Billing & Collections Specialist Avery Partners, LLCBilling & Collections SpecialistCartersville, GAThis position requires the ability to work efficiently in a fast-paced healthcare environment while maintaining a high level of accuracy, professionalism, and customer service when interacting with insurance carriers, patients, providers, and internal staff. This role is responsible for managing the full cycle of medical billing, insurance verification, claims management, and patient collections to ensure accurate claim submission, timely reimbursement, and effective follow-up on outstanding accounts.
NewMedical Coder - Remote YO AI LabsMedical Coder - RemoteAtlanta, GeorgiaRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
NewData Entry Operator II, Revenue Cycle Department Northside Hospital Inc.Data Entry Operator II, Revenue Cycle DepartmentAtlanta, GeorgiaFull timeConstantly 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. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury‑accident to Manager.
Clinical Nurse Reviewer Zelis Healthcare, Inc.Clinical Nurse ReviewerAtlanta, GA$59,000–$75,050 / yearThe Nurse Reviewer is primarily responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Pharmacy/Supplies Senior Data Analyst Northside Hospital Inc.Pharmacy/Supplies Senior Data AnalystAtlanta, GeorgiaFull timeExpertise in separately billable supplies and implantable devices, pharmacy Medicare units of measure, NDC package size conversions, NDC validation, and Quantity Calculation Factors (QCF) is highly valued and essential to maintaining accurate reimbursement and regulatory compliance. Responsibilities: This role functions as the senior subject‑matter expert for hospital supply and pharmacy Charge Description Master (CDM) oversight, ensuring precise charge capture and compliant billing across inpatient and outpatient settings.
NewMedical Director - Orthopedic Surgeon - Remote From Anywhere UnitedHealth Group Inc.Medical Director - Orthopedic Surgeon - Remote From AnywhereAtlanta, GARemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
NewMedical Director - Spine And Brain Surgery - Remote UnitedHealth Group Inc.Medical Director - Spine And Brain Surgery - RemoteAtlanta, GARemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Coder - Remote Well Street Urgent CareMedical Coder - RemoteAtlanta, GARemoteWe believe our employees are our greatest asset and strive to create a workplace where every team member feels valued, supported, and empowered to succeed. Partner with Revenue Cycle Management and Billing teams to resolve coding-related issues and support timely claim submission.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadAtlanta, GA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadAtlanta, GA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Senior Cloud Developer Pyramid, IncSenior Cloud DeveloperAtlanta, GA$70.92 / hourFull timeProficiency with Python, Java, shell scripting (Bash and Poweshell) & SQL Experience working with streaming data and data extraction from different databases (Oracle, DB2, MySQL etc) Experienced with deploying and managing infrastructures based on Docker, Kubernetes, or OpenShift Experience with scalable data extraction tools is a plus Experience working with Kafka, Aurora, AWS Glue, Redshift is a plus Understanding of data engineering, real time streaming and/or eventing, and json parsing Experience with automating application deployment, continuous delivery, and continuous integration (Jenkins, Ansible etc.) Experience building micro services and API architecture Debugging & troubleshooting skills Must be flexible and have a passion to learn and collaborate with colleagues Must have strong oral and written communication skills Business Intelligence/Analytics experience a plus Embraces diverse people, thinking and styles. WHAT WILL GIVE YOU A COMPETITIVE EDGE (PREFERRED QUALIFICATIONS) Degree in Information Systems, Computer Science or equivalent experience Airline Industry experience is a plus Our client is a leading Airlines organization and we are currently interviewing to fill this and other similar contract positions.
Coder, OP Oncology Northside Hospital Inc.Coder, OP OncologyAtlanta, GeorgiaFull timeResponsibilities: Under the supervision of the HIS OP Coding Reimbursement/Coordination, the Coder II is responsible for reviewing the medical record in its entirety, apply coding guidelines and regulations and assign ICD-CM and/or PCS and CPT diagnoses and procedures codes accurately and timely. Credentials from AHIMA or AAPC Three + years coding experience in multispecialty Three (3) to five (5) years’ experience in Acute Care, CPT-ICD-10-CM codes.
Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingAtlanta, GAMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. 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.
Revenue Integrity Analyst Sr. Northside Hospital IncRevenue Integrity Analyst Sr.Sandy Springs, GAIndependently coordinates with Department Managers on new procedures being performed to assure the charges are set up appropriately and timely in the Chargemaster and the staff responsible for entering charges are educated. B.S. degree in Nursing, Health Information Management, Healthcare Administration or Business Administration; or Associates Degree with 8 years of hospital charge master experience in lieu of a bachelor's degree.
Account Specialist Northside Hospital Inc.Account SpecialistLawrenceville, GeorgiaFull timeConstantly 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. Responsibilities: Ensures daily account maintenance of practice revenue, and accurate and quality of patient account activities.
AI Software Engineer- Medicare Billing & Care Management Platforms Symphony SolutionsAI Software Engineer- Medicare Billing & Care Management PlatformsAtlanta, GAFull timeMedicare & Billing Workflows: Implement CMS billing rules, reimbursement logic, time-tracking, and automated CPT coding workflows (e.g., CCM 99490, RPM 99453/99454, RTM 98975). You will design and maintain SaaS solutions tailored for Medicare care management programs (CCM, RPM, RTM, PCM, BHI, TCM, AWV).
Field Reimbursement Manager Immunology Gastroenterology - Atlanta North AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Atlanta NorthMarietta, GAThe amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.
Data Engineer- Full Time Opportunity, NOT C2C CodoxoData Engineer- Full Time Opportunity, NOT C2CDuluth, GACodoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Working under the guidance of senior engineers, this role contributes to building reliable ETL workflows, optimizing database performance, and integrating structured and unstructured data sources.
Home Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooks Sanzie HealthCare Services IncHome Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooksFayetteville, GAKnowledge of CPT, HCPCS, and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans). Review and approve timesheets and payroll information of assigned staff -Check each employee's Timesheets, member form, and Progress note to reflect Axiscare.
NewSenior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteGARemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.