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Medical coder jobs in Georgia

- 363 jobs
  • Certified Medical Coder

    The Intersect Group 4.2company rating

    Medical coder job in Atlanta, GA

    We are seeking a detail-oriented and experienced Certified Medical Coder specializing in Gastroenterology (GI) to join our team. The ideal candidate will ensure accurate coding of diagnoses, procedures, and services in compliance with ICD-10-CM, CPT, and HCPCS guidelines, supporting optimal reimbursement and regulatory compliance. Job Responsibilities for the Certified Medical Coder: Review and accurately assign codes for GI-related procedures, diagnoses, and services from clinical documentation. Ensure compliance with CMS, payer-specific guidelines, and HIPAA regulations. Collaborate with physicians and clinical staff to clarify documentation and resolve coding discrepancies. Conduct audits and provide feedback to improve documentation quality. Stay current with coding updates, payer policies, and industry best practices. Assist with denial management and revenue cycle optimization. Job Requirements for the Certified Medical Coder: Certification: CPC, COC, or CCS required (AAPC or AHIMA). Experience: Minimum 2 years of medical coding experience, with a focus on Gastroenterology preferred. Strong knowledge of ICD-10-CM, CPT, HCPCS, and GI-specific coding guidelines. Familiarity with E/M coding and modifier usage. Proficiency in medical terminology, anatomy, and physiology. Excellent attention to detail and organizational skills. Ability to work independently and meet deadlines. For more information, please APPLY today!
    $54k-69k yearly est. 1d ago
  • Inpatient Coding Specialist - Facility

    Savista

    Medical coder job in Georgia

    Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical data, mitigates diagnosis, EM level, surgical CPT, and/or PCS coding-related claims scrubber edits, and may interact with client staff and providers. Essential Duties & Responsibilities: · Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level. · Validates either MS-DRG or APC assignments, as applicable. · Abstracts clinical data appropriately. · Mitigates either hospital inpatient coding-related claims scrubber edits or professional and technical coding-related claims scrubber edits. · Tolerates short-term assignments for up to two different clients. · Participates in client and Savista meetings and training sessions as instructed by management. · Maintains an ongoing current working knowledge of the coding convention in play at client assignments. · Performs other related duties as required. Minimum Qualifications: · An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential · One year of relevant, productive coding experience for the specific patient type being hired and within the last six months · Passing score of 80% on specific pre-employment tests assigned Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $28.00 - $34.00 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice
    $28-34 hourly Auto-Apply 60d+ ago
  • Inpatient Coder 3- (10K Sign-On Bonus Available)

    Augustahealth 4.8company rating

    Medical coder job in Georgia

    How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Various (United States of America) Job Summary: The Inpatient Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely. Core Responsibilities and Essential Functions: Codes and abstracts medical records with a minimum of accuracy. Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable Accurately and completely abstracts all required patient demographic data into the EMR Accurately assigns correct DRG/APC Meets productivity standards Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to: resolving coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days) Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible Completes assigned work by goal date Assists with coding unassigned or backlogged accounts Serves as a mentor to new coders Assist with cleaning up or escalating missing documentation or other work queues If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct. Required Minimum Education: High School Diploma or GED Preferred Certification(s): Cert Coding Spec (CCS) Reg Health Information Admin (RHIA) Reg Health Information Tech (RHIT) Required Minimum Experience: Minimum 3 years of acute care facility inpatient and/or IVR coding experience. Required Minimum Skills: Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles. Ability to work in a remote environment. Computer/data entry experience. Ability to communicate with various members of the healthcare team. Ability to use Microsoft (Excel, Word). Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
    $53k-65k yearly est. Auto-Apply 60d+ ago
  • Coder

    Quality Talent Group

    Medical coder job in Savannah, GA

    Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. to help train the next generation of programming-capable AI models!
    $32 hourly 7d ago
  • Medical Coding Specialist

    Piedmont Cancer Institute 3.7company rating

    Medical coder job in Atlanta, GA

    Welcome to Piedmont Cancer Institute - where patient care is more than a mission; it's a partnership and our values lead the way. For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlanta community, delivering exceptional cancer care built on a foundation of Compassion, Innovation, Communication, and Integrity. Today, our team includes 17 dedicated physicians, 20 skilled Advanced Practice Providers, across 6 locations (and growing) -all united in our commitment to excellence. At PCI, we blend cutting-edge treatments with deep clinical expertise and genuine compassion to offer truly comprehensive care. Our dedication goes beyond medicine-it's reflected in how we care for our patients, support their families, and collaborate with one another. No matter your position, a career at PCI offers more than a paycheck. It's a place where purpose meets passion, where connection fuels collaboration, and where your work makes a lasting impact. Why Join PCI? We're looking for talented individuals who share our passion for making a difference. If you value Compassion, embrace Innovation, prioritize open Communication, and act with Integrity, you'll thrive at Piedmont Cancer Institute-where every role plays a part in advancing hope and healing in our community. Here, you'll find purpose in your work. Job Description: This position is responsible for risk auditing physician documentation for appropriate CPT E&M and ICD-10-CM coding compliance and reporting this information back to management. Assist with medical record review to assure appropriate compliance. Excellent verbal and written communication skills required for reporting findings to management and physician leadership. KEY RESPONSIBILITIES AND DUTIES Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of hematology and oncology and effectively applies this knowledge. Abstracts pertinent information from the medical records and analyzes for appropriate CPT code and assigns appropriate ICD-10-CM codes as it pertains to Clinical Condition Categories based on CMS HCC categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. Assists with third party payors and other audit requests by compiling, organizing, and reviewing chart documentation as needed. Assists practice leadership and has a CDEO, CRC, or CPC certification to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues. Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters. Assists with monitoring and reporting to practice leadership matters related to coding compliance. Assists in the development of procedure manuals related to coding and billing compliance. Demonstrates outstanding work ethic and works cooperatively with all team members and management. JOB REQUIREMENTS Must have a Professional coding certification; CDEO, CRC or CPC certification preferred Minimum of 3 years coding experience while holding certification is required, oncology experience a plus Extensive knowledge of CPT E&M coding and ICD-10-CM outpatient diagnosis coding guidelines with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred KNOWLEDGE, SKILLS, AND ABILITIES Must have transportation to possibly travel to various Piedmont Cancer Institute PC sites around the Atlanta area to conduct audits of records. Knowledge of government, legal and regulatory provisions related to collection activities. Knowledge of government programs, i.e., Medicare and Medicaid. Knowledge of insurance company's policies and procedures. Knowledge of CPT, ICD-10-CM, and HCPCS coding. Knowledge of anatomy and medical terminology. Ability to prioritize work and manage time efficiently. Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data. Effective communication skills at all levels within an organization and excellent customer service skills. Piedmont Cancer Institute is an Equal Opportunity Employer. Job Type: Full-time Pay: From $26.00 per hour Benefits: 401(k) Dental insurance Employee assistance program Employee discount Health insurance Life insurance Paid time off Referral program Vision insurance Medical Specialty: Hematology Oncology Physical Setting: Clinic Outpatient
    $26 hourly Auto-Apply 51d ago
  • Certified Medical Coder

    Marietta Dermatology Associates Pa Inc.

    Medical coder job in Marietta, GA

    Job DescriptionDescription: The Certified Medical Coder is responsible for analyzing medical records and identifying documentation deficiencies. They serve as subject matter experts for other coders within the billing department and review documentation to verify diagnoses, procedures, and treatment results. JOB RESPONSIBILITIES · Communicate effectively with individuals at all levels of the organization, demonstrating strong written and written communication skills. · Perform CPT and ICD-10 coding under the direction of the Coding Lead and Revenue Cycle Manager, ensuring accuracy and maximum reimbursement. · Apply knowledge of anatomy, physiology, disease processes, medical terminology, coding guidelines for outpatient and ambulatory surgery, and documentation requirements. · Work both independently and as part of a team, demonstrating strong attention to detail and process orientation. · Manage multiple tasks, organize and prioritize work assignments, and maintain accuracy under pressure. · Review and code both electronic and paper medical records. · Verify the completeness and accuracy of diagnosis, procedures, evaluations, and management components in medical records. · Review principal diagnoses, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs using ICD-10, CPT, HCPCS (all levels), and other coding systems as required. · Conduct quality assurance checks on data prior to transmittal, correcting errors as needed. · Analyze medical record documentation for consistency and completeness, using established criteria and regulations for coding purposes. · Ensure that all documents in the medical record contain authorized signatures and accurate patient identification, verifying that the diagnosis and treatment are appropriately documented. · Meet and exceed productivity goals set by the Coding Lead and department manager. · Ensure accurate and appropriate sequencing of ICD, CPT, and HCPCS codes and modifiers according to official guidelines. · Perform additional duties as assigned. Requirements: KNOWLEDGE · Working knowledge of medical billing practices. · Familiarity with payers, payer polices, and payer engines. · Knowledge of HIPAA requirements regarding patients and medical records. · Understanding of medical terminology, basic anatomy, and physiology. SKILLS · Proficient in computer skills, 10-key, and other office hardware. · Strong mathematical skills. · Excellent written and verbal communication skills. · Initiative to provide high-quality services and improve practice efficiency. · Ability to maintain positive working relations with co-workers. · Effective time management and organizational skills. ABILITIES · Ability to interact professionally and courteously with patients, effectively communicate with both patients and vendors, and remain calm under stress. · Ability to understand and interpret policies and regulations. · Ability to prepare documents in response to complaints and inquiries. · Ability to examine documents for accuracy and completeness. MININUM QUALIFICATIONS · Certified Professional Coder (CPC) certification required. · Minimum of two years of practical coding experience; previous dermatology experience is a plus but not required. · High school diploma or equivalent required. · Proficient in MS Office (Word, Excel, PowerPoint) · Knowledge of Medicare Documentation Guidelines. · Experience in Evaluation and Management (E/M) coding. · Proficiency in ICD-10 and CPT/HCPCS coding rules. · Knowledge in using practice EMR, specifically EMA, is a plus. ADA Requirements: Candidates must be able to perform the essential functions of the position with or without a reasonable accommodation. Physical Requirements: Tasks require the ability to exert light physical effort in sedentary to light work, which may involve some lifting, carrying, pushing, and/or pulling of objects and materials of light weight (5-10 lbs). Tasks may also involve extended periods of time at a keyboard or workstation. Work Environment: Essential functions are regularly performed without exposure to adverse environmental conditions.
    $37k-52k yearly est. 7d ago
  • Practice Coding Specialist - Practice

    Mynorthsidecareer

    Medical coder job in Atlanta, GA

    Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Responsible for coding procedures and entering charges to comply with federal/state regulations and internal policies. Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present to support selected procedure codes or to code cases as needed. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improved coding issues identified. Qualifications REQUIRED: 1. Must have a coding credential (RHIA, RHIT, CPC, CCS, RN). 2. Must have minimum of 2 years hospital and/or physician practice coding experience or successful completion of the one-year Revenue Integrity Internship Program. 3. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel. 4. Knowledge of Microsoft Office products. PREFERRED: 1. B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration preferred. 2. Three to five years of experience in a hospital and/or physician practice setting. Work Hours: 7:30-4 Weekend Requirements: No On-Call Requirements: No
    $37k-52k yearly est. Auto-Apply 49d ago
  • Medical Coding specialist

    Careperks LLC

    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. #hc181434
    $37k-52k yearly est. 20d ago
  • Medical Coder

    Robert Half 4.5company rating

    Medical coder job in Atlanta, GA

    Description We are looking for a detail-oriented Medical Coder to join our team on a long-term contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is based in Atlanta, Georgia, and offers the opportunity to contribute to the efficiency and compliance of healthcare documentation processes. Responsibilities: - Review inpatient medical records to assign accurate ICD-10-CM and CPT codes. - Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines. - Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies. - Stay updated on coding standards, payment systems, and healthcare regulations. - Participate in audits and quality improvement initiatives to ensure coding accuracy. - Protect the confidentiality and integrity of patient information throughout the coding process. - Meet established productivity and accuracy benchmarks to support organizational goals. - Assist in staff training efforts to enhance coding knowledge and compliance. Requirements - Proven experience in medical coding, including proficiency in ICD-10 and CPT coding systems. - Certification in medical coding (e.g., CPC, CCS, or equivalent). - Strong understanding of outpatient and inpatient coding guidelines. - Familiarity with healthcare regulations and payer policies. - Ability to work collaboratively with clinical and administrative teams. - Excellent attention to detail and organizational skills. - Knowledge of prospective payment systems and healthcare compliance standards. TalentMatch Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
    $35k-45k yearly est. 22d ago
  • Coder II

    Southwell, Inc.

    Medical coder job in Tifton, GA

    DEPARTMENT: CODING FACILITY: Tift Regional Medical Center WORK TYPE: Full Time SHIFT: Daytime Under the supervision of the Coding Supervisors and Manager, the Coder II assigns codes to discharge records for inpatients, outpatients and emergency room patients based on diagnoses and operative procedures. RESPONSIBILITIES: * Selection/sequencing of principal and secondary diagnosis done correctly at least 98% of the time. * Uses manual or computer encoder for appropriate coding system (ICD-9-CM or CPT) to assign code to completely describe physician documentation of diagnosis or procedure. * If diagnosis is unclear, contacts documentation specialists for query. * Ensures corrections made by physician and other medical personnel are properly recorded and complete. * Enters coded information in computer system for billing purposes. * Meets minimum standard of 98% productivity requirements. * Assists case managers in coding and reimbursement issues. * Abstracts designated statistical data from patient record and enters the information into the abstract database. * Abstracts all appropriate data at least 98% of the time. * Releases confidential information only in accordance with hospital policy. * Assures security of departmental files in accordance with departmental policy. * Codes records according to industry standards without regard to reimbursement. * Knows emergency procedures for fire, safety, hazardous material utility system failure, and disasters. * Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. ("TRHS") policies as they presently exist and as they change or are modified. * Understands and adheres to: TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information. * Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position. * Offers suggestions on ways to improve operations of department and reduce costs. * Attends all mandatory education programs. * Improves self-knowledge through voluntarily attending continuing education/certification classes. * Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements. * Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department. * Volunteers/participates on hospital committees, functions, and department projects. * Manages resources effectively. * Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel. * Makes good use of time so as to not create needless overtime. EDUCATION: * High School Diploma or Equivalent CREDENTIALS: * Certified Coding Associate * Certified Professional Coder * REGISTERED HEALTH INFORMATION TECHNOLOGIST * Certified Coding Specialist * REGISTERED HEALTH INFORMATION ADMINISTRATOR OTHER INFORMATION: In addition to high school diploma or equivalent, Certified Coding Associate (CCA), Certified Professional Coder (CPC), or Registered Health Information Technologist (RHIT) credential is required. At least 2 years of coding experience is preferred. A score of 85% or higher on internal coding test required. Southwell/Tift Regional Health System, Inc. is an Equal Opportunity Employer.
    $38k-52k yearly est. 60d+ ago
  • Medical Coder III

    Fresenius Medical Care Windsor, LLC 3.2company rating

    Medical coder job in Kennesaw, GA

    You will be able to work from your home location within the United States PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate ESRD designation. Reviews medical records for the determination of accurate assignment of all documented ICD-10 codes for diagnoses and procedures. Uses discretion, experience and specialized coding training to accurately assign ICD-10 codes to patient medical records. Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by Fresenius policy. Reviews medical records to determine accurate required abstracting elements (clinic specific elements) including appropriate discharge disposition. Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. Evaluates and prepares as indicated daily, weekly and monthly reports indicating quality levels and opportunities for charge capture and revenue maximization. Monitors, prepares and presents reports including, but not limited to, Medical Record Delinquency Rates, Clinical Pertinence, H & P Compliance, Operative Note Compliance Develops and delivers education to horizontal and vertical audiences on coding and charge capture. Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10 coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10 and CPT updates) for outpatient coding. Quarterly review of AHA Coding Clinic. Attends or facilitates Quarterly Coding Updates and all coding conference calls. Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: Ability to sit for extended periods of time. Must be able to efficiently use computer keyboard and mouse to perform coding assignments. Capacity to work independently in a virtual office setting or in clinic setting if required to travel for assignment. Duties may require bending, twisting and lifting of materials up to 25 lbs. Duties may require travel via, plane, care, train, bus, and taxi-cab. EDUCATION: AHIMA or AAPC Credentials Associates degree in relevant field preferred or combination of equivalent of education and experience EXPERIENCE AND REQUIRED SKILLS: 2+ years related experience. Must be detail oriented and have the ability to work independently Computer knowledge of MS Office Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations State and federal regulations regarding patient confidentiality Excellent verbal/written communication and interpersonal skills Thorough/detailed knowledge of ICD-10 and CPT coding systems Skilled in formulating and writing statistical reports Skilled in performing quality assessment/analysis Must display excellent interpersonal skills Knowledge of disease pathophysiology and drug utilization Knowledge of MSDRG classification and reimbursement structures Knowledge of APC, OCE, NCCI classification and reimbursement structures Fresenius Medical Care maintains a drug-free workplace in accordance with EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form EOE, disability/veterans
    $34k-44k yearly est. Auto-Apply 16d ago
  • Coder - Inpatient

    Children's Healthcare of Atlanta 4.6company rating

    Medical coder job in Atlanta, GA

    Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 7:00 AM Shift End Time 3:30 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters. Experience * 3 years of experience in a hospital inpatient setting Preferred Qualifications * No preferred qualifications Education * High school diploma or equivalent Certification Summary Minimum of one of the following: * Registered Health Information Technologist (RHIT) * Registered Health Information Administrator (RHIA) * Certified Coding Specialist (CCS) * Certified Inpatient Coder (CIC) Knowledge, Skills, and Abilities * Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, coding guidelines, and computers * Proven detail orientation and good problem-solving related to coding Job Responsibilities * Reviews the medical record, identifies the diagnoses and procedures, and assigns ICD-10-CM diagnosis and ICD-10 PCS procedure codes for inpatient accounts. * Abstracts diagnostic and PCS procedural codes and other pertinent data into the network system as defined in policy and procedures. * Reviews/monitors assigned work queues and missing documentation encounters as needed, and codes and abstracts any accounts that were missed. * Provides information on specific problem accounts to the Coding Supervisor. * Other duties as assigned. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address Used for remote worker assignment Job Family Coding
    $48k-57k yearly est. 37d ago
  • Medical Coder - Wound Care

    Pinnacle Wound Management

    Medical coder job in Gainesville, GA

    Medical Coder - Wound Care (Long -Term Care) About Us Pinnacle Wound Management is a physician -led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long -term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long -term care and post -acute settings, ensuring compliance with ICD -10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth Release daily coding batches to support timely revenue cycle processing Code red -label (cellular tissue) products and ensure proper documentation of lot numbers and graft application details Assist and work closely with the billing team to correct coding errors and resolve claim rejections/denials Generate detailed coding reports and batch logs for submission to the Director of Operations Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance Monitor payer and CMS updates impacting wound care coding, documentation, and compliance Maintain coding accuracy, productivity standards, and adherence to compliance regulations Qualifications Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent Minimum 2 years of experience in medical coding; wound care or long -term care experience highly preferred Strong knowledge of ICD -10, CPT, and HCPCS coding guidelines Ability to code directly from clinical notes/documentation without superbill support Experience coding cellular tissue/red -label products a plus Proficient in generating coding reports, logs, and error correction documentation Detail -oriented with excellent organizational skills and ability to manage coding batches daily Comfortable working independently with minimal supervision What We Offer Competitive compensation package Opportunity to specialize in wound care and advanced procedures in the long -term care space Supportive team environment focused on compliance and patient -centered outcomes
    $37k-52k yearly est. 24d ago
  • Medical Coder

    Four Winds Health 4.0company rating

    Medical coder job in Newnan, GA

    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
    $37k-44k yearly est. 10d ago
  • HCC Risk Adjustment Coder - Full Time

    Datavant

    Medical coder job in Atlanta, GA

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. You will: Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the project. The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and accreditation guidelines. Coders must meet and maintain a 95% coding accuracy rate. Any other task requested by leadership. What you will bring to the table: AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). A minimum of 2 years HCC coding experience, while certified. Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. Ability to be flexible in the work environment. Ability to work in a fast paced production environment while maintaining high quality. Must be able to follow instructions, meet deadlines and work independently. Excellent written and verbal communication skills, problem solve, ability to work in a remote environment, and time management skills. Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data. Must be able to use Microsoft Office with no training. Ability to be able work on multiple client projects simultaneously, if needed. This position has a base pay of $19.60/hour plus the option to earn up to $3.25 per chart based on quality and production. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our .
    $19.6 hourly Auto-Apply 20d ago
  • Medical Coder and Abstractor [PR0002A]

    Evoke Consulting 4.5company rating

    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 Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on 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 Medical Coder and Abstractor 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/abstract office and hospital procedures for reimbursement. 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 Medical Coder and Abstractor 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 medical coder 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 Ability to multitask, prioritize, and manage time efficiently Excellent verbal and written communication skills Goal-oriented, organized team player 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 medical coder 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 ------------ ------------ ------------ 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 ------------ ------------ ------------ 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. ----------- ------------ ------------ 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.
    $51k-65k yearly est. Easy Apply 18h ago
  • Coder II

    St. Mary's Health Care System Inc. 4.8company rating

    Medical coder job in Athens, GA

    . Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/ clinical sites/departments. Interprets, researches and resolves issues and problems that arise. ESSENTIAL FUNCTIONS 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2. Performs coding for hospital-based surgeries, inpatient and outpatient, identified by a TC Epic surgical placeholder. Communicates with provider if additional information is needed to complete the surgical coding. 3. Interprets and resolves charge review and claim edit errors for provider coded services, including, but not limited to surgical, high acuity, critical care, and other complex service lines of business. 4. Responsible for reviewing clinical documentation to determine accurate ICD-10, CPT, HCPCS, and modifier assignment. 5. Research all information needed to complete coding process. Reaches out to provider if additional clarification is needed to support or missing coded services. 6. Adheres to coding quality and productivity standards as established by Revenue Excellence; maintains accuracy of 95% or greater per coding audits. 7. Responsible for charge capture reconciliation and discrepancy resolution for assigned department, services, and/or providers. 8. Identifies and facilitates additional review of services as needed by Regional Certified Coding leadership. 9. Adheres to and follows daily, weekly & monthly productivity requirements. 10. Resolves coding discrepancies related to coding and revenue capture. 11. Participates in the liaison process between the Centralized Coding, Providers, Managers, and Leadership which includes support for Coder knowledge and learning. 12. Maintains relevant education to perform essential functions and keeps coding credentials (i.e., CPC, CCS-P, RHIT, or equivalent accreditation) up to date. Maintains CEUs as appropriate for coding credentials as required by credentialing organizations and in order to maintain current knowledge of coding guidelines and regulations. 13. Serves as a resource for providers, managers, peers. 14. Other duties as needed and assigned by the manager. 15. Maintains a working knowledge of applicable Federal, State, and local laws/regulations, the Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $36k-46k yearly est. 7d ago
  • Outpatient Coding/Abstracting Specialist

    Hamilton Health Care System 4.4company rating

    Medical coder job in Dalton, GA

    Job Details HAMILTON MEDICAL CENTER - DALTON, GA Optional Work from Home Full Time Varies Health Information Management / Medical RecordsDescription 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. Qualifications JOB QUALIFICATIONS Education: Graduate of AHIMA accredited HIA or HIT program with completion of basic coding courses, required. Licensure: AHIMA or AAPC approved credential(s)- RHIA, RHIT, CCS, CPC, CCA or equivalent. Experience: Minimum of one year experience coding ICD-10-CM & CPT-4 in an acute care hospital. Skills: Knowledge of Medical Record content for emergency room, outpatient surgery and observation visits. Knowledge of medical terminology, anatomy & physiology, APC assignment, and ICD10-CM & CPT-4 coding systems Ability to examine the chart and verify documentation needed for accurate code assignment Good decision-making Organized with attention to detail and quality Ability to prioritize workload and strong recall and recognition skills Ability to perform computer functions in Microsoft Windows Good verbal, written and computer communication skills PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS Works in a typical office setting. Frequent sitting, and long periods of reviewing records from a computer screen. Prolonged sitting and eye strain with concentrated effort over detail work. Requires a moderate amount of working with computers. Requires walking up and down stairs. Requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift sitting. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, codes, report types, as well as hand dexterity to enter data. Work assignments require consistent periods of sitting. Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously. Ability to flex neck for reviewing documents on dual monitors. Ability to communicate clearly and understandably on the telephone and in person. Ability to understand the spoken word on the telephone and in person. WORKING CONDITIONS This position must practice good organization skills due to interruptions and interactions with other team members. Position must be able to work in a team environment and be self-directed enough to work alone when necessary, with the opportunity to work remotely. Must remain calm under stress and must be able to appropriately handle an irate person when the occasion arises (i.e., physician, hospital employee, patient). Full-Time Benefits 403(b) Matching (Retirement) Dental insurance Employee assistance program (EAP) Employee wellness program Employer paid Life and AD&D insurance Employer paid Short and Long-Term Disability Flexible Spending Accounts ICHRA for health insurance Paid Annual Leave (Time off) Vision insurance
    $46k-57k yearly est. 34d ago
  • Medical Coder I/II

    Mercer University 4.4company rating

    Medical coder job in Macon, GA

    Application Instructions: External Applicants: Please upload your resume on the Apply screen. Your application will automatically populate your resume details, and you may verify and update data on the My Information page. IMPORTANT: Please review the job posting and load ALL documents required in the job posting to the Resume/CV document upload section at the bottom of the My Experience application page. Use the Select Files button to add multiple documents including your Resume/CV, references, cover letter, and any other supporting documents required in the job posting. The "My Experience" page is the only opportunity to add your required supporting document attachments. You will not be able to modify your application after you submit it . Current Mercer University Employees: Apply from your existing Workday account. Do not apply from the external careers website. Log in to Workday and type Jobs Hub in the search bar. Locate the position and click Apply. Job Title:Medical Coder I/II Department:Mercer Medicine College/Division:School Of Medicine Primary Job Posting Location: Macon, GA 31207 Additional Job Posting Locations: (Other locations that this position could be based) Job Details:Mercer Medicine is searching for a Medical Coder for the Macon, Georgia clinic. Responsibilities: The Medical Coder I/II will evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the patient encounters. Provide technical guidance to physicians and other department staff in identifying and resolving issues or errors. This coder will work under minimal supervision. Qualifications: High school diploma/GED. Coder I: At least one year of coding experience or 6 months of coding experience with an accompanying certificate from an accredited facility/institution. Coder II: AHIMA or AAPC certification is required along with 1 year of experience using ICD and CPT in a physician practice, hospital, or clinic. Knowledge/Skills/Abilities: Know and understand the relationship between CPT and ICD and the assignment of codes in order to accurately bill for physician services. Ability to effectively communicate with all levels of health care providers in order to query for specific coding information. Resolves any questions concerning diagnoses, procedures, clinical content of record or code selection through research and communication to bill at correct level of reimbursement. Knowledge of Medicare and Medicaid [CMS] regulations for reimbursement and timeliness of claims submission. Maintain confidentiality of patient information, employee information and other information covered by regulations and professional ethics. Understanding of billing cycle and its effect on revenue. Understanding of commercial insurance contractual adjustments and balance billing. Background Check Contingencies: - Criminal History Document Attachments: - Resume - Cover letter - List of three professional references with contact information Why Work at Mercer University Mercer University offers a variety of benefits for eligible employees including comprehensive health insurance (for self and dependents), generous retirement contributions, tuition waivers, paid vacation and sick leave, technology discounts, schedules that allow for work-life balance, and so much more! At Mercer University, a Bear is more than a mascot: it's a frame of mind that begins with a strong desire to make the most out of your career. Mercer Bears do not settle for mediocrity or the status quo. If you're seeking an environment where your passion and determination are embraced, then you want to work at Mercer University. For more information, please visit: ********************************** Scheduled Weekly Hours:40 Job Family:Staff Clinical Services Non-exempt EEO Statement: EEO/Veteran/Disability
    $38k-47k yearly est. Auto-Apply 60d+ ago
  • Coder II

    Trinity Health Corporation 4.3company rating

    Medical coder job in Athens, GA

    . Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/ clinical sites/departments. Interprets, researches and resolves issues and problems that arise. ESSENTIAL FUNCTIONS 1. Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. 2. Performs coding for hospital-based surgeries, inpatient and outpatient, identified by a TC Epic surgical placeholder. Communicates with provider if additional information is needed to complete the surgical coding. 3. Interprets and resolves charge review and claim edit errors for provider coded services, including, but not limited to surgical, high acuity, critical care, and other complex service lines of business. 4. Responsible for reviewing clinical documentation to determine accurate ICD-10, CPT, HCPCS, and modifier assignment. 5. Research all information needed to complete coding process. Reaches out to provider if additional clarification is needed to support or missing coded services. 6. Adheres to coding quality and productivity standards as established by Revenue Excellence; maintains accuracy of 95% or greater per coding audits. 7. Responsible for charge capture reconciliation and discrepancy resolution for assigned department, services, and/or providers. 8. Identifies and facilitates additional review of services as needed by Regional Certified Coding leadership. 9. Adheres to and follows daily, weekly & monthly productivity requirements. 10. Resolves coding discrepancies related to coding and revenue capture. 11. Participates in the liaison process between the Centralized Coding, Providers, Managers, and Leadership which includes support for Coder knowledge and learning. 12. Maintains relevant education to perform essential functions and keeps coding credentials (i.e., CPC, CCS-P, RHIT, or equivalent accreditation) up to date. Maintains CEUs as appropriate for coding credentials as required by credentialing organizations and in order to maintain current knowledge of coding guidelines and regulations. 13. Serves as a resource for providers, managers, peers. 14. Other duties as needed and assigned by the manager. 15. Maintains a working knowledge of applicable Federal, State, and local laws/regulations, the Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $31k-38k yearly est. 7d ago

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Top 10 Medical Coder companies in GA

  1. Quality Talent Group

  2. Piedmont Healthcare

  3. Datavant

  4. Augusta Health

  5. BayCare Health System

  6. Evoke Consulting

  7. Hamilton Health Care System

  8. Savista

  9. WellStreet

  10. Heart & Vascular Center of West TN

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