Medical coder jobs in Gadsden, AL - 315 jobs

Overview Qualifications Minimum Qualifications: High school graduate Considerable knowledge of medical terminology, anatomy and physiology, ICD9-CM and CPT coding conventions, and CMS coding requirements Good verbal/written communication skills General computer skills Licensure/Registration/Certification AHIMA credentialed as one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), certification as a coding specialist (CCS) OR AAPC credentialed as one of the following: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC) Responsibilities Assists in the daily activities of the area to provide timely and accurate assessment of coding of patient medical records. Acts as a coding authority to ensure compliance with established IHS policies and procedures governed by HCFA regulations. Coordinates coding for other departments and provides coding education for staff. This role is not as a traditional coder. *This position requires you to live within driving distance of Mobile, AL*

We are seeking a motivated Entry -Level Medical Coder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent HIPAA compliance credential required. Strong communication, organization, and time -management skills. Ability to remain professional and calm while working with patients and insurance representatives. Basic computer proficiency and familiarity with billing software or EMR systems preferred. Why Join Us Excellent opportunity for those starting a career in healthcare administration. Supportive, team -oriented work environment. Comprehensive benefits and advancement potential within a growing healthcare organization.

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

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.

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 medical coder 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

Job Description A Medical Coder 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

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.

Details Information Requisition Number S5028P Home Org Name Clinical Sciences Division Name College of Veterinary Medicine Position Title Medical Billing & Records Auditor Job Class Code IB11 Appointment Status Full-time Part-time FTE Limited Term No Limited Term Length Job Summary Do you need a change of pace? Want to challenge yourself and reach new heights in your career? We have the perfect opportunity for you to showcase your skills and put your education and experience to use! Auburn University College of Veterinary Medicine is seeking applicants for a Medical Billing and Records Auditor at our Bailey Small Animal Teaching Hospital. This individual will be responsible for the daily review, accuracy, and oversight of hospital patient billing and medical data. Duties include a variety of financial tasks such as examining, entering and processing forms, letters, vouchers, documents, and reports in a college, school, or department. Learn more about VET MED and check out our facilities here: ***************************** Essential Functions * Reviews billing details on patient cases ensuring that all charges are entered and any duplications are corrected. Completes audits, in conjunction with doctors and technicians, on financial records and contracts, grants, and research accounts ensuring charges are correct for services provided. * Approves bill order audits prior to discharge. * Reviews and updates the daily census and census reports ensuring that all hospitalized patients are included and those discharged are removed. Provides support for end of day financial reconciliation. * Originates, receives, prepares, and/or approves vouchers, forms, letters, papers, schedules, reports and other documents and resolves inconsistencies and errors with appropriate persons. * Ensures the confidentiality of all patient records by following all confidentiality guidelines for patient privacy. * Communicates frequently with faculty and house officers regarding medical and financial deficiencies in patient and client accounts. * Maintains hospital database to include verifying information and maintaining cross-referencing system; ensures that outgoing data is transmitted effectively and efficiently; ensures that external documents are linked to the appropriate patient account; standardizes diagnosis terminology. * Enters, identifies errors, and makes corrections to diagnostic data on database. * Assists clients and veterinarians with data inquiries following prescribed procedures and refers irregular requests to appropriate clinician or supervisor; ensures the accuracy of data for research purposes. * Prepares patient and client data for medical and legal review. Why Work at Auburn? * Life-Changing Impact: Our work changes lives through research, instruction, and outreach, making a lasting impact on our students, our communities, and the world. * Culture of Excellence: We are committed to leveraging our strengths, resources, collaboration, and innovation as a top employer in higher education. * We're Here for You: Auburn offers generous benefits, educational opportunities, and a culture of support and work/life balance. * Sweet Home Alabama: The Auburn/Opelika area offers southern charm, vibrant downtown scenes, top-ranked schools, and easy access to Atlanta, Birmingham, and the Gulf of Mexico beaches. * A Place for Everyone: Auburn is committed to fostering an environment where all faculty, staff, and students are welcomed, valued, respected, and engaged. Ready to lead and shape the future of higher education? Apply today! War Eagle! Minimum Qualifications Minimum Qualifications Education and Experience: High school diploma or equivalent plus 2 years of experience in administrative support and financial management services in a hospital or veterinary services setting. Substitutions allowed for Education: Indicated education is required; no substitutions allowed. Substitutions allowed for Experience: Degrees can me used in lieu of experience. Minimum Skills, License, and Certifications Minimum Skills and Abilities Familiarity with Microsoft Office and Google Drive, basic math knowledge, and basic medical terminology. Minimum Technology Skills Minimum License and Certifications Desired Qualifications Desired Qualifications Posting Detail Information Salary Range $36,770-$55,160 Job Category Administrative Working Hours if Non-Traditional City position is located in: Auburn State position is located: AL List any hazardous conditions or physical demands required by this position Posting Date 01/23/2026 Closing Date 02/01/2026 Equal Opportunity Compliance Statement It is our policy to provide equal employment and education opportunities for all individuals without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, gender expression, pregnancy, age, disability, protected veteran status, genetic information, or any other classification protected by applicable law. Please visit their website to learn more. Special Instructions to Applicants Quick Link for Internal Postings ******************************************* Documents Needed to Apply Required Documents * Resume Optional Documents * Cover Letter * Other * Other Documentation * Other Documentation (2) Supplemental Questions Required fields are indicated with an asterisk (*). * * Please tell us how you first heard about this opportunity. (Open Ended Question) * * Please select the answer that best describes your current employment relationship with Auburn University: * Current full-time Auburn or AUM employee within probationary period * Current full-time Auburn or AUM employee outside of probationary period * Current part-time Auburn or AUM employee * Not an Auburn or AUM employee * * Do you have a high school diploma or equivalent? * Yes * No * * Do you have at least 2 years of experience in administrative support and financial services in a hospital or veterinary services setting OR a Degree to use in lieu of years of experience? * Yes * No

Summary of Function: The Donor Records Manager oversees the quality assurance (QA) review of cadaveric and birth tissue donor eligibility charts, ensuring that donor records are complete, accurate, and compliant with internal and external standards. This role is responsible for managing corrections, maintaining efficient workflows, and fostering collaboration with partner agencies. The position includes supervising and evaluating staff performance, managing communications with medical directors, and supporting strategic initiatives. The Donor Records Manager also leads process improvement efforts using data-driven methods to enhance overall quality and compliance. MAJOR DUTIES AND RESPONSIBILITIES Manage of donor eligibility and donor record review team, identifying and addressing deficiencies, and ensuring timely completion of corrections. Oversee the review and completion of partner agency pending lists, ensuring timely communication on aged donor records and key performance metrics. Oversee chart disposition and ensure monthly chart metrics and goals by staff. Collaborate effectively with external agencies, maintaining strong communication regarding pending records and compliance. Exercise sound judgment and decision-making to provide quality solutions aligned with DCI Donor Services' mission. Provide daily supervision of QA/QC staff, including training, accountability, scheduling, and performance evaluations. Ensure staff understand their job responsibilities and address any performance gaps through feedback, coaching, and disciplinary action when necessary. Promote employee growth through mentoring and formalizing plans when appropriate. Recruit, hire, and train personnel to maintain high-quality team performance. Facilitate timely communication with medical directors, ensuring records are reviewed for eligibility determination and seeking guidance on medical issues as needed. Acts as liaison between DCIDS Quality Assurance, Tissue Bank, Tissue Recovery, Ocular Recovery, other Affiliated Tissue Processors and Medical Directors on compliance initiatives. Build and maintain positive professional relationships with internal and external stakeholders. Uphold confidentiality of patient, donor, and company information. Assist in developing and maintaining the department's strategic plan, including setting key performance indicators (KPIs) and metrics for both the team and department. Attend industry workshops and meetings to stay current with quality, regulatory, and industry standards relevant to tissue and birth tissue recovery operations. Analyze cross-departmental data to identify trends and patterns, collaborating to improve processes and ensure regulatory compliance. Apply the PDSA (Plan-Do-Study-Act) model to support consistent and effective process improvement initiatives. Lead investigations into deviations and occurrence reports, conducting root cause analysis and ensuring proper documentation and communication with stakeholders. Perform other related duties as assigned. Qualifications: Education: Bachelor's degree in a health-related field or equivalent experience in quality system management within an OPO (Organ Procurement Organization) or medical records management. Experience: Minimum of 5 years with medical records and 2 years leading staff. Licenses/Certifications: CQIA (Certified Quality Improvement Associate) or equivalent; CPTC (Certified Procurement Transplant Coordinator), CTBS (Certified Tissue Bank Specialist), or CEBT (Certified Eye Bank Technician) preferred. Skills: Proficiency in Microsoft Office (Word, PowerPoint, Excel). Strong communication, decision-making, and leadership skills.

Right at Home is a Home Health company that provides Nursing and Therapy services in the homes of patients throughout Alabama. Right at Home is a Preferred Provider of BlueCross BlueShield of Alabama. Billing Specialist duties and responsibilities Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include: Maintaining the billing and medical coding for BlueCross BlueShield of Alabama Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors Creating invoices and billing materials to be sent directly to a customer or patient Inputting payment history, upcoming payment information or other financial data into an individual account Finding financial solutions for patients or customers who may need payment assistance Informing patients or customers of any missed or upcoming payment deadlines Calculating and tracking various company financial statements Translating medical code if working in a medical setting A Billing Specialist uses soft skills, technical abilities and industry-specific knowledge to manage their organization's accounts, including: Strong communication, including writing, speaking and active listening Great customer service skills, including interpersonal conversation, patience and empathy Good problem-solving and critical thinking skills In-depth knowledge of industry best practices Basic math, bookkeeping and accounting skills Organization, time management and prioritization abilities Ability to be discreet and maintain the security of patient or customer information Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner Understanding of industry-specific policies, such as HIPAA regulations for health care Compensation: $18.00 per hour Right at Home's mission is simple...to improve the quality of life for those we serve. We accomplish this by providing the Right Care, and we deliver this brand promise each and every day around the world. However, we couldn't do it without having the Right People. Our care teams are passionate about serving our clients and are committed to providing the personal care and attention of a friend, whenever and wherever it is needed. That's where you come in. At Right at Home, we help ordinary people who have a passion to serve others become extraordinary care team members. We seek to find people who are compassionate, empathetic, reliable, determined and are focused on improving the quality of life for others. To our care team members, we commit to deliver the following experiences when you partner with Right at Home: We promise to help you become the best you can be. We will equip you as a professional by providing best in class training and investing in your professional development. We promise to coach you to success. We're always available to support you and offer you tips to be the best at delivering care to clients. We promise to keep the lines of communication open. We will listen to your ideas and suggestions as you are critical to our success in providing the best possible care to clients. We will provide you timely information and feedback about the care you provide to clients. We promise to celebrate your success. We will appreciate the work you do, recognize above and beyond efforts, and reward you with competitive pay. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. Job Summary: The Pharmacy 340b Analyst/Auditor will be responsible for analysis, investigations and special projects associated with 340b drug program. This person will assist with development of monitoring protocols and ensuring effective internal controls for the program. Reports To: Director of Pharmacy Supervises: None Some of the many skills performed Developing a thorough understanding of the split-billing/third party administrator systems and the functions to be preferred. Conducting weekly and monthly 340B audits of contract pharmacies and in-house pharmacies to verify adherence to the 340B program guidelines and policies, and providing results to the System Director of Pharmacy Services. Development and updating 340B program reports detailing volume, financial value, and other metrics as needed to accurately depict findings from audits to be shared with the pharmacy leadership team. Managing multiple audits accurately and consistently tracking and reporting outcomes for compliance and audit purposes. Developing and/or maintaining reports that can be used to educate staff and assist management in tracking overall 340B program compliance and financial impact to the organization. Reviewing outpatient retail pharmacy claims for 340B appropriate accumulations. Helping oversee inventory management of 340B purchased items in physical inventories, virtual inventories, automated-dispensing cabinets, and contract pharmacies. Verifying compliance with various rebate model systems Identifying and implementing cost saving opportunities by working closely with pharmacy leadership team. Cross training with other systems hospitals 340B platforms and EHRs Attending educational trainings including conferences, webinars, roundtables as necessary. Performs other duties as assigned by supervisor. Additional Skills/Abilities Must have computer skills and dexterity required for data entry and retrieval of information. Excellent analytical and organizational skills and strong orientation to attention-to-detail. Effective verbal and written communication skills and the ability to present information clearly and professionally. Strong interpersonal skills Knowledge of pharmacy processes and medications utilized in hospitals, GPOs, Retail Pharmacies and Wholesalers (preferred) Ability to travel throughout and between facilities. Knowledge of pharmacy software to support 340B Pharmacy Program (preferred) A capable candidate would be able to work independently with little supervision and still produce quality, accurate work. Adaptability and willingness to learn and teach others are essential traits for this role. Qualifications EDUCATION: High School Graduate or Equivalent required Bachelor's Degree in Healthcare Administration, Business Management or a similar field of study preferred. LICENSURE/CERTIFICATION: Registration with the Alabama Board of Pharmacy as a Pharmacy Technician. PTCB and/or ICPT certified preferred. 340b University Certification or ability to complete within 90 days

Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims, knowledge of HIPAA regulations, and release of information required. Must be proficient in Excel and other documents.

At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting our team as well as our clients with our comprehensive benefits package and a supportive work culture, including health, dental, and vision benefits, paid vacation, retirement plans, and more. Program Overview: The Certified Peer Specialist (CPS) plays a vital role in fostering mutual peer support, promoting hope-based relationships, and collaborating with clinical teams. CPS team members emphasize "learning together rather than helping" by empowering individuals through relational interactions. They contribute to overall team synergy by integrating peer and clinical perspectives to support clients' recovery journeys. Key Responsibilities: Facilitate engagement by encouraging clients to seek help, particularly when facing ambivalence about treatment. Build authentic, meaningful relationships with clients and their families through empathy and shared experiences. Partner with clients to identify personal goals, foster self-awareness, and support the development of life skills. Qualifications: High school diploma or GED required. You must possess a Certified Peer Specialist (CPS) Certificate or obtain certification within 12 months of employment. Must have a primary diagnosis of mental illness or a dual diagnosis of mental illness and substance use disorder. Additional Benefits: Flexible spending accounts Short and long-term disability coverage 11 Paid holidays Voluntary Life Insurance

Job Description Reports to the Chief Reports to the Chief Medical Officer. Performs medical coding assistance as required for Southside Medical Center, Inc. The Coding Specialist is responsible for accurate, compliant, and timely medical coding for services provided in a Federally Qualified Health Center (FQHC) setting. This role plays a critical role in reducing claim denials, supporting provider documentation, improving quality metrics, and ensuring optimal reimbursement while maintaining compliance with HRSA, CMS, OIG, and payer regulations. The Coding Specialist works closely with providers, billing, quality, and care management teams. Position Description: Assign accurate ICD-10-CM, CPT, HCPCS, and FQHC-specific codes for medical, behavioral health, dental, and enabling services as applicable Apply correct FQHC billing methodologies (PPS, APG, or state-specific models) and encounter reporting requirements Perform pre-bill and post-bill coding reviews to prevent denials, underpayments, and compliance risk Review provider documentation to ensure completeness, accuracy, and adherence to coding and documentation guidelines Identify documentation gaps and provide ongoing coding education, real-time feedback, and guidance to providers Analyze coding-related denials and trends; recommend corrective actions and process improvements Support accurate diagnosis capture, risk adjustment, and HCC/RAF coding through compliant documentation review Support coding and documentation for preventive services, chronic care management, and quality measures (UDS, HEDIS, and MCO pay-for-performance programs) Collaborate with billing and revenue cycle teams to resolve coding-related denials, edits, and payer inquiries Collaborate with Quality Improvement, Care Management, and Clinical Operations teams to support performance on incentive-based measures Perform coding audits and participate in internal and external compliance reviews Ensure compliance with CMS, HRSA, OIG, NCCI, False Claims Act, and payer-specific regulations Stay current with annual code set updates, payer policies, and FQHC regulatory changes Prepare coding-related reports related to denial rates, coding accuracy, risk capture, and quality performance Maintain productivity and accuracy standards as defined by the organization Protect patient confidentiality in accordance with HIPAA regulations Knowledge, Skills and Abilities: Strong understanding of federal and state healthcare regulations Ability to interpret complex coding, billing, and compliance guidelines Excellent written and verbal communication skills Ability to work independently and manage multiple priorities Team-oriented with a commitment to mission-driven healthcare and health equity Minimum Qualifications: High school diploma or equivalent (associate's degree preferred) Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required Minimum of 2 years of medical coding experience Experience with ICD-10-CM, CPT, and HCPCS coding Knowledge of Medicare, Medicaid, and managed care payer rules Strong attention to detail and analytical skills Proficiency with EHR and practice management systems Preferred Qualifications: Previous FQHC or community health center experience Knowledge of PPS/APG billing and encounter-based reimbursement Experience with UDS reporting and HRSA compliance Familiarity with behavioral health and/or dental coding Experience performing coding audits or provider education

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.

At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines. Title: Certified Peer/Recovery Specialist Supervisor: Program Director Summary of Job Description: The Certified Peer/Recovery Specialist (CPS/CRS) supports individuals within the program by partnering around challenges that can come with symptoms of a Mental Health and/or substance use disorder diagnosis. Through utilization of the WRAP plan and a Person-Centered approach, the CPS/CRS will help empower the member to identify and work towards their Blue-Sky goals. By providing unconditional and nonjudgmental listening while also supporting the utilization of skills needed for the member to begin creating a higher quality of life, the CPS/CRS serves as a mentor to those they serve. The CPS/CRS provides opportunities for individuals to direct their own recovery plan and support, build self-worth, wellness, empowerment, and self-advocacy. The CPS/CRS will promote and contribute to the development of a culture of recovery and hope within the program and agency. Specific Responsibilities: Conducts regularly scheduled meetings with members and appropriately engages them to identify interests, strengths, goals, dreams, and aspirations while offering encouragement and empowerment through shared experience. To enhance strengths and capabilities for members. Meet with members, in collaboration with the treatment team, to develop individualized treatment plan goals. Meet with members to collaborate on the development and utilization of their Wellness Recovery Action Plan (WRAP plan). Provide support and follow up on treatment interventions per treatment team. Facilitate groups based on RPS specific skills, passions, and member needs. Co-Facilitate skills groups and other groups as requested. Attend and participate in treatment team meetings, providing feedback regarding members and offering unique perspectives. Supports members in planning for and attending 12 Step Meetings, finding a Sponsor, doing Step Work when appropriate. Support Member use of DBT skills as taught by Team (training will be provided) Serve as an advocate for members while continually supporting, teaching, and encouraging self-advocacy skills. Support with welcoming newly admitted members to the Project Transition/ PCS Mental Health community. Assist in orientation to the program by sharing information on program structure and opportunities, tour and introductions to community and staff. Promoting community integration through the connection of resources by linking to supports, mutual-help groups, social clubs, volunteer and pay job opportunities. Serve as a role model with a willingness to appropriately share personal experience with members, families, and staff by demonstrating that recovery is possible. Support members in the development and implementation of their transition goals and plans. Provide timely documentation in electronic health record (EHR) regarding member progress, goals, struggles and utilization of skills and support. Timely documentation of any/all meaningful activities with Members, including groups, outside meetings, community outings, etc. Participation in agency internal workgroups, trainings, and meetings. Attend continuing education requirements as required. Maintain CPS/CRS Certification Additional Performance Expectations: Participate in multidisciplinary treatment team and will support and implement interventions and directives as directed by the Team. Always demonstrate compassion and concern when supporting a Member through embracing Project Transition/PCS Mental Health's Mission and Core Values. Approach Member engagement from a non-judgmental stance understanding that a Member's behavior is driven by experience, which may include trauma. Treat and speak to Members with supportive kindness even when a Member demonstrates intense behavioral or emotional actions. Staff will show Members dignity and respect for their values and lifestyles. Seek out appropriate support, consultation with Clinician or Psychiatrist (if applicable), in conjunction with the Program Director or obtain supervision, when they are uncertain about how to respond or support a Member effectively. Report back to the Treatment Team any observations of Member behavior that suggests Member may need additional treatment interventions and/or support. Engage with all external parties/ individuals with professionalism and with a positive customer service approach, understanding that they are always representing the organization. An understanding of an agreement to value the concepts of a Trauma Informed workplace. Qualifications: The CPS/CRS will have at least a high school diploma or equivalent (required); bachelor's degree (preferred) At minimum, an individual must meet the CPS/CRS training qualifications and is able to provide documentation of completing the CPS or RPS training in entirety. CPS/CRS must maintain certification throughout tenure of employment in this capacity. Skilled in Microsoft Office. High energy individual with strong work ethic and ability to multi-task Must be able to have fun in the workplace. Must be a self-motivator. Ability to maintain confidentiality. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

: The Certified Peer Support Specialist (CPSS) is a peer over the age of 18 who has lived experience that they are willing to share with others to provide ongoing guidance, coaching, and support to individuals with mental health and/or substance use disorders, helping AOT clientele to navigate recovery and achieve their goals. This is a full-time, hourly position that will work Monday through Friday, 8am -5pm. What you'll be doing: Provide assistance to Client Registration / Crisis Department with the AOT team. For clients that may need the Crisis Respite Center (CRC), Peer Specialist would coordinate resources. These would include explaining the benefits of the CRC, assist in identifying items to take to the CRC, and coordination of transportation with an available case manager. Provide peer services in an individual and/or group setting as needed. Assist consumers in identifying barriers to their recovery, relapse and warning signs and problem solving / coping skills. Assist consumers in understanding their mental illness & developing support systems that will aide in the recovery process. Share personal experience with mental illness as appropriate and serve as a role model in promoting recovery. Provide and bill for peer services as medically necessary & according to established individual treatment plan. Maintain necessary administrative & clinical documentation of service activities. Complete other duties assigned. This job description is only a summary of the typical functions of the job and is not designed to be an exhaustive or comprehensive list of all possible duties, tasks, or responsibilities that are required of the employee as they may change, or new ones may be assigned at any time with or without notice. Qualifications What we're looking for: Certification by DMH as a Peer Specialist Ability to follow established protocol & work well with others. Ability to follow on-going training & supervision requirements. Good oral, interpersonal, and written communication skills Knowledge of community resources & recovery concept Demonstrates HEART while working with clients & co-workers. (Helpfulness, Encouragement, Acceptance, Respect & Timeliness) Reliable transportation with good 5 year motor vehicle record Benefits What we offer: Competitive medical, dental, and vision premiums State Retirement participation through RSA plus an optional 457b plan with a company match Nine (9) paid holidays throughout the year Ability to continually accrue up to 15 days of PTO a year (unused rolls over) Company-paid Group Life and AD&D insurance and Long-Term Disability Licensure reimbursement Tuition discounts through learning partnerships with Athens State University and Capella University We are compassionate towards those impacted by behavioral health disorders. We are dedicated to one another through collaboration and teamwork. We are optimistic problem-solvers who do what it takes to get the job done.

At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines. Title: Certified Peer/Recovery Specialist Supervisor: Program Director Summary of Job Description: The Certified Peer/Recovery Specialist (CPS/CRS) supports individuals within the program by partnering around challenges that can come with symptoms of a Mental Health and/or substance use disorder diagnosis. Through utilization of the WRAP plan and a Person-Centered approach, the CPS/CRS will help empower the member to identify and work towards their Blue-Sky goals. By providing unconditional and nonjudgmental listening while also supporting the utilization of skills needed for the member to begin creating a higher quality of life, the CPS/CRS serves as a mentor to those they serve. The CPS/CRS provides opportunities for individuals to direct their own recovery plan and support, build self-worth, wellness, empowerment, and self-advocacy. The CPS/CRS will promote and contribute to the development of a culture of recovery and hope within the program and agency. Specific Responsibilities: Conducts regularly scheduled meetings with members and appropriately engages them to identify interests, strengths, goals, dreams, and aspirations while offering encouragement and empowerment through shared experience. To enhance strengths and capabilities for members. Meet with members, in collaboration with the treatment team, to develop individualized treatment plan goals. Meet with members to collaborate on the development and utilization of their Wellness Recovery Action Plan (WRAP plan). Provide support and follow up on treatment interventions per treatment team. Facilitate groups based on RPS specific skills, passions, and member needs. Co-Facilitate skills groups and other groups as requested. Attend and participate in treatment team meetings, providing feedback regarding members and offering unique perspectives. Supports members in planning for and attending 12 Step Meetings, finding a Sponsor, doing Step Work when appropriate. Support Member use of DBT skills as taught by Team (training will be provided) Serve as an advocate for members while continually supporting, teaching, and encouraging self-advocacy skills. Support with welcoming newly admitted members to the Project Transition/ PCS Mental Health community. Assist in orientation to the program by sharing information on program structure and opportunities, tour and introductions to community and staff. Promoting community integration through the connection of resources by linking to supports, mutual-help groups, social clubs, volunteer and pay job opportunities. Serve as a role model with a willingness to appropriately share personal experience with members, families, and staff by demonstrating that recovery is possible. Support members in the development and implementation of their transition goals and plans. Provide timely documentation in electronic health record (EHR) regarding member progress, goals, struggles and utilization of skills and support. Timely documentation of any/all meaningful activities with Members, including groups, outside meetings, community outings, etc. Participation in agency internal workgroups, trainings, and meetings. Attend continuing education requirements as required. Maintain CPS/CRS Certification Additional Performance Expectations: Participate in multidisciplinary treatment team and will support and implement interventions and directives as directed by the Team. Always demonstrate compassion and concern when supporting a Member through embracing Project Transition/PCS Mental Health's Mission and Core Values. Approach Member engagement from a non-judgmental stance understanding that a Member's behavior is driven by experience, which may include trauma. Treat and speak to Members with supportive kindness even when a Member demonstrates intense behavioral or emotional actions. Staff will show Members dignity and respect for their values and lifestyles. Seek out appropriate support, consultation with Clinician or Psychiatrist (if applicable), in conjunction with the Program Director or obtain supervision, when they are uncertain about how to respond or support a Member effectively. Report back to the Treatment Team any observations of Member behavior that suggests Member may need additional treatment interventions and/or support. Engage with all external parties/ individuals with professionalism and with a positive customer service approach, understanding that they are always representing the organization. An understanding of an agreement to value the concepts of a Trauma Informed workplace. Qualifications: The CPS/CRS will have at least a high school diploma or equivalent (required); bachelor's degree (preferred) At minimum, an individual must meet the CPS/CRS training qualifications and is able to provide documentation of completing the CPS or RPS training in entirety. CPS/CRS must maintain certification throughout tenure of employment in this capacity. Skilled in Microsoft Office. High energy individual with strong work ethic and ability to multi-task Must be able to have fun in the workplace. Must be a self-motivator. Ability to maintain confidentiality. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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.