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).
JOB SUMMARY:
The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement.
Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coding Specialist III may interact with client staff and providers.
JOB ACCOUNTABILITIES:
Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but is not limited to: Acute Inpatient, Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic) / Recurring; Interventional Radiology; Hospital Clinic
Review and analyze clinical records to ensure that MSDRG/APC assignments accurately reflect the diagnoses/procedures documented in the clinical record.
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.
Complete assigned work functions utilizing appropriate resources.
May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.
Maintain strict patient and provider confidentiality in compliance with HIPPA
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
Support Savista's Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information.
Performs other related duties as assigned or requested.
QUALIFICATIONS:
Candidates must successfully pass pre-employment skills assessment. Required:
An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.
Three (3) years of recent and relevant hands-on coding experience with all record types:
- Acute Inpatient, Observation/Rehabilitation/Psychiatric/SNF; Ambulance and Ambulatory Surgery; Wound Care, Emergency Department, Ancillary (Diagnostic) / Recurring; Interventional Radiology; Hospital Clinic; Physician Pro Fee; Technical Fee; Evaluation and Management.
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets.
Ability to consistently code at 95% threshold for both accuracy and quality while maintaining client-specific and/or Precyse production and/or quality standards
Proficient computer knowledge including basic MS Office knowledge. Basic MS Office knowledge includes data entry, sort, filter, copy, paste and password protect functions in Excel and/or Word programs. Basic MS Outlook knowledge is opening and responding to emails and accepting and scheduling meetings using the Outlook calendar.
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers
Preferred:
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience
Recent and relevant experience in an active production coding environment strongly preferred
Experience with multiple Electronic Medical Record software applications including but not limited to EPIC, Cerner and Meditech.
Experience with multiple Encoder software applications including but not limited to 3M and TruCode.
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.
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$28-34 hourly Auto-Apply 60d+ ago
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Coder II - Certified
Crisp Regional 4.2
Medical coder job in Cordele, GA
Under the leadership of the Physician Coding Manager, the Coding Technician is an active member of the Physician Services team that delivers professional coding and support consistent with the strategic vision, goals, philosophy and direction of physician services department and CRHS. The Coding Technician is responsible for accurately coding medical practice records. This is done for the purpose of reimbursement, research and compliance with federal regulations according to diagnoses, operations and procedures using ICD-10-CM and CPT classification systems.
Basic Qualifications:
Education:
High school graduate
Associate degree preferred.
AAPC or AHIMA Coder Certification.
Experience:
Practical experience of >2 years in healthcare preferred.
Typing/computer skills required; must be able to use ICD-10-CM/CPT code books.
Must be knowledgeable in general coding rules/regulations and proficient in ICD-10-CM and CPT coding.
Licensure, Registrations & Certifications:
CPC or other AHIMA coding certification required.
Additional specialty coding or billing certification preferred.
Essential Job Responsibilities:
Accurately codes diagnoses and procedures with standard ICD-10-CM/CPT for medical practice records.
Data entry of correct/complete diagnoses codes and procedure codes for final billing of medical office claims.
Query physician(s) if needed for clarification of diagnosis and office procedures if not in medical record.
Handle general denials of accounts based on the codes.
Review charts/records for accounts as requested.
Perform other duties as assigned by supervisor.
$45k-56k yearly est. 42d ago
Coder II
MUSC (Med. Univ of South Carolina
Medical coder job in South Carolina
The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures.
Entity
Medical University Hospital Authority (MUHA)
Worker Type
Employee
Worker Sub-Type
Regular
Cost Center
CC002307 SYS - Hospital Coding
Pay Rate Type
Hourly
Pay Grade
Health-25
Scheduled Weekly Hours
40
Work Shift
The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures.
Additional Job Description
Coding credential from AHIMA and or AAPC is required.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: ***************************************
$39k-55k yearly est. 17d ago
Entry -Level Medical Coder
Revel Staffing
Medical coder job in Atlanta, GA
We are seeking a motivated Entry -Level MedicalCoder / Billing Assistant to join the administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period.
Key Responsibilities
Code medical procedures accurately for billing and insurance claims.
Prepare financial reports and submit claims to insurance companies or patients.
Enter and maintain patient data in administrative and billing systems.
Track outstanding claims and follow up on unpaid accounts.
Communicate with patients to discuss balances and develop payment plans.
Maintain confidentiality and comply with HIPAA and all healthcare regulations.
Qualifications
High school diploma or equivalent required; healthcare coursework a plus.
MediClear or equivalent HIPAA compliance credential required.
Strong communication, organization, and time -management skills.
Ability to remain professional and calm while working with patients and insurance representatives.
Basic computer proficiency and familiarity with billing software or EMR systems preferred.
Why Join Us
Excellent opportunity for those starting a career in healthcare administration.
Supportive, team -oriented work environment.
Comprehensive benefits and advancement potential within a growing healthcare organization.
$37k-52k yearly est. 41d ago
Medical Coding specialist
Careperks
Medical coder job in Tucker, GA
Join Our Team as a Medical Coding SpecialistJob Description
CarePerks LLC, a leading healthcare organization in Tucker, GA, is seeking a detail-oriented and experienced Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will play a crucial role in ensuring accurate patient records and billing processes within our organization.
Key Responsibilities:
Assigning appropriate medical codes to diagnosis and procedures
Reviewing patient information for accuracy and completeness
Ensuring compliance with all coding guidelines and regulations
Communicating with healthcare providers to clarify documentation
Resolving any coding-related denials or discrepancies
Qualifications:
Minimum of 2 years of medical coding experience
Certification in medical coding (e.g. CPC, CCS)
Proficiency in ICD-10-CM and CPT coding
Strong knowledge of medical terminology and anatomy
Excellent attention to detail and organizational skills
If you are a dedicated Medical Coding Specialist looking to make a meaningful impact in the healthcare industry, we invite you to apply for this position at CarePerks LLC.
About CarePerks LLC
CarePerks LLC is a trusted healthcare organization based in Tucker, GA, dedicated to providing high-quality and compassionate care to our patients. Our team of healthcare professionals works tirelessly to improve the health and well-being of those we serve. At CarePerks LLC, we are committed to excellence in all that we do, and we value integrity, respect, and teamwork in our daily operations.
$37k-52k yearly est. 60d+ ago
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. 1d ago
Coder-Certified I
SPCP/Southeast Medical Group
Medical coder job in Alpharetta, GA
Job DescriptionDescription:
Southeast Primary Care Partners is seeking a dedicated and detail-oriented Certified Coder to join our dynamic team. The successful candidate will play a crucial role in accurately coding healthcare claims for reimbursements, ensuring compliance with federal regulations, and contributing to the efficiency and effectiveness of our healthcare services. Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).
Requirements:
Key Responsibilities:
Review patients' medical records to extract relevant information needed for billing and coding.
Apply appropriate ICD-10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing.
Work closely with healthcare providers and billing teams to clarify discrepancies, ensure documentation compliance, and verify the accuracy of coded data.
Stay current with coding guidelines, trends, and federal regulations to ensure up-to-date knowledge and compliance.
Conduct regular audits to ensure coding accuracy, address any discrepancies, and provide feedback and education to clinical staff as needed.
Assist the billing department in the resolution of coding-related denials and rejections, including preparing appeals as necessary.
Participate in educational sessions, workshops, and meetings to enhance coding knowledge and skills.
Requirements:
Certification as a medicalcoder from an accredited organization (e.g., CPC).
>1yr of coding experience in a primary care setting.
Proficiency in ICD-10, CPT, and HCPCS Level II coding standards.
In-depth knowledge of medical terminology, pharmacology, and disease processes.
Strong analytical and problem-solving skills.
Excellent attention to detail and organizational skills.
Solid communication skills, both written and verbal.
Ability to work independently and collaboratively within a team environment.
Familiarity with Electronic Health Record (EHR) systems and medical billing software.
Preferred:
Experience with coding audits and compliance reviews.
Knowledge of federal regulations regarding medical coding and billing.
Key physical and mental requirements:
Ability to lift up to 50 pounds
Ability to push or pull heavy objects using up to 50 pounds of force
Ability to sit for extended periods of time
Ability to stand for extended periods of time
Ability to use fine motor skills to operate office equipment and/or machinery
Ability to receive and comprehend instructions verbally and/or in writing
Ability to use logical reasoning for simple and complex problem solving
FLSA Classification: Non-exempt
Southeast Primary Care Partners is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
12/2024
$37k-52k yearly est. 26d ago
Medical Coder
Apex Spine and Neurosurgery LLC
Medical coder job in Suwanee, GA
Job Description
The MedicalCoder / Coder PAR at Apex Spine and Neurosurgery is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for spine, neurosurgical, and interventional pain management services. This role ensures compliant, complete, and timely coding to support revenue integrity, authorization accuracy, and efficient claims processing in accordance with CMS and payer guidelines.
Key Responsibilities
Review operative reports, clinic notes, imaging, and diagnostic studies to accurately assign CPT, ICD-10, and HCPCS codes for spine and neurosurgical procedures.
Code surgical and procedural services including (but not limited to): spine surgeries, decompressions, fusions, discectomies, laminectomies, injections, nerve blocks, ablations, and other interventional pain procedures.
Ensure compliance with CMS guidelines, NCCI edits, payer-specific policies, and internal coding standards.
Communicate directly with physicians and advanced practice providers to clarify documentation and ensure accurate coding and medical necessity.
Support prior authorization (PAR) processes by reviewing documentation, validating codes, and ensuring alignment with payer requirements.
Enter codes into the EHR/billing system and confirm documentation supports all billed services.
Collaborate with billing and authorization teams to resolve coding edits, denials, and discrepancies.
Assist with internal and external audits, compliance reviews, and coding workflow improvements.
Stay current with annual CPT/ICD updates, CMS rules, spine and neurosurgery coding changes, and payer policy updates.
Participate in provider education related to documentation requirements, surgical reporting, and medical necessity standards.
Qualifications
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Minimum of 3-5 years of medical coding experience, preferably in spine surgery, neurosurgery, orthopedics, interventional pain management, or a related surgical specialty.
Strong working knowledge of CPT, ICD-10, HCPCS, NCCI edits, and CMS guidelines.
Experience reading and interpreting operative reports and procedural documentation.
Familiarity with EMR/EHR systems and coding/billing software.
Excellent attention to detail, organization, and problem-solving skills.
Strong communication skills with providers, clinical staff, and revenue cycle teams.
$37k-52k yearly est. 6d ago
Medical Coder - Wound Care
Pinnacle Wound Management
Medical coder job in Gainesville, GA
MedicalCoder - 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 MedicalCoder 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. 34d ago
Medical Coder
Four Winds Health 4.0
Medical coder job in Newnan, GA
Job Description
A MedicalCoder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers.
Responsibilities • Coding for our Urgent Care Centers using our internal software
• Knowledge of ICD-10 Coding and compliance
• Experience using an encoder
• Setting up insurance plans within our software
• Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow
• Interfacing with clinic staff on billing & coding issues.
• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits and coding reviews to ensure all documentation is accurate and precise
• Assign and sequence all codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures
• Adhere to productivity standards
Minimum Qualifications
• 3+ years of experience in medical billing
• Epic experience required
• Urgent Care and Occupational Health Billing experience is a plus
• High School diploma or equivalent
Required Skills
• Active CPC, RHIT, CCS or COC Certification
• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned.
WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day.
INDmisc
$37k-44k yearly est. 25d ago
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 additional incentives, starting at $3.00 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 22d ago
Lead Medical Coder and Auditor [PR0001D]
Prosidian Consulting
Medical coder job in Fort Stewart, GA
ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value.
ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations.
Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information.
Job Description
ProSidian Seeks a Lead MedicalCoder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military operations and the spectrum of conflict, in support of combatant commanders". The Regional Health Command's Readiness Mission includes dental care of active duty Soldiers, public health services, veterinary services, and providing management and support to wounded, ill and injured Soldiers assigned to its seven warrior transition units.
The ProSidian Engagement Team Members work to provide health coding services to a branch of the United States Armed Forces' Regional Health Command- Atlantic (RHC-A) military treatment facilities and provide services to MTFs located in the National Capital Region and the following RHC-A Medical Treatment Facility (MTFs) locations: AL | PR | FL | GA | KY | DC | MD | PA | VA | NY | NC | SC. Additionally, the vendor may be required to provide coding services to other military services (i.e. U.S. Navy, U.S. Air Force). The ProSidian Contract Service Providers (CSP) will work in conjunction with other health care providers, professionals, and non-contract personnel.
MD - Medical Billing & Coding Candidates shall work to support requirements as a Lead MedicalCoder and Auditor and review health record documentation for assignment of proper diagnosis and procedure codes utilizing system edits, Military Health System specific, and commercial coding guidance. This position will review and accurately code/audit office and hospital procedures for reimbursement. Review coding and abstracting on all patient types assigned to include the following: inpatient, ambulatory surgery, observation, ER, clinic and diagnostics in order to assure 96% coder accuracy (or as stipulated by contract). Audit vendor and internal risk adjustments coding to ensure accuracy and identify and mitigate any risks.
Receive and review patient charts and documents for accuracy
Ensure that all codes are current and active
Report missing or incomplete documentation
Meet daily coding production
Review medical records and other source documents and collect clinical data according to specifications and guidelines provided by MHS
Accurately enter data into abstraction software using a personal computer, keyboard and/or mouse
Update and maintain document lists
Performs accurate charge entries
Ensure proper coding on provider documentation
Serves as resource regarding insurance resolutions and coding questions
Handles co-pays, balances, and charge posting
Follow all DoD and DHA directives, guidance, instructions, policies, procedures, rules, and standards relating to protection of patient information and privacy practices.
Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
Maintain security and confidentiality of medical records and Protected Health Information (PHI)
Performs additional duties assigned by Coding Manager as needed
Qualifications
The Lead MedicalCoder and Auditor shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position.
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medicalcoder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry.
Must Have A Minimum Of 2 Yrs Certification Of One Of The Following: a) American Health Information Management Association (AHIMA) Credentials: RHIA - Risk Health Information Administration | RHIT - Registered Health Information Technician | CCA - Certified Coding Associate | CCS- Certified Coding Specialist and/or b) American Academy of Professional Coders (AAPC): CPC - Certified Professional Coder | COC - Certified Outpatient Coder | CIC - Certified Inpatient Coder | CRC - Certified Risk Coder
Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy.
High school degree or equivalent; Bachelor's degree in related field preferred
Medical Coding Certificate; RHIT or CPC by AAPC or AHIMA license; meet state licensure requirements
Maintain coding certification and attends in-service training as required
Two (2) years of medical coding experience
Understanding of medical terminology, anatomy and physiology
Ability to work independently or as an active member of a team
Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
Accurate and precise attention to detail
Knowledge of medical terminology, anatomy, physiology, and pathophysiology is preferred.
Outstanding oral and written communications skills
Clinical background and previous chart abstraction experience is also preferred.
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The main responsibility of a medicalcoder is to review clinical statements and assign standard codes using CPT , ICD-10-CM, and HCPCS Level II classification systems, etc. No healthcare facility can function effectively without medical billers, making certified professionals crucial in the healthcare industry.
Work products shall be thorough, accurate, appropriately documented, and comply with established criteria. The candidate shall ensure that duties are performed in a competent and professional manner that meets milestones/delivery schedules as outlined. Keys Skillset Attributes Required To be successful are Attention to Detail | Discretion | Computer Skills | Office Skills | Organizational Skills | Writing Skills | Operations | Coding | Quality | Compliance | Analytical abilities - to understand and analyze patients' health records, Strong morals, Social skills, Tech savvy.
TRAVEL: Travel as coordinated with the technical point of contact and approved in writing by the Contracting Officer in advance, is allowed, in accordance with Federal Travel Regulations.
LOCATION: Work shall be conducted CONUS - Fort Stewart, GA
Excellent oral and written communication skills
Attention to detail
Analytical and evaluation skills
Proficient with Microsoft Office Products (Microsoft Word, Excel, PowerPoint, Publisher, & Adobe)
U.S. Citizenship Required
Additional Information
As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting.
CORE COMPETENCIES
Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader
Leadership - ability to guide and lead colleagues on projects and initiatives
Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people
Communication - ability to effectively communicate to stakeholders of all levels orally and in writing
Motivation - persistent in pursuit of quality and optimal client and company solutions
Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams
Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications
Organization - ability to manage projects and activity, and prioritize tasks
------------ ------------ ------------
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.
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ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply
ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines.
ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status.
Furthermore, we believe in "HONOR ABOVE ALL" - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work.
FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************.
ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED.
Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.
$38k-52k yearly est. Easy Apply 60d+ ago
Outpatient Coding/Abstracting Specialist - FT (73986)
Hamilton Health Care System 4.4
Medical coder job in Dalton, GA
Codes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. Identifies documents of poor quality. Ensures all scanned documents are positioned correctly. Identifies the documents that are incorrect. Ensures each document is indexed to the correct patient/encounter. Refers identified issues to appropriate scanning/QC staff for correction.
The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and ability to work with physicians and other healthcare providers with cooperation and flexibility. The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality. This position serves as a resource for other members of the organization in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work queue(s) daily and ensure timely processing of assignments in each queue.
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. 8d ago
Code Enforcement Specialist
Town of Summerville 3.7
Medical coder job in Summerville, SC
Under general supervision, performs related technical, administrative work in the administration and enforcement of all adopted regulatory codes and ordinances pertaining to nuisances, noise, litter, business licenses, etc. Work involves working with Finance, Police, Zoning, and Building department personnel in the resolution of violations; and performing both field and office work involving the administration and enforcement of Town's zoning regulations, nuisance ordinances, and the International Property Maintenance Code.
ESSENTIAL JOB FUNCTIONS
Receives and/or reviews a variety of records and reports (such as citizen complaints, interoffice complaints, notification of illegal business, property maintenance issues, and zoning violations).
Receives, investigates, and responds to all citizen complaints.
Issues citations for dilapidated homes for failure to comply with local and state regulations; follows up after issuance to ensure compliance.
Writes and issues notices of violations based on Town ordinances and the International Property Maintenance Code.
Performs property maintenance inspections for health and safety of the residents.
Prepares and/or processes documentation such as letters to demolish dilapidated homes/structures.
Refers to Town code, International Property Maintenance Code (IPMC), International Residential Code (IRC), South Carolina Code of Law, NFPA, policy and procedure manuals, publications and reference texts, etc.
Provides information to public on nuisance and zoning ordinance requirements and compliance; provides information on violations to property owners; achieves compliance by issuing warnings and citations when necessary; and locates owners of property using tax rolls, maps, and court records.
Investigates reports of violations of laws relating to nuisances and zoning (illegal home occupations, illegal second units, dangerous structures, fence violations, illegal signs, graffiti, debris, weeds, inoperable and illegal vehicles, sanitation problems, animal-related noise violations, etc.); monitors sites for compliance; conducts follow-up investigations; and oversees abatement violations.
Collect illegal signage and other debris left on public properties and in rights-of-way.
Processes abatement of abandoned vehicles.
Oversees abatement violations (as noted under nuisance/zoning).
Canvases the Town looking for new businesses engaged in activities that require licensing; conducts field and office research to determine if the Town's licensing requirements are being met.
Conducts field inspections to determine individual business compliance with Town codes and regulations.
Informs business managers of licensing requirements; explains legal requirements, rules, regulations, procedures, and ordinances of the Town.
Conducts compliance follow-up to ensure licensing requirements have been met.
Plans and performs licensing efforts at special events; demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and work cooperatively and jointly to provide quality seamless customer service.
Documents and maintains records of inspection-related activities.
Keeps field notes; takes photographs; writes letters and notices; prepares detailed written reports and routine correspondence; provides evidence and testimony at Town hearings and in court; maintains investigation files and records; and attends meetings and conferences as assigned.
Prepares and/or processes a variety of documentation (such as written warnings, letters of non-compliance, weekly/monthly reports, and notes for court cases).
Coordinates with and performs joint inspections with other Town departments and outside agencies; may assist Planning staff in updating zoning maps and in investigating permits and various applications.
Interacts and communicates with various groups and individuals (such as Building Official, department heads and staff, civic and community leaders, Town judges, Town Administrator, business owners, and the general public).
Attend Crime Watch and community meetings.
Provides assistance to coworkers and/or performs those responsibilities as necessary to maintain standards of operation.
Performs general administrative/office work as required, including conducting and attending meetings, preparing reports and correspondence, entering and retrieving computer data, copying and filing documents, etc.
Operates a vehicle and a variety of equipment and machinery (such as HVAC systems, mechanical systems, electrical panel and wiring, plumbing systems, structural framing, computer, printer, cell phone, etc.).
Uses a variety of tools (such as calculator, electrical tester, screwdrivers, hand tools, pressure gauges, levels, rulers, standard office tools, radio, etc.); a variety of supplies (such as flashlights, citations, warning slips, inspection forms, writing instruments, paper, general office supplies, etc.); and a variety of computer software (such as Microsoft Word, Microsoft Excel, Microsoft Outlook, GIS, etc.).
To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described.
MINIMUM EDUCATION AND EXPERIENCE
Requires an Associate's degree, supplemented by one to two years of experience in code or law enforcement, planning, or a closely related field; or an equivalent combination of education, training and experience that provides the required knowledge, skills and abilities. Must possess a valid South Carolina driver's license. Must obtain certification as an International Property Maintenance Code Inspector (IPMC) within initial 12 months of employment. Must obtain Criminal Justice Information System Security and Privacy Training within first three months of employment.
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge
· Methods, procedures, and policies of the Building Department and Code Enforcement operations.
· Applicable laws, ordinances, standards, and regulations, including nuisance codes, building codes (structural, plumbing, electrical, mechanical), zoning ordinances, and related codes.
· Basic building construction principles and materials.
· Department terminology, proper English usage, and basic mathematics.
· Modern office practices, technology, and computer skills for records management.
· Techniques for maintaining effective relationships with other departments, professionals, and the public.
· Ability to remain calm and respond appropriately in emergency situations.
Skills & Abilities
· Read and interpret blueprints and construction details for code compliance.
· Conduct thorough nuisance investigations, identify deficiencies, and determine corrective actions.
· Perform fieldwork under adverse conditions (heat/cold, odors, electrical hazards, confined spaces, heights, etc.).
· Communicate professionally with Town departments, property/business owners, and industry professionals.
· Provide training and assistance to co-workers and other departments.
· Manage multiple projects under time constraints and stressful conditions.
· Handle sensitive situations with tact and diplomacy.
· Work independently and take initiative without direct supervision.
· Learn and apply new skills to improve performance and efficiency.
· Prepare accurate reports and records in a timely manner.
Other
· Performs related duties as required.
PHYSICAL REQUIREMENTS
Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of climbing and balancing, stooping, kneeling, crouching and crawling, and the lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (up to 20 pounds) and occasionally heavier objects and materials (up to 40 pounds). Tasks may require traversing uneven terrain, entering confined spaces and/or climbing ladders during field investigation.
$36k-47k yearly est. Auto-Apply 8d ago
Coding Specialist
Hopehealth, Inc. 3.9
Medical coder job in Florence, SC
Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: * High School Diploma or GED required. Associate degree preferred. * Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.
* Knowledge of insurance industry and medical terminology/anatomy required.
Required Skills / Abilities:
* Good oral and written skills.
* Detailed oriented with strong organizational skills.
* Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
* Demonstrates the ability to work in a high pressure environment
* Strong active listening skills, attention to detail, and decision-making skills are required
* Pleasant, friendly attitude with the ability to adapt to change is essential
* Superior problem- solving abilities is required
* Ability to collaborate with all departments
* Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
* Possess excellent customer service skills and be well organized.
* Ability to communicate effectively utilizing both oral and written means.
Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
* Must be comfortable taking direction from Leadership
Supervisory Responsibilities:
* None
Essential Job Functions:
These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers.
* Review assigned charts for correct ICD10 and CPT coding.
* Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
* Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
* Must maintain coding credentials thru AAPC.
* Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
* Perform other assigned duties.
Position Category:
Certified Coding Specialist I
* Candidate has no previous medical billing or insurance industry experience
* Candidate has no previous coding experience
Certified Coding Specialist II
* Candidate has less than 5 years of medical billing or insurance industry experience and/or
* Candidate has less than 5 years of medical coding experience
Certified Coding Specialist III
* Candidate has more than 5 years of medical billing or insurance industry experience and/or
* Candidate has more than 5 years of medical coding experience
Physical Requirements:
Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$36k-44k yearly est. 19d ago
Electronic Medical Record Analyst - NHDC
Mynorthsidecareer
Medical coder job in Gainesville, 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
Conducts and participates in activities including, but not limited to the supports, implements, and provides ongoing maitenance of physician practice systems.
Qualifications
1. B.S. Degree in business, healthcare, or related field, OR Three (3) plus years healthcare systems experience
2. Knowledge of Healthcare industry and physician office workflow including back office
3. Problem solving and organizational skills.
4. Ability to communicate clearly and effectively.
PREFERRED
BS/BA degree in related field.
Work Hours: 8AM-5PM Weekend Requirements: No On-Call Requirements: No
$63k-89k yearly est. Auto-Apply 2d ago
Certified Peer Specialist
Gateway Csb Peo LLC
Medical coder job in Savannah, GA
Job Summary : Certified Peer Specialist is a person who has progressed in their own recovery and promotes self-determination, personal responsibility, empowerment inherent in self-directed recovery, and assists individuals with mental illness in the individual's recovery process. Provides structured activities within a peer support that promote socialization, recovery, wellness, self-advocacy, wellness, self-advocacy, development of natural supports, and maintenance of community living skills; understanding of what creates recovery and how to build environments conducive to recovery. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, Staff Psychiatrist, Registered Nurses, quality assurance specialists, and paraprofessional. ACT is an Evidence Based Practice that is person-centered, recovery-oriented, and a highly intensive community-based service for individuals who have serious and persistent mental illness. The individual's mental health condition has significantly impaired his or her functioning in the community. The service utilizes a multidisciplinary mental health team from the fields of psychiatry nursing, psychology, social work, substance use disorders, and vocational rehabilitation; additionally, a Certified Peer Specialist is an active member of the ACT Team providing assistance with the development of natural supports, promoting socialization, and the strengthening of community living skills. Services emphasize social inclusiveness though relationship building and the active involvement in assisting individuals to achieve a stable and structured lifestyle. ACT is a unique treatment model in which the majority of mental health services are directly provided internally by the ACT program in the recipient's natural environment. ACT services are individually tailored with each individual to address his/her preferences and identified goals, which are the basis of the Individualized Recovery Plan (IRP).
Essential Functions : Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Productivity
Meet the minimum direct time requirements of individual billed hours/target staff hours 100% per year.
Daily attendance must be at least 70% of clinical guidelines per facilitator.
Maximum face to face ratio 30 individuals to 1 Certified peer Specialist
Documentation and Compliance
Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards.
Maintain all documentation in accordance with applicable policies, laws and instructions.
Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards.
Ensure that all notes are in Care Logic and signed within 24 hours of service delivery.
Maintain a minimum chart audit score of 70% or better for all consumers on case-load.
Ensure all weekly reports are addressed and corrected as necessary within timeframe specified by supervisor.
Billed Staff Hours in comparison to Target Staff Hours must be at least at 100%.
Treatment plans and orders for services must be signed on the same day as admission or change.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Services must be authorized prior to the delivery of services, with the exception of the intake appointment which should be authorized within 5 business days of service delivery.
Failed Activities and Failed Claims must be resolved and cleared in less than 10 days.
Quality Improvement Internal Audit scores must be at least 90%.
At least 85% of your active caseload must receive at least 1 face-to-face service within the quarter.
Staff cancellation rates must be less than 5%.
Must be in compliance with Human Resources requirements with all trainings (including Relias).
Community Outreach
Collaborate with behavioral health providers and the community through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care.
Corporate Responsibilities
Treat those we serve, co-workers and supervisors with respect.
Provide high quality customer service focused on outcomes of improved health.
Carry out job responsibilities in a competent and ethical manner.
Utilize our resources effectively, efficiently and without abuse.
Contribute to an environment that encourages passion, creativity and team work.
Required Knowledge & Skills:
Knowledge of working knowledge of the nature of serious mental illness; self-help techniques, provides enhance consumers empowerment skills and successful community living, community resources and information on specific topics, as assigned.
Knowledge of consumers' rights; agency and federal policies, procedures and guidelines.
Knowledge of client record documentation requirements; and implementation of client services plan development.
Knowledge of crisis intervention protocol.
Knowledge of peer individual and group therapy techniques
Observe, record and report on an individual's functioning;
Ability to read and understand assessments, evaluations, observation, and use in developing treatment plan.
Ability to assist consumers cultivate their independence, self-confidence, and self-esteem.
Ability to empower other individuals with disabilities to explore new options, resources, relationships, feelings, attitudes and rights.
Ability to effectively interact and communicate with consumers and their families in diverse populations.
Ability to communicate effectively, verbally and in writing, to maintain confidentiality, and to work independently under general supervision.
Ability to demonstrate strong interpersonal and “Listening” skills.
Ability to Establish and prioritize goals and objectives of assigned program.
Ability to assist consumers with successfully acquiring all income, entitlement benefits and health insurance for which the individual is eligible.
Ability to facilitate relationships between Gateway, consumer families/legal guardians and various social service community resources, such as housing assistance, healthcare, job training and placement and substance abuse support groups.
Competencies:
Communication
Accountability/Responsibility
Cooperation/Teamwork
Creative Thinking
Customer Service
Dependability
Flexibility
Initiative
Job Knowledge
Judgement
Professionalism
Quality/Quantity of Work
Goal Orientation
Required Education & Experience:
High school diploma/equivalent
Certification by Georgia Certified Peer Specialist Project
Requires a minimum of 40 hours of CPS training
Supervisory Responsibilities : None
Work Environment :
This job operates in a variable business settings with trips into the community. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This role provides basic employment support which requires employee to perform in loud/quiet environments, outdoors/indoors, etc. Some medium travel between Gateway sites and in the community is required.
Physical Demands :
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Employee is frequently required to walk, sit, stand or kneel and occasionally required to climb or balance and stoop. Employee must frequently lift and/or move up to 15 pounds. Must have the ability to sit for long periods of time at a computer. Employee frequently uses fine hand/eye coordination, hearing and visual acuity. Lighting and temperature are adequate, and there are not hazardous or unpleasant condition caused by noise, dust, etc. Employee must be able to travel between Gateway sites. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Gateway CSB promotes a drug/alcohol free work environment through the use of mandatory pre-employment drug testing.
$45k-67k yearly est. Auto-Apply 38d ago
Certified Peer Specialist-Parent
Community Service Board of Middle Georgia-Peo, Ltd.
Medical coder job in Swainsboro, GA
The Community Service Board of Middle Georgia is dedicated to providing those we serve with quality innovative behavioral healthcare in a recovery-based environment. CSB of Middle Georgia is recognized as a state leader in comprehensive behavioral healthcare providing integrated cost-effective services. CSB of Middle Georgia is located in Dublin, Georgia, and the agency currently serves residents of Bleckley, Dodge, Johnson, Laurens, Montgomery, Pulaski, Telfair, Treutlen, Wheeler, and Wilcox counties in Georgia; and in our Ogeechee Behavioral Health Division, serving residents of Burke, Emanuel, Glascock, Jefferson, Jenkins, and Screven counties in Georgia. We value Quality, Professionalism, Person-Centered, Recovery, Teamwork, Improvement, Accountability, Management of Practicing Information, Wellness, and Financial Stability.
Job Description:
The Community Service Board of Middle Georgia is looking for a Certified Peer Specialist - Parent to join their team. This role builds trusting, mutually supportive relationships with families, offers encouragement and guidance, and helps them connect to team members and resources within the IC3 program. Working collaboratively as part of a multidisciplinary team, the Child Peer Specialist uses shared experiences to empower families, strengthen engagement, and support positive outcomes for children and caregivers.
LOCATION: Emanuel County & Surrounding Areas
Responsibilities of the Certified Peer Specialist - Parent
Hold certification as a Certified Peer Specialist- Parent OR be the parent/guardian of a child with lived experience with Serious Emotional Disturbance (SED) OR Serious Mental Illness (SMI) and be willing to become certified.
Ability to use lived experience to support families in IC3 program.
Ability to work effectively in a team environment.
Ability to establish and maintain relationships with peers based on mutuality and common connection.
Ability to use common connections to support families.
Ability to link to others involved in the team. Perform other job duties as assigned by supervisor.
Here are some of the things we require:
High School Diploma or GED
Valid Georgia Driver's License
Effective verbal and written communication skills
Strong interpersonal skills and the ability to work effectively with diverse communities
Ability to work independently and in collaboration with others
Experience with Microsoft 365 Office Products
Ability to organize, prioritize and meet deadlines accordingly
Benefits of Working with CSB of Middle GA:
As a member of our team, you will enjoy our total rewards package to help secure your financial future and preserve your health and well-being, including:
Medical, Dental & Vision Plan Options!
Generous Paid-Time Off Policy with Flexibility Companywide!
401(k) Plan with Company Match!
Short- & Long-Term Disability Plans!
Access to our Employee Assistance Program (EAP)!
Paid Training Time!
Opportunities for Career Growth & Advancement!
Paid Lunch Breaks* & So Much More!
At this time, CSB of Middle Georgia will not sponsor a new applicant for employment authorization for this position.
*Please note that paid lunches are only for select positions that must assist individuals with eating needs at typical meal periods*
** Final pay rate will be dependent on a combination of qualifications such as experience and education. **
Full Time 8:00am to 5:00pm
$45k-67k yearly est. Auto-Apply 29d ago
Central Supply/Medical Records
Journey Care Team of Georgia LLC 3.8
Medical coder job in Stone Mountain, GA
Job Description
About Us
Welcome to Journey, where the community is at the heart of everything we do. We believe that true success starts with strong local leadership, supported by a dedicated home office team. Our journey began with a vision to create opportunities that empower individuals to make a positive impact right in their own backyard.
Our Vision
Change the world, one heart at a time.
Our Mission
Our Mission is to consistently achieve exceptional quality outcomes by leading a world-class Care Team. Our empowered and dedicated Care Team strives to exceed the expectations of our residents in every interaction. Being a part of your journey is our privilege.
The Heartbeat of Journey
Our local leaders are the driving force behind our success. They're not just managers; they're passionate advocates for their communities. They understand the needs and goals of the residents and families they serve. They're your neighbors, your friends, and your partners in progress. Together, we work tirelessly to create meaningful change and lasting legacies.
Required Qualifications:
High school diploma or equivalent preferred.
One year of experience in shipping and receiving.
Minimum 2 years of administrative experience is preferred.
Working knowledge of medical terminology, anatomy and physiology, coding, and other aspects of health information preferred.
Major Duties and Responsibilities:
Inventory Management: Maintain accurate inventory records, organize storage areas, and ensure supplies are readily available across nursing units.
Supply Ordering & Receiving: Order supplies from approved vendors, receive shipments, and route packing slips to department heads.
Supply Distribution: Collect, fill, and deliver supply requisitions to designated units while ensuring smooth daily operations.
Records Management: Organize, file, and maintain resident health information manually and electronically, ensuring records are complete and accurately assembled.
Compliance and Privacy: Safeguard health information in accordance with established policies, procedures, and privacy regulations.
Information Retrieval and Communication: Retrieve and deliver records as needed, assist with inquiries, and prepare documentation for insurance, Medicare, Medicaid, and other stakeholders.
What We Offer
Competitive pay
Quarterly raises
401(k) with Voya Financial
United Healthcare Insurance
Free Life Insurance
Company-provided smartphones for full-time care team members
Opportunities for professional development and continuing education
If you're ready to make a difference in the lives of others and join a team that truly cares, we'd love to have you apply.
Together, let's change lives one heart at a time.
#JointheJourney
We are committed to equal opportunity. If you have a disability under the Americans with Disabilities Act or similar law, and you need an accommodation during the application process or to perform these job requirements, please contact HR.
$31k-35k yearly est. 2d ago
The Onyx Group - Medical Reimbursement Specialist
Tribe 513
Medical coder job in Greenville, SC
Job Title: Medical Reimbursement Specialist Supervised by: Coordinator, Billing Posting: Internal and External Weekly Hours: Full-time We are seeking a detail-oriented and motivated Medical Reimbursement Specialist (MRS) to join our billing team. This individual will play a critical role in ensuring accurate, efficient billing processes and timely reimbursement from insurance providers. Responsibilities include managing unpaid claims, processing corrections, submitting appeals, and fostering strong relationships with patients, providers, and insurance representatives. The ideal candidate will be goal-driven, accurate, and aligned with our culture of humility, integrity, and service.
Key Responsibilities:
Accurately review, verify, and submit corrected claims to ensure complete and error-free processing
Utilize clearinghouse tools to manage electronic payments and address claim errors
Interpret insurance explanation of benefits (EOBs) and identify necessary follow-up actions
Proactively manage aging reports, focusing on claims outstanding over 30 days
Submit appeals and additional documentation to secure full reimbursement when applicable
Coordinate medical records requests and respond to insurance company inquiries
Communicate professionally with patients, payers, and providers to resolve billing issues
Meet regularly with the Billing Coordinator and Team Lead to troubleshoot challenges and identify process improvements
Attend department meetings and participate in ongoing training and education
Maintain strict confidentiality in accordance with HIPAA and internal policy
Embody "The Tribe Way" by serving others with humility, integrity, and conscious leadership
Education:
High School Diploma or equivalent.
Skills & Experience:
Strong knowledge of medical billing, collections, and third-party payer procedures required
At least 2 years of experience working in medical billing required
Experience navigating multiple EMR systems. Proficiency with eClinicalWorks preferred.
Experience navigating payer websites
Proficiency with computer systems, and office equipment
Strong organizational skills with excellent attention to detail
Professional and friendly communication skills
Ability to navigate challenging conversations, resulting in positive outcomes
Ability to handle a multi-line phone system and multitask in a fast-paced environment
Ability to adapt and expand skills to meet the billing needs of a fast-growing company.
Problem solving skills required
Working Environment and Physical Demands:
You must be able to sit or stand at a desk and work on a computer screen and phone for the majority of an eight (8) hour shift.
How much does a medical coder earn in Savannah, GA?
The average medical coder in Savannah, GA earns between $32,000 and $60,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.