Sr. Medical Billing and Coding Specialist Pandya Medical CenterSr. Medical Billing and Coding SpecialistDuluth, GeorgiaThe specialist will scrub encounters for accurate coding prior to claim creation, assure correct modifiers and ICD10 diagnosis codes are allocated to each CPT code, ensure timely claim submissions and follow-up on claim denials. Medical Billing & Coding Specialist assures accurate and complete coding information is collected and reported to private insurance and Medicare to help complete the revenue cycle.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentAtlanta, GACompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Medical Billing and Insurance Coding Instructor (64193) International Education CorporationMedical Billing and Insurance Coding Instructor (64193)Stone Mountain, GATo Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. We're Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our Stone Mountain Campus.
Compliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentAtlanta, GACompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Compliance Consultant V, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant V, Medical Coding - Risk AdjustmentAtlanta, GAManages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Job Summary: In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing and monitoring the quality of coding assignments across all lines of business.
NewSr Mgr, Compliance, Medical Coding Kaiser PermanenteSr Mgr, Compliance, Medical CodingAtlanta, GAManages designated units by translating business plans into tactical action items; communicating goals and objectives; ensuring all policies and procedures are followed; overseeing the completion of work assignments; assuming responsibility for decision making; aligning team efforts; building accountability for and measuring progress in achieving results; incorporating resources, costs, and forecasts into unit plans; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; partnering with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies; and influencing units to operate in alignment with business objectives. Essential Responsibilities: Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; hiring, training, and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst departments; strategically evaluating talent for succession planning; setting performance management guidelines and expectations across units; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
Senior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsGA$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Professional Coding Auditor & Educator Four Winds HealthProfessional Coding Auditor & EducatorAtlanta, GAPart timeThe Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges.
Coding Provider Liaison Four Winds HealthCoding Provider LiaisonAtlanta, GAPart timeThe Coding Provider Liaison (Professional Coding Auditor & Educator) works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantAtlanta, GAIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
NewMedical Coding Specialist Ortho Sport and Spine PhysiciansMedical Coding SpecialistAtlanta, GAThe ideal candidate will have strong outpatient E/M and orthopedic coding experience, a thorough understanding of current CPT, ICD-10-CM, and HCPCS guidelines, and the ability to independently review documentation and determine the appropriate level of service. This position is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, ensuring coding compliance, and supporting accurate and timely claims submission and reimbursement.
Coord, Coding & Documentation Emory HealthcareCoord, Coding & DocumentationDecatur, GeorgiaFull timePHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 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 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.
Coding & Documentation Coordinator Emory HealthcareCoding & Documentation CoordinatorAtlanta, GeorgiaFull timeThose tasks and activities include but are not limited to the following: distribution of uncoded patient encounters to employed and contract coding resources for final coding; ongoing training of coders and vendor support staff on the accurate coding of patient encounters according to patient type and/or facility specific coding guidelines. Works with physicians, mid-level staff and clinical departments re: complete patient documentation for coding of patient encounters; performs intermittent quality reviews for coding accuracy and reports findings to appropriate internal and vendor resources.
Inpatient DRG Coding Auditor Emory HealthcareInpatient DRG Coding AuditorJohns Creek, GeorgiaFull timePHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 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 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.
Professional Coding Auditor & Educator Well Street Urgent CareProfessional Coding Auditor & EducatorAtlanta, GAThe Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges.
Coding Provider Liaison Well Street Urgent CareCoding Provider LiaisonAtlanta, GAThe Coding Provider Liaison (Professional Coding Auditor & Educator) works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges.
Coding Analyst Northside Hospital Inc.Coding AnalystAtlanta, GeorgiaFull timeCoordinates with Department Managers, Practice Managers and/or providers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated. Coordinate with Department Managers and/or Practice Mangers to assure all necessary documentation is present to support selected procedure codes or to code cases as needed.
Coding Educator - Physician Piedmont Healthcare Inc.Coding Educator - PhysicianAtlanta, GeorgiaFull timeResponsibilities: Assess the educational needs of physicians regarding coding and documentation and direct development of effective regularly scheduled educational programs that meet physician needs and serve as the primary resource to physicians for documentation and coding issues. Responsible for conducting coding and billing training programs for billing and coding specialists and physicians.
Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA) Elevance Health IncManager Clinical Performance & Quality Coding (Nurse Practitioner or PA)Atlanta, GADevelop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures. Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
Coord, Coding & Documentation Emory Healthcare IncCoord, Coding & DocumentationDecatur, GAPHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 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 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.