Medical coder jobs in Mableton, GA

**About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

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

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

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. 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.

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.

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

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) .

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 .

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Biller and Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job. DUTIES: Remain HIPAA and OSHA compliant. Translate patient information and alphanumeric medical code entries. Electronic “clean” claims submissions to Insurance Carriers. Collect, post, and manage patient account payments. Sort and file paperwork. Analyzing and correcting coding errors. Ensure healthcare facilities are reimbursed for all procedures. Follow Up on accepted or denied claims. Review denied claims for denial reasons and provide resolution. Investigate insurance fraud and report if found. Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding. Qualifications: A minimum of 2 years' experience as a Medical Biller or similar role. Knowledge of unfair debt collection practices and insurance guidelines. Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS Computer proficiency and medical billing software Must have the ability to multitask and manage time effectively. Excellent written and verbal communication skills. Outstanding problem-solving and organizational abilities. Productivity Driven. EDUCATION AND EXPERIENCE: High School, Associate Degree or 1-3 years of Billing and Coding experience Professional Certification preferred Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

This position of moderate difficulty is responsible for providing a variety of case management and outreach interventions to consumers in their natural environment. Individual serves as advocate in assisting consumers in accessing community resources, teaching and modeling self-help and coping skills. Must be able to develop WRAP Plans. Minimum Training & Experience: A Certified Peer Specialist certificate, or certificate eligible within six months. Preferred Qualifications: Preference will be given to applicants who, in addition to meeting the minimum qualifications, possess one or more years in recovery. Problem Solving / Decision Making Skills: Must have excellent assessment and crisis management skills. Candidate will work closely with metro area hospitals, city/county jails and courts. Must be able to negotiate system boundaries. TRAIME BEHAVIORAL HEALTH INC is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Biller and Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job. DUTIES: * Remain HIPAA and OSHA compliant. * Translate patient information and alphanumeric medical code entries. * Electronic "clean" claims submissions to Insurance Carriers. * Collect, post, and manage patient account payments. * Sort and file paperwork. * Analyzing and correcting coding errors. * Ensure healthcare facilities are reimbursed for all procedures. * Follow Up on accepted or denied claims. * Review denied claims for denial reasons and provide resolution. * Investigate insurance fraud and report if found. * Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding. Qualifications: * A minimum of 2 years' experience as a Medical Biller or similar role. * Knowledge of unfair debt collection practices and insurance guidelines. * Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS * Computer proficiency and medical billing software * Must have the ability to multitask and manage time effectively. * Excellent written and verbal communication skills. * Outstanding problem-solving and organizational abilities. * Productivity Driven. EDUCATION AND EXPERIENCE: * High School, Associate Degree or 1-3 years of Billing and Coding experience * Professional Certification preferred Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.

Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. Build lasting relationships that encourage repeat business and client referrals. Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. Educate customers on product features, benefits, and performance differences across brands. Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. Ensure equipment, software, and technology remain functional and calibrated. Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth Achieve key performance indicators (KPIs) such as: Lessons and fittings completed Sales per hour and booking percentage Clinic participation and conversion to sales Proactively grow the STUDIO business through client outreach, networking, and relationship management. Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. Experience: 2+ years of golf instruction and club fitting experience preferred. Experience with swing analysis tools and custom club building highly valued. Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. Availability: Must maintain flexible availability, including nights, weekends, and holidays. Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.

Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season. HEDIS Course: Includes - Medical Terminology - Introduction to HEDIS - HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc) - Interview Tips Self-Paced Course https://courses.medicalabstractortemps.com/courses/navigating-hedis-2026

Job DescriptionBilling & Coding Specialist Job Type: Full-Time About Us At COCAS & ME Living, we provide housing, therapy, case management, and recovery programs for individuals and families overcoming domestic violence, substance abuse, incarceration, and homelessness. As we expand our Medicaid, Medicare, and insurance-billable services, we are seeking a Billing & Coding Specialist to ensure accurate, compliant, and timely billing that sustains our mission. Position Summary The Billing & Coding Specialist is responsible for managing the full cycle of medical and program billing, including coding accuracy, claims submission, payment posting, and denial management. This role ensures the organization maximizes reimbursement while staying compliant with regulations. Key Responsibilities Accurately assign ICD-10, CPT, and HCPCS codes for therapy, medical, housing-related, and case management services. Submit claims to Medicaid, Medicare, and private insurance providers. Track claims, post payments, and resolve denials or rejections. Maintain compliance with HIPAA, CMS, and payer-specific requirements. Work with case managers and therapists to ensure proper documentation for billing. Generate billing reports for leadership and finance teams. Assist with audits and maintain accurate billing records. Skills & Competencies Proficiency in medical coding (ICD-10, CPT, HCPCS). Knowledge of Medicaid/Medicare rules and billing processes. Experience with EHR/EMR systems and billing software. Strong organizational and recordkeeping skills. Analytical problem-solving for denial management. Attention to detail and ability to meet deadlines. Qualifications Certified Professional Coder (CPC, CCA, or equivalent) preferred. 13 years experience in medical billing & coding. Experience with nonprofit or behavioral health billing a plus. Familiarity with Medicaid waiver programs and housing support services is beneficial. Compensation & Benefits Pay: $18 $27 per hour (based on certification & experience). Flexible schedule (remote/hybrid options available). Opportunities for growth into Billing Supervisor or Revenue Cycle Manager roles. Join a mission-driven organization making a lasting impact. How to Apply Send your resume + certifications to: ************ Questions? Call us: ************ Learn more: ************* *********************************************************************************** Use subject line: Billing & Coding Specialist Application [Your Name]

Job Description Culture and Values: At Pandya Medical Center, we believe in going above and beyond for every patient. Our team members are dedicated professionals who truly care about making a difference. We listen, understand, and treasure each personal story shared by our patients. Our commitment extends beyond our clinic walls, with active involvement in community health fairs and volunteering initiatives. We are a highly reputed medical practice in North Atlanta, offering strong growth opportunities and robust benefits for our employees. Be a part of our dynamic team and take your career to the next level with Pandya Medical Center. Job Summary The Medical Billing & Coding Specialist assures accurate and complete coding information is collected and reported to private insurance and Medicare to help complete the revenue cycle. The specialist will scrub encounters for accurate coding prior to claim creation, assure correct modifiers and ICD10 diagnosis codes are allocated to each CPT code, ensure timely claim submissions and follow-up on claim denials. The candidate should have knowledge of insurance regulations and medical coding with the goal of maximizing accurate third-party billing and minimizing denials. The position is full time with competitive salary, and strong benefits including PTO, health insurance and 401k match. The ideal candidate will be able to be present at our administrative office in the Johns Creek area. If you are an experienced and motivated Medical Billing & Coding Specialist who wants to grow with a thriving medical practice, we encourage you to apply today and join our dedicated team at Pandya Medical Center. Duties and Responsibilities Accurate and timely submission of medical claims to insurance companies and other payers Review and analyze medical records to ensure appropriate coding of diagnoses and procedures Document for providers and management any insufficient or unclear information on claims Assign or reassign CPT, HCPCS, and ICD-10-CM codes as needed Follow up on unpaid claims and initiate appeals for denied claims within 30 days of submission. Track the progress of claims through the clearinghouse and promptly address any issues Resolve patient billing issues and questions via phone and email in a timely fashion Stay updated on healthcare regulations, medical terminology, and coding practices Follow HIPAA guidelines when accessing and sharing patient information Additional job related duties or projects as needed Qualifications and Skills Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting Certified Professional Coder thru AAPC or a Certified Coding Specialist thru AHIMA - Required Knowledge of insurance guidelines including HMO/PPO, Medicare and other payers' requirements and systems Knowledge of CPT, ICD-10, HCPCS Coding and utilization of modifiers Knowledge of medical billing rules, modifiers, and strong understanding of EOBs and ERAs Competent in computer skills, Microsoft Office or similar software Experience with AthenaHealth EHR is preferred or other similar EHR systems such as Epic, or eClinicalWorks Experience with Family Practice and Primary Care outpatient billing (Preferred) Exceptional Customer Service skills for interacting with patients regarding medical claims and payments Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Strong understanding of patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Benefit Eligibility Health insurance Dental and Vision plans Supplemental insurance plans 401K match plan with up to 4% by Pandya Medical Center Paid Time Off

Job Description About the Role: The Medical Records/Billing Specialist plays a crucial role in the healthcare system by ensuring that patient records are accurately maintained and billing processes are efficiently executed. This position is responsible for managing patient information, including medical histories, treatment plans, and billing details, to facilitate seamless healthcare delivery. The specialist will work closely with healthcare providers to ensure that all documentation meets regulatory standards and is readily accessible for patient care. Additionally, they will handle billing inquiries, process insurance claims, and ensure timely payments, contributing to the financial health of the organization. Ultimately, the Medical Records/Billing Specialist ensures that both patient care and administrative functions operate smoothly and effectively. Minimum Qualifications: High school diploma or equivalent. Experience in medical billing and coding or a related field. Knowledge of healthcare regulations and medical terminology. Preferred Qualifications: Associate's degree in health information management or a related field. Certification as a Medical Billing Specialist (CMBS) or similar credential. Experience with electronic health record (EHR) systems. Responsibilities: Maintain and update patient medical records in compliance with healthcare regulations. Process billing and insurance claims accurately and in a timely manner. Assist Office Nurse with scheduling patient visits. Ensure confidentiality and security of patient information in accordance with HIPAA regulations. Skills: The required skills for this role include attention to detail, which is essential for accurately maintaining patient records and processing billing information. Strong communication skills are necessary to effectively interact with patients, healthcare providers, and insurance representatives. Proficiency in medical coding and billing software is crucial for efficient claim processing and ensuring compliance with regulations. Additionally, organizational skills are important for managing multiple tasks and maintaining accurate records. Preferred skills, such as familiarity with EHR systems, enhance the ability to streamline workflows and improve overall efficiency in the medical billing process.

The Coding Specialist is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for professional services across a multi-specialty medical group. This position ensures compliant, complete, and timely coding of all encounters to support proper claim submission, revenue integrity, and clinical documentation accuracy. The specialist will collaborate closely with providers, billing, and revenue cycle teams to resolve coding-related denials and identify process improvement opportunities. Key Responsibilities Assign appropriate ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines, payer policies, and organizational standards. Review provider documentation for accuracy and completeness, querying providers when clarification is needed to ensure correct code assignment and compliance with regulatory standards. Monitor and analyze claim rejections, denials, and trends to identify root causes and recommend corrective actions. Provide feedback and education to providers and staff regarding documentation improvement and coding updates. Participate in internal audits and quality assurance reviews to maintain a high level of coding accuracy. Collaborate with billing and A/R teams to resolve coding-related issues impacting reimbursement. Initiate follow-up communication with clients, payers, and internal departments to ensure timely resolution of coding and billing discrepancies. Education High School Diploma or equivalent required. Completion of an accredited medical coding or health information management program preferred. Experience Minimum of one (1) year of professional coding experience in a multi-specialty or physician practice setting required. Experience with EPIC EHR. Licenses & Certifications Required: Certified Professional Coder (CPC, CIC, COC, CCS, or CCS-P) or equivalent certification. Specialty certification (e.g., AAPC specialty credentials) preferred. Knowledge, Skills & Abilities Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and official guidelines. Familiarity with insurance payer rules, billing processes, and denial management. Strong analytical and problem-solving skills with the ability to interpret data and form actionable recommendations. Proficient in Microsoft Office applications (Word, Excel, Outlook). Excellent attention to detail, organizational, and time management skills. Effective communication and interpersonal abilities; capable of working independently and collaboratively within a team environment. Professional demeanor and commitment to maintaining confidentiality and compliance with HIPAA regulations.