158 jobs found in Georgia

Sterling Group Kirk Clinic Moultrie, GA 31768, USA Description Post and validates all family practice charges, ensuring appropriate coding, modifier usage and monitors missing documentation. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr

Medical Coder and Abstractor ProSidian Consulting is looking for a talented professional ready to deliver real value to clients in a fast-paced, challenging environment. ProSidian Consulting is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian seeks a Medical Coder and Abstractor (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 ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces'...

CPC - Certified Professional Coder (Medical Billing) Tutor Join to apply for the CPC - Certified Professional Coder (Medical Billing) Tutor role at Varsity Tutors, a Nerdy Company . This role will allow you to tutor students online using the Varsity Tutors Live Learning Platform, set your own schedule, and earn competitive rates while making an impact on their learning journeys. Pay Range Base pay: $25.00/hr - $40.00/hr Your pay will be based on your skills and experience, and you can earn up to $40/hr by working with the same student over time. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hr. Get paid up to twice per week, ensuring fast and reliable compensation. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose‑built Live Learning Platform—no commuting required. Get matched with students best suited to your teaching style and expertise. Our AI‑powered Tutor Copilot...

Non-Clinical - Health and Information Management Settle down without settling. Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help. As the nation's largest healthcare staffing agency, we'll get you in the door faster through our strong, established relationships with top hospitals in the U.S.

Job Description Job Description Description: Southeast Primary Care Partners is seeking a dedicated and detail-oriented Certified Coder to join our dynamic team. The successful candidate will play a crucial role in accurately coding healthcare claims for reimbursements, ensuring compliance with federal regulations, and contributing to the efficiency and effectiveness of our healthcare services. Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Position Summary: Requirements: Key Responsibilities: Review patients' medical records to extract relevant information needed for billing and coding. Apply appropriate ICD-10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing. Work closely with healthcare...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Supervisor, Medical Records, Release Of Information Job Category: Health Information Management Requisition Number: SITES005637 Location: Augusta, GA 30912, USA Job Type: Full-Time Position Type: On-site Description Role: The Site Supervisor is responsible for managing the daily scheduling of the ROI Specialists at specific client site. The Site Supervisor will act as the liaison between MRO and Client Management staff to ensure that all ROI activities are compliant with established client policies, federal and state regulations and are completed in a timely manner. Tasks and Responsibilities: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and vacancies at the staffed hospital sites. Provides coverage in event of...

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! *** We are accepting applications for potential future opportunities and do not currently have an open position *** Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Job Description Job Description 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...

A leading health company is seeking a Medical Coding Education Associate Sr responsible for analyzing complex claims data and ensuring accurate coding compliance. Candidates should have an AA/AS degree, at least 6 years of experience, and RHIA, RHIT, CCS, or CPC certifications. Proficiency in MS Office and strong communication skills are preferred. This hybrid role involves working in-office 1-2 days per week and engaging with healthcare providers to provide coding feedback and education. #J-18808-Ljbffr

Coding Auditor Sr CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from...

Outpatient Coders 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Customer Service Operations Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary: The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and accountability. Responsibilities Directly...

Corporate Director Compliance Auditor - Healthcare Provider 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, development, and leadership programs And more Work Location: Atlanta, GA Description The Corporate Director Compliance Auditor - Healthcare Provider provides expert leadership in evaluating and strengthening the organization's compliance program across clinical, billing, privacy, and operational domains. This role leads complex, risk-based compliance audits to ensure adherence to federal and state...

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...

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)...

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...