Medical 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.
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.
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.
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.
Revenue Integrity Analyst Sr. Northside Hospital Inc.Revenue Integrity Analyst Sr.Atlanta, GeorgiaFull timeIndependently 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.
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.
AI Software Engineer- Medicare Billing & Care Management Platforms Symphony SolutionsAI Software Engineer- Medicare Billing & Care Management PlatformsAlpharetta, 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).
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.
Senior 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.
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.
NewRevenue Cycle Specialist Ultimate Staffing ServicesRevenue Cycle SpecialistAtlanta, Georgia$20–$26 / hourThis role is critical to ensuring accurate claim submission, maximizing reimbursement, reducing denials, and maintaining compliance with payer requirements and regulatory guidelines. The ideal candidate will possess strong knowledge of insurance billing, reimbursement methodologies, denial management, and revenue cycle operations.
Hospital Inpatient Coder III Emory HealthcareHospital Inpatient Coder IIILithonia, GeorgiaFull timePHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks; ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
Clinical Provider Auditor I Elevance HealthClinical Provider Auditor IAtlanta, GeorgiaWe 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. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.
Hospital Inpatient Coder III Emory Healthcare IncHospital Inpatient Coder IIILithonia, GAPHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks; ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
NewFloat Medical Scribe CVS Health CorpFloat Medical ScribeRiverdale, GA$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Value-Based Care Performance Analyst SCP HealthValue-Based Care Performance AnalystAtlanta, GeorgiaManage recurring reports (daily/weekly/monthly/etc.) as needed and reporting tools (i.e. dashboards) to ensure stakeholders (from departmental leads to enterprise Senior Leadership) have robust, timely, and accurate data to drive strategic decision making and monitor departmental performance, and identifies adverse trends and opportunities for improvement. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Data Engineer- Full Time Opportunity, NOT C2C Codoxo.Data 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.