursement. Conforms to applicable guidelines and regulations (Federal, State, and Internal) and Serves as a liaison with TSPMG staff, NMF, external and internal practitioners, and other regional departments as appropriate including...

Join to apply for the Hospital Coding Compliance Auditor role at Emory Healthcare 2 weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Overview 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, in 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! Description Reporting to the Manager, Compliance Audit and Analysis, develops and executes audit, monitoring, and education for inpatient hospital billing, coding, and documentation programs that ensure...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...

DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools and auditing workflow systems and reference information to make...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

*Description* The Inpatient Medical Coder, under the supervision of the Manager of Coding and Data Quality, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics, and compliance with federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. *Essential Job Duties:* The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. * Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for reimbursement, research, and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. * Utilizes critical thinking to analyze and evaluate documentation issues with...

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...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing with...

JOB DESCRIPTION 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. Summary 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...

Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software, and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS, fire, and billing/accounts receivable (AR) teams to deliver better patient outcomes, operational efficiencies, and greater revenue capture. Our mission is to help save more lives through data-driven innovation and interoperability, enabling our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary: This role involves verifying transport and patient data, ensuring compliant coding and billing according to payer claims specifications and documentation....