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 you are a dedicated Medical Coding Specialist looking to make a meaningful impact in the healthcare industry, we invite you to apply for this position at CarePerks LLC.
About CarePerks LLC
CarePerks LLC is a trusted healthcare organization based in Tucker, GA, dedicated to providing high-quality and compassionate care to our patients. Our team of healthcare professionals works tirelessly to improve the health and well-being of those we serve. At CarePerks LLC, we are committed to excellence in all that we do, and we value integrity, respect, and teamwork in our daily operations.
#hc181434
$37k-52k yearly est. 2d ago
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Medical Coding specialist
Careperks
Medical coder job in Tucker, GA
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 you are a dedicated Medical Coding Specialist looking to make a meaningful impact in the healthcare industry, we invite you to apply for this position at CarePerks LLC.
About CarePerks LLC
CarePerks LLC is a trusted healthcare organization based in Tucker, GA, dedicated to providing high-quality and compassionate care to our patients. Our team of healthcare professionals works tirelessly to improve the health and well-being of those we serve. At CarePerks LLC, we are committed to excellence in all that we do, and we value integrity, respect, and teamwork in our daily operations.
$37k-52k yearly est. 60d+ ago
Coder-Certified I
SPCP/Southeast Medical Group
Medical coder job in Alpharetta, GA
Job DescriptionDescription:
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).
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 providers and billing teams to clarify discrepancies, ensure documentation compliance, and verify the accuracy of coded data.
Stay current with coding guidelines, trends, and federal regulations to ensure up-to-date knowledge and compliance.
Conduct regular audits to ensure coding accuracy, address any discrepancies, and provide feedback and education to clinical staff as needed.
Assist the billing department in the resolution of coding-related denials and rejections, including preparing appeals as necessary.
Participate in educational sessions, workshops, and meetings to enhance coding knowledge and skills.
Requirements:
Certification as a medicalcoder from an accredited organization (e.g., CPC).
>1yr of coding experience in a primary care setting.
Proficiency in ICD-10, CPT, and HCPCS Level II coding standards.
In-depth knowledge of medical terminology, pharmacology, and disease processes.
Strong analytical and problem-solving skills.
Excellent attention to detail and organizational skills.
Solid communication skills, both written and verbal.
Ability to work independently and collaboratively within a team environment.
Familiarity with Electronic Health Record (EHR) systems and medical billing software.
Preferred:
Experience with coding audits and compliance reviews.
Knowledge of federal regulations regarding medical coding and billing.
Key physical and mental requirements:
Ability to lift up to 50 pounds
Ability to push or pull heavy objects using up to 50 pounds of force
Ability to sit for extended periods of time
Ability to stand for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
FLSA Classification: Non-exempt
Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
12/2024
$37k-52k yearly est. 26d ago
Medical Coder
Apex Spine and Neurosurgery LLC
Medical coder job in Suwanee, GA
Job Description
The MedicalCoder / 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 with physicians and advanced practice providers to clarify documentation and ensure accurate coding and medical necessity.
Support prior authorization (PAR) processes by reviewing documentation, validating codes, and ensuring alignment with payer requirements.
Enter codes into the EHR/billing system and confirm documentation supports all billed services.
Collaborate with billing and authorization teams to resolve coding edits, denials, and discrepancies.
Assist with internal and external audits, compliance reviews, and coding workflow improvements.
Stay current with annual CPT/ICD updates, CMS rules, spine and neurosurgery coding changes, and payer policy updates.
Participate in provider education related to documentation requirements, surgical reporting, and medical necessity standards.
Qualifications
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Minimum of 3-5 years of medical coding experience, preferably in spine surgery, neurosurgery, orthopedics, interventional pain management, or a related surgical specialty.
Strong working knowledge of CPT, ICD-10, HCPCS, NCCI edits, and CMS guidelines.
Experience reading and interpreting operative reports and procedural documentation.
Familiarity with EMR/EHR systems and coding/billing software.
Excellent attention to detail, organization, and problem-solving skills.
Strong communication skills with providers, clinical staff, and revenue cycle teams.
$37k-52k yearly est. 7d ago
RCM Coder
Atlantic Medical Management 4.2
Medical coder job in Jacksonville, NC
Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.
Essential Functions
Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
Identifies diagnostic and procedural information and assigns codes for reimbursements
Ability to navigate around CPT, ICD-10, and HCPCS.
Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
Maintain in depth knowledge of all payers.
Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
Update patient demographic and insurance
Transfer open balances to correct insurance
Work with patients and guarantors to secure payment
Resolves disputed claims by gathering, verifying, and providing additional information
Identify problem accounts and escalate as appropriate.
Write appeals and include supporting documentation
Run appropriate reports and contact insurance companies to resolve unpaid claims
Meet set department metrics and threshold set forth by manager.
Assist with special projects and other job-related duties as needed.
Minimum Qualifications
High School Diploma.
2 years of Professional coding/billing experience
AAPC certification preferred
Experience Medicare, Medicaid and other commercial and private payers.
Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
Excellent customer service and professionalism.
Maintains patient confidentiality.
Proficient computer skills.
Organized and efficient.
Self-motivated to meet objectives
Benefits:
401(k)
Health, Dental and Vision insurance
Employee assistance program
AFLAC
Paid time off
$55k-68k yearly est. 60d+ ago
Hospital Coding Spec II (Observation)
WVU Medicine 4.1
Medical coder job in North Carolina
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High School Diploma or Equivalent.
2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder).
EXPERIENCE:
1. One (1) year of hospital coding experience.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes.
2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.).
3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Must be able to sit for long periods of time.
2. Must have visual and hearing acuity within the normal range.
3. Must have manual dexterity needed to operate computer and office equipment.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
3. May require travel.
SKILLS AND ABILITIES:
1. Must be able to concentrate and maintain accuracy during constant interruptions.
2. Must possess independent decision-making ability.
3. Must possess the ability to prioritize job duties.
4. Must be able to handle high stress situations.
5. Must be able to adapt to changes in the workplace.
6. Must be able to organize and complete assigned tasks.
7. Must possess excellent written and verbal communication skills.
8. Must possess the knowledge of anatomy, physiology and medical terminology.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)
Company:
SYSTEM West Virginia University Health System
Cost Center:
548 SYSTEM HIM Coding Analysis
$50k-64k yearly est. Auto-Apply 60d+ ago
Medical Coder
Four Winds Health 4.0
Medical coder job in Newnan, GA
Job Description
A MedicalCoder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers.
Responsibilities • Coding for our Urgent Care Centers using our internal software
• Knowledge of ICD-10 Coding and compliance
• Experience using an encoder
• Setting up insurance plans within our software
• Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow
• Interfacing with clinic staff on billing & coding issues.
• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits and coding reviews to ensure all documentation is accurate and precise
• Assign and sequence all codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures
• Adhere to productivity standards
Minimum Qualifications
• 3+ years of experience in medical billing
• Epic experience required
• Urgent Care and Occupational Health Billing experience is a plus
• High School diploma or equivalent
Required Skills
• Active CPC, RHIT, CCS or COC Certification
• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned.
WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day.
INDmisc
$37k-44k yearly est. 25d ago
Coding Specialist
Deerfield Management Companies 4.4
Medical coder job in Durham, NC
Exciting Career Opportunity with Avance Care!
Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC.
Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients.
As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk.
This is a full-time role involving 8 hours weekday shifts with no weekends schedule.
We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions.
We offer a comprehensive benefits package available on the first of the month following 30 days of employment.
Selected Responsibilities:
Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making
Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives
Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines
Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines
Effectively work with and support providers through structured communication as it related to chart documentation and coding practices
Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3
rd
party payers or Medicare
Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary
Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience.
Other Priorities:
Strong verbal and written communication
Knowledge of insurance practices
Knowledge of CPT, HCPCs, and ICD-10 coding
Time management and workload prioritization skills
If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume.
All offers of employment are contingent upon the successful completion of a background check and drug screen.
Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.
$97k-120k yearly est. Auto-Apply 60d+ ago
Lead Medical Coder and Auditor [PR0001D]
Prosidian Consulting
Medical coder job in Fort Stewart, GA
ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value.
ProSidian 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.
Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information.
Job Description
ProSidian Seeks a Lead MedicalCoder 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 athe 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 coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC. Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force). The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel.
MD - Medical Billing & Coding Candidates shall work to support requirements as a Lead MedicalCoder and Auditor and review health record documentation for assignment of proper diagnosis and procedure codes utilizing system edits, Military Health System specific, and commercial coding guidance. This position will review and accurately code/audit office and hospital procedures for reimbursement. Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 96% coder accuracy (or as stipulated by contract). Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks.
Receive and review patient charts and documents for accuracy
Ensure that all codes are current and active
Report missing or incomplete documentation
Meet daily coding production
Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS
Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse
Update and maintain document lists
Performs accurate charge entries
Ensure proper coding on provider documentation
Serves as resource regarding insurance resolutions and coding questions
Handles co-pays, balances, and charge posting
Follow all DoD and DHA directives, guidance, instructions, policies, procedures, rules, and standards relating to protection of patient information and privacy practices.
Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
Maintain security and confidentiality of medical records and Protected Health Information (PHI)
Performs additional duties assigned by Coding Manager as needed
Qualifications
The Lead MedicalCoder and Auditor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position.
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medicalcoder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry.
Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA - Risk Health Information Administration | RHIT - Registered Health Information Technician | CCA - Certified Coding Associate | CCS- Certified Coding Specialist and/or b) American Academy of Professional Coders (AAPC): CPC - Certified Professional Coder | COC - Certified Outpatient Coder | CIC - Certified Inpatient Coder | CRC - Certified Risk Coder
Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy.
High school degree or equivalent; Bachelor's degree in related field preferred
Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements
Maintain coding certification and attends in-service training as required
Two (2) years of medical coding experience
Understanding of medical terminology, anatomy and physiology
Ability to work independently or as an active member of a team
Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
Accurate and precise attention to detail
Knowledge of medical terminology, anatomy, physiology, and pathophysiology is preferred.
Outstanding oral and written communications skills
Clinical background and previous chart abstraction experience is also preferred.
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medicalcoder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry.
Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy.
TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations.
LOCATION: Work shall be conducted CONUS - Fort Stewart, GA
Excellent oral and written communication skills
Attention to detail
Analytical and evaluation skills
Proficient with Microsoft Office Products (Microsoft Word, Excel, PowerPoint, Publisher, & Adobe)
U.S. Citizenship Required
Additional Information
As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting.
CORE COMPETENCIES
Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader
Leadership - ability to guide and lead colleagues on projects and initiatives
Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people
Communication - ability to effectively communicate to stakeholders of all levels orally and in writing
Motivation - persistent in pursuit of quality and optimal client and company solutions
Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams
Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications
Organization - ability to manage projects and activity, and prioritize tasks
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OTHER REQUIREMENTS
Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary.
Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary.
Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors
Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together
Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference
Willingness - to constantly learn, share, and grow and to view the world as their classroom
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BENEFITS AND HIGHLIGHTS
ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees:
Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis.
Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife.
Group Vision Health Insurance Benefits:ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP.
401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match.
Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given.
Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees.
Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis.
Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials.
ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program.
Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support.
Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA.
Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only.
Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability.
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ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply
ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines.
ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status.
Furthermore, we believe in "HONOR ABOVE ALL" - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work.
FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************.
ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED.
Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.
$38k-52k yearly est. Easy Apply 60d+ ago
Outpatient Coding/Abstracting Specialist - FT (73986)
Hamilton Health Care System 4.4
Medical coder job in Dalton, GA
Codes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. Identifies documents of poor quality. Ensures all scanned documents are positioned correctly. Identifies the documents that are incorrect. Ensures each document is indexed to the correct patient/encounter. Refers identified issues to appropriate scanning/QC staff for correction.
The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and ability to work with physicians and other healthcare providers with cooperation and flexibility. The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality. This position serves as a resource for other members of the organization in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work queue(s) daily and ensure timely processing of assignments in each queue.
$46k-57k yearly est. 34d ago
Coding Specialist
Hopehealth, Inc. 3.9
Medical coder job in Florence, SC
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: * High School Diploma or GED required. Associate degree preferred. * Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.
* Knowledge of insurance industry and medical terminology/anatomy required.
Required Skills / Abilities:
* Good oral and written skills.
* Detailed oriented with strong organizational skills.
* Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
* Demonstrates the ability to work in a high pressure environment
* Strong active listening skills, attention to detail, and decision-making skills are required
* Pleasant, friendly attitude with the ability to adapt to change is essential
* Superior problem- solving abilities is required
* Ability to collaborate with all departments
* Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
* Possess excellent customer service skills and be well organized.
* Ability to communicate effectively utilizing both oral and written means.
Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
* Must be comfortable taking direction from Leadership
Supervisory Responsibilities:
* None
Essential Job Functions:
These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers.
* Review assigned charts for correct ICD10 and CPT coding.
* Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
* Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
* Must maintain coding credentials thru AAPC.
* Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
* Perform other assigned duties.
Position Category:
Certified Coding Specialist I
* Candidate has no previous medical billing or insurance industry experience
* Candidate has no previous coding experience
Certified Coding Specialist II
* Candidate has less than 5 years of medical billing or insurance industry experience and/or
* Candidate has less than 5 years of medical coding experience
Certified Coding Specialist III
* Candidate has more than 5 years of medical billing or insurance industry experience and/or
* Candidate has more than 5 years of medical coding experience
Physical Requirements:
Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. 19d ago
Medical Records Coder II-Inpatient
Duke's Fuqua School of Business
Medical coder job in North Carolina
PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
*Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.
Occ Summary-
The Medical Records Coder II (Inpatient) is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Duties and Responsibilities of this Level
Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT coding conventions.
Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits.
Assist with research, development and presentation of continuing education programs on areas of specialization.
Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.
Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.
Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.
Assist with special projects as required.
Perform other related duties incidental to the work described herein.
Required Qualifications at this Level
Education: High school diploma required.
Experience
RHIA certification- no experience required RHIT certification- no experience required CCS certification- one year of coding experience required CPC or HCS-D certification- two years of coding experience required
Degrees, Licensures, Certifications
Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding RegisteredHealth Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
$49k-76k yearly est. 60d+ ago
Certified Peer Specialist-Parent
Community Service Board of Middle Georgia-Peo, Ltd.
Medical coder job in Swainsboro, GA
The Community Service Board of Middle Georgia is dedicated to providing those we serve with quality innovative behavioral healthcare in a recovery-based environment. CSB of Middle Georgia is recognized as a state leader in comprehensive behavioral healthcare providing integrated cost-effective services. CSB of Middle Georgia is located in Dublin, Georgia, and the agency currently serves residents of Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, and Wilcox counties in Georgia; and in our Ogeechee Behavioral Health Division, serving residents of Burke, Emanuel, Glascock, Jefferson, Jenkins, and Screven counties in Georgia. We value Quality, Professionalism, Person-Centered, Recovery, Teamwork, Improvement, Accountability, Management of Practicing Information, Wellness, and Financial Stability.
Job Description:
The Community Service Board of Middle Georgia is looking for a Certified Peer Specialist - Parent to join their team. This role builds trusting, mutually supportive relationships with families, offers encouragement and guidance, and helps them connect to team members and resources within the IC3 program. Working collaboratively as part of a multidisciplinary team, the Child Peer Specialist uses shared experiences to empower families, strengthen engagement, and support positive outcomes for children and caregivers.
LOCATION: Emanuel County & Surrounding Areas
Responsibilities of the Certified Peer Specialist - Parent
Hold certification as a Certified Peer Specialist- Parent OR be the parent/guardian of a child with lived experience with Serious Emotional Disturbance (SED) OR Serious Mental Illness (SMI) and be willing to become certified.
Ability to use lived experience to support families in IC3 program.
Ability to work effectively in a team environment.
Ability to establish and maintain relationships with peers based on mutuality and common connection.
Ability to use common connections to support families.
Ability to link to others involved in the team. Perform other job duties as assigned by supervisor.
Here are some of the things we require:
High School Diploma or GED
Valid Georgia Driver's License
Effective verbal and written communication skills
Strong interpersonal skills and the ability to work effectively with diverse communities
Ability to work independently and in collaboration with others
Experience with Microsoft 365 Office Products
Ability to organize, prioritize and meet deadlines accordingly
Benefits of Working with CSB of Middle GA:
As a member of our team, you will enjoy our total rewards package to help secure your financial future and preserve your health and well-being, including:
Medical, Dental & Vision Plan Options!
Generous Paid-Time Off Policy with Flexibility Companywide!
401(k) Plan with Company Match!
Short- & Long-Term Disability Plans!
Access to our Employee Assistance Program (EAP)!
Paid Training Time!
Opportunities for Career Growth & Advancement!
Paid Lunch Breaks* & So Much More!
At this time, CSB of Middle Georgia will not sponsor a new applicant for employment authorization for this position.
*Please note that paid lunches are only for select positions that must assist individuals with eating needs at typical meal periods*
** Final pay rate will be dependent on a combination of qualifications such as experience and education. **
Full Time 8:00am to 5:00pm
$45k-67k yearly est. Auto-Apply 30d ago
Certified Peer Specialist (PSS)
Higher Heights Home Care Inc.
Medical coder job in Wilson, NC
Job DescriptionBenefits/Perks
Competitive Compensation
Great Work Environment
Career Advancement Opportunities
We are seeking a Certified Peer Specialist (PSS) to join our team! As a Mental Health Aide, you will assist nurses and doctors with the day-to-day care of our patients, including assisting in eating, bathing, and even getting dressed. You may occasionally accompany patients for tests or treatments, assist with restocking equipment or supplies, and strive to create a safe, clean environment for our patients and other staff. The ideal candidate is compassionate, works well within a team environment, and has strong communication and interpersonal skills.
Responsibilities
Assist doctors, nurses, and others aides in day-to-day care, including helping patients with basic functions
Maintain a clean, safe, healing environment for all staff and patients
Restock equipment and supplies, as needed
Maintain excellent records of patient interactions, and report anything concerning immediately
Qualifications
Strong communication and interpersonal skills
Strong problem-solving abilities
The ability to work well within a team environment
Positive, compassionate attitude helpful
$47k-71k yearly est. 5d ago
Medical Record Clerk
Us Tech Solutions 4.4
Medical coder job in Durham, NC
USTECH is a global firm providing a wide-range of talent on-demand and total workforce solutions. Through the USTECH Talent Network of 100% company-owned and managed offices, we provide highly-skilled professionals whose education, skills and experience are vetted and matched to your unique hiring needs, work environment and company requirements.
Our 24x7 global service delivery drives time and cost out of any recruiting and staffing process (15-30% cost reduction in most cases) across all of our services and solutions, providing you with the talent you need on-demand when, where and how you need it.
Job Description
Job Title
:
Medical Record Clerk
JOB ID- :
(14809)
Location
:
Durham, NC 27713
Duration
:
(at first 1+ month contract)
Qualifications:
Candidate will need to have experience indexing medical records and scanning.
This is a special short term project.
Must be able to stand long periods of time and able to lift up to 50 lbs.
Thanks ,
Asma.
Additional Information
All your information will be kept confidential according to EEO guidelines.
$29k-36k yearly est. 1d ago
Medical Records Coordinator
JBA International 4.1
Medical coder job in Charlotte, NC
A boutique personal injury law firm is seeking a Medical Records Coordinator in the North Lake area.
This is a direct hire full time in office position with an hourly rate of $15-$17. M-F
Position will consist of filing medical records both digitally and paper as well as keeping them updated. We're looking for strong typing and data entry skills. Tech savvy and fast paced. Medical records/ legal experience not required but a strong plus.
$15-17 hourly 60d+ ago
Certified Peer Specialist
Gateway Csb Peo LLC
Medical coder job in Savannah, GA
Job Summary : Certified Peer Specialist is a person who has progressed in their own recovery and promotes self-determination, personal responsibility, empowerment inherent in self-directed recovery, and assists individuals with mental illness in the individual's recovery process. Provides structured activities within a peer support that promote socialization, recovery, wellness, self-advocacy, wellness, self-advocacy, development of natural supports, and maintenance of community living skills; understanding of what creates recovery and how to build environments conducive to recovery. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, Staff Psychiatrist, Registered Nurses, quality assurance specialists, and paraprofessional. ACT is an Evidence Based Practice that is person-centered, recovery-oriented, and a highly intensive community-based service for individuals who have serious and persistent mental illness. The individual's mental health condition has significantly impaired his or her functioning in the community. The service utilizes a multidisciplinary mental health team from the fields of psychiatry nursing, psychology, social work, substance use disorders, and vocational rehabilitation; additionally, a Certified Peer Specialist is an active member of the ACT Team providing assistance with the development of natural supports, promoting socialization, and the strengthening of community living skills. Services emphasize social inclusiveness though relationship building and the active involvement in assisting individuals to achieve a stable and structured lifestyle. ACT is a unique treatment model in which the majority of mental health services are directly provided internally by the ACT program in the recipient's natural environment. ACT services are individually tailored with each individual to address his/her preferences and identified goals, which are the basis of the Individualized Recovery Plan (IRP).
Essential Functions : Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Productivity
Meet the minimum direct time requirements of individual billed hours/target staff hours 100% per year.
Daily attendance must be at least 70% of clinical guidelines per facilitator.
Maximum face to face ratio 30 individuals to 1 Certified peer Specialist
Documentation and Compliance
Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards.
Maintain all documentation in accordance with applicable policies, laws and instructions.
Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards.
Ensure that all notes are in Care Logic and signed within 24 hours of service delivery.
Maintain a minimum chart audit score of 70% or better for all consumers on case-load.
Ensure all weekly reports are addressed and corrected as necessary within timeframe specified by supervisor.
Billed Staff Hours in comparison to Target Staff Hours must be at least at 100%.
Treatment plans and orders for services must be signed on the same day as admission or change.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Failed Activities and Failed Claims must be resolved and cleared in less than 10 days.
Quality Improvement Internal Audit scores must be at least 90%.
At least 85% of your active caseload must receive at least 1 face-to-face service within the quarter.
Staff cancellation rates must be less than 5%.
Must be in compliance with Human Resources requirements with all trainings (including Relias).
Community Outreach
Collaborate with behavioral health providers and the community through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care.
Corporate Responsibilities
Treat those we serve, co-workers and supervisors with respect.
Provide high quality customer service focused on outcomes of improved health.
Carry out job responsibilities in a competent and ethical manner.
Utilize our resources effectively, efficiently and without abuse.
Contribute to an environment that encourages passion, creativity and team work.
Required Knowledge & Skills:
Knowledge of working knowledge of the nature of serious mental illness; self-help techniques, provides enhance consumers empowerment skills and successful community living, community resources and information on specific topics, as assigned.
Knowledge of consumers' rights; agency and federal policies, procedures and guidelines.
Knowledge of client record documentation requirements; and implementation of client services plan development.
Knowledge of crisis intervention protocol.
Knowledge of peer individual and group therapy techniques
Observe, record and report on an individual's functioning;
Ability to read and understand assessments, evaluations, observation, and use in developing treatment plan.
Ability to assist consumers cultivate their independence, self-confidence, and self-esteem.
Ability to empower other individuals with disabilities to explore new options, resources, relationships, feelings, attitudes and rights.
Ability to effectively interact and communicate with consumers and their families in diverse populations.
Ability to communicate effectively, verbally and in writing, to maintain confidentiality, and to work independently under general supervision.
Ability to demonstrate strong interpersonal and “Listening” skills.
Ability to Establish and prioritize goals and objectives of assigned program.
Ability to assist consumers with successfully acquiring all income, entitlement benefits and health insurance for which the individual is eligible.
Ability to facilitate relationships between Gateway, consumer families/legal guardians and various social service community resources, such as housing assistance, healthcare, job training and placement and substance abuse support groups.
Competencies:
Communication
Accountability/Responsibility
Cooperation/Teamwork
Creative Thinking
Customer Service
Dependability
Flexibility
Initiative
Job Knowledge
Judgement
Professionalism
Quality/Quantity of Work
Goal Orientation
Required Education & Experience:
High school diploma/equivalent
Certification by Georgia Certified Peer Specialist Project
Requires a minimum of 40 hours of CPS training
Supervisory Responsibilities : None
Work Environment :
This job operates in a variable business settings with trips into the community. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This role provides basic employment support which requires employee to perform in loud/quiet environments, outdoors/indoors, etc. Some medium travel between Gateway sites and in the community is required.
Physical Demands :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing.
$45k-67k yearly est. Auto-Apply 38d ago
Central Supply/Medical Records
Journey Care Team of Georgia LLC 3.8
Medical coder job in Stone Mountain, GA
Job Description
About Us
Welcome to Journey, where the community is at the heart of everything we do. We believe that true success starts with strong local leadership, supported by a dedicated home office team. Our journey began with a vision to create opportunities that empower individuals to make a positive impact right in their own backyard.
Our Vision
Change the world, one heart at a time.
Our Mission
Our Mission is to consistently achieve exceptional quality outcomes by leading a world-class Care Team. Our empowered and dedicated Care Team strives to exceed the expectations of our residents in every interaction. Being a part of your journey is our privilege.
The Heartbeat of Journey
Our local leaders are the driving force behind our success. They're not just managers; they're passionate advocates for their communities. They understand the needs and goals of the residents and families they serve. They're your neighbors, your friends, and your partners in progress. Together, we work tirelessly to create meaningful change and lasting legacies.
Required Qualifications:
High school diploma or equivalent preferred.
One year of experience in shipping and receiving.
Minimum 2 years of administrative experience is preferred.
Working knowledge of medical terminology, anatomy and physiology, coding, and other aspects of health information preferred.
Major Duties and Responsibilities:
Inventory Management: Maintain accurate inventory records, organize storage areas, and ensure supplies are readily available across nursing units.
Supply Ordering & Receiving: Order supplies from approved vendors, receive shipments, and route packing slips to department heads.
Supply Distribution: Collect, fill, and deliver supply requisitions to designated units while ensuring smooth daily operations.
Records Management: Organize, file, and maintain resident health information manually and electronically, ensuring records are complete and accurately assembled.
Compliance and Privacy: Safeguard health information in accordance with established policies, procedures, and privacy regulations.
Information Retrieval and Communication: Retrieve and deliver records as needed, assist with inquiries, and prepare documentation for insurance, Medicare, Medicaid, and other stakeholders.
What We Offer
Competitive pay
Quarterly raises
401(k) with Voya Financial
United Healthcare Insurance
Free Life Insurance
Company-provided smartphones for full-time care team members
Opportunities for professional development and continuing education
If you're ready to make a difference in the lives of others and join a team that truly cares, we'd love to have you apply.
Together, let's change lives one heart at a time.
#JointheJourney
We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, please contact HR.
$31k-35k yearly est. 3d ago
Medical Records Clerk
Pinehurst Medical Clinic Inc. 4.3
Medical coder job in Pinehurst, NC
Pinehurst Medical Clinic (PMC)
PMC is a recognized healthcare provider in the communities of Moore County, Lee County, Cumberland County, Chatham County, and the surrounding six counties. Locally owned and managed, PMC offers a broad range of primary and specialty care services to the communities we serve. The physicians and healthcare team of professionals at PMC share a commitment to patient-centered care that is physician-led and utilizes the latest advances in medical technology. This combination of leading-edge medicine and deep compassion for the people we serve has been a hallmark of PMC since 1952. PMC consists of over 130 providers, approximately 750 employees, and 16 locations.
What will you do as a PMC Medical Records Clerk
As a PMC Medical Records Clerk, you will serve as an essential part of the patient's experience by assembling and maintaining electronic medical records and assuring the confidentiality of patient records in matters pertaining to the disclosure of patient treatment and medical diagnosis. You will also file and retrieve medical records while corresponding with doctors, nursing personnel, and other appropriate individuals in regard to EMR (Electronic Medical Records).
A day in the life of a PMC Medical Records Clerk may include:
Filing all patient records electronically, in a timely and accurate manner, making certain they are accessible for future use. Sorting and filing patient documents that are forwarded to the Medical Records Department either by paper or electronically
Maintain, organize, and manage patient records within the electronic medical record (EMR) system
Ensure accuracy, completeness, and timeliness of all documentation entered into the EMR
Scan, upload, index, and properly label incoming documents and external records
Maintain confidentiality and safeguard patient information at all times
Correct filing errors and resolve duplicate or incomplete records
Communicate professionally with staff, patients, and outside entities regarding record requests
Occasionally cross cover the switchboard or assist with release of information (ROI) in accordance with HIPAA regulations
Assists in answering telephones for medical record requests from physicians, nursing personnel, secretaries, and/or other appropriate personnel
Being a key piece in the PMC mission by providing the highest quality of care to our patients and the communities we serve
What we can offer
PMC is proud to support the total health and well-being of our team members so they can thrive personally and professionally. That's why, as part of the PMC team, you'll have a package of benefits that covers your health, well-being, family, and future. For more information regarding our benefits click here Benefits Information
Required Qualifications
High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
Preferred Qualifications
Prior medical records and Electronic Medical Records (EMR) experience preferred.
Shift: Day Shift (Monday through Friday) no weekends or holidays Pay Type: Hourly (Non-Exempt) The Pinehurst Medical Clinic is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations and provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.
$29k-35k yearly est. Auto-Apply 14d ago
The Onyx Group - Medical Reimbursement Specialist
Tribe 513
Medical coder job in Greenville, SC
Job Title: Medical Reimbursement Specialist Supervised by: Coordinator, Billing Posting: Internal and External Weekly Hours: Full-time We are seeking a detail-oriented and motivated Medical Reimbursement Specialist (MRS) to join our billing team. This individual will play a critical role in ensuring accurate, efficient billing processes and timely reimbursement from insurance providers. Responsibilities include managing unpaid claims, processing corrections, submitting appeals, and fostering strong relationships with patients, providers, and insurance representatives. The ideal candidate will be goal-driven, accurate, and aligned with our culture of humility, integrity, and service.
Key Responsibilities:
Accurately review, verify, and submit corrected claims to ensure complete and error-free processing
Utilize clearinghouse tools to manage electronic payments and address claim errors
Interpret insurance explanation of benefits (EOBs) and identify necessary follow-up actions
Proactively manage aging reports, focusing on claims outstanding over 30 days
Submit appeals and additional documentation to secure full reimbursement when applicable
Coordinate medical records requests and respond to insurance company inquiries
Communicate professionally with patients, payers, and providers to resolve billing issues
Meet regularly with the Billing Coordinator and Team Lead to troubleshoot challenges and identify process improvements
Attend department meetings and participate in ongoing training and education
Maintain strict confidentiality in accordance with HIPAA and internal policy
Embody "The Tribe Way" by serving others with humility, integrity, and conscious leadership
Education:
High School Diploma or equivalent.
Skills & Experience:
Strong knowledge of medical billing, collections, and third-party payer procedures required
At least 2 years of experience working in medical billing required
Experience navigating multiple EMR systems. Proficiency with eClinicalWorks preferred.
Experience navigating payer websites
Proficiency with computer systems, and office equipment
Strong organizational skills with excellent attention to detail
Professional and friendly communication skills
Ability to navigate challenging conversations, resulting in positive outcomes
Ability to handle a multi-line phone system and multitask in a fast-paced environment
Ability to adapt and expand skills to meet the billing needs of a fast-growing company.
Problem solving skills required
Working Environment and Physical Demands:
You must be able to sit or stand at a desk and work on a computer screen and phone for the majority of an eight (8) hour shift.
How much does a medical coder earn in Anderson, SC?
The average medical coder in Anderson, SC earns between $34,000 and $63,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Anderson, SC
$46,000
What are the biggest employers of Medical Coders in Anderson, SC?
The biggest employers of Medical Coders in Anderson, SC are: