NewPatient Safety DRG Clinical Validation Auditor Elevance HealthPatient Safety DRG Clinical Validation AuditorMinnesota, GA$86,560–$129,840 / yearPreferred skills, qualifications and experiences: One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Pro Fee Auditor Northside Hospital Inc.Pro Fee AuditorAtlanta, GeorgiaFull timeAssists Coordinators in Decision Support with other projects involving an analysis of patient charges and chart documentation using various clinical and financial systems to improve clinical benchmarking and revenue cycle activities. Proficient in public speaking, presentations, and educational activities Advanced knowledge of medical terminology, CPT and ICD-9-CM and HCPCS coding, Medicare, Medicaid and commercial insurance procedures.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerAtlanta, GA$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. 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.
Medical 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.
Ancillary Lab Biller Summit SpineAncillary Lab BillerAtlanta, GeorgiaRemoteThe employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers’ work; and use established de-escalation and escalation procedures when appropriate. Company Overview: Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management practice providing comprehensive clinical, surgical, and imaging services.
Charge Master Analyst Sutter HealthCharge Master AnalystLawrenceville, GA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Provider Auditor Senior - Payment Integrity Complex and Clinical Audit Elevance Health IncProvider Auditor Senior - Payment Integrity Complex and Clinical AuditAtlanta, GAHow you will make an impact: Selects providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider. 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.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistAtlanta, GEORGIARemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Provider Auditor Senior - Payment Integrity Complex and Clinical Audit Elevance HealthProvider Auditor Senior - Payment Integrity Complex and Clinical AuditAtlanta, GeorgiaSelects providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider. 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.
Provider Auditor Senior - Payment Integrity Complex And Clinical Audit Elevance HealthProvider Auditor Senior - Payment Integrity Complex And Clinical AuditAtlanta, GAHow you will make an impact: Selects providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider. 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.
Specialty Inpatient Coder TRC Talent SolutionsSpecialty Inpatient CoderAtlanta, GARemoteTemporaryCollaborate with physicians, clinical staff, and revenue cycle teams to resolve coding issues and ensure compliance. Focus on specialty areas including cardiovascular, transplant, orthopedic spine, invasive GI, and interventional radiology.
NewAssociate Medical Director, Regulatory Management Oscar HealthAssociate Medical Director, Regulatory ManagementAtlanta, GeorgiaRemote$216,108–$283,642 / yearPartnering cross-functionally across Quality, Network Management, and Compliance, this leader optimizes provider onboarding to deliver a high-quality, compliant network that supports member access and organizational growth. Serve as a subject matter expert on state and federal healthcare regulations, continuously monitoring legal developments and translating regulatory changes into proactive operational updates to maintain ongoing compliance.
Optometric Technician RoswellOptometric TechnicianRoswell, GeorgiaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Ophthalmic Technician LakeshoreOphthalmic TechnicianGainesville, GeorgiaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.
Optometric Technician MariettaOptometric TechnicianMarietta, GeorgiaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
NewIntake Case Manager (Rare Disease)- US Remote Amgen IncIntake Case Manager (Rare Disease)- US RemoteAtlanta, GARemoteIn addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. Of utmost importance are (a) attention to detail and the ability to assure high quality of data integrity when interacting with supporting technologies (b) the need to engage empathetically with partners and stakeholders and (c) a self-starting demeanor and desire to problem-solve by leveraging lessons learned and best practices.
Field Access Manager - Southeast MS, AL, GA, FL, Eastern TN Telix Pharmaceuticals LtdField Access Manager - Southeast MS, AL, GA, FL, Eastern TNAtlanta, GAIn addition to Site of Service Access and Reimbursement responsibilities, the FAM will maintain a portfolio of regional payers and be responsible for medical policy planning and development, policy review, and favorable placement of the Telix brand portfolio within regional commercial medical policies, remove restrictions to unfavorable policies, placement of Telix products on state Medicaid fee schedules, and favorable formulary status where applicable. Key Accountabilities: Work directly with site of service support staff, providers, and other important stakeholders involved with patient access for all things reimbursement, including but not limited to, education around billing and coding, appeal or denials, patient support services, and appropriate use criteria for the Telix brand portfolio.
Product Manager Waystar Holding CorpProduct ManagerAtlanta, GAWaystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Collecting direct customer feedback by organizing user tests, studying customer support incidents, administering user surveys, and visiting customers to study product interaction in their natural environment.
NewConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationAtlanta, GA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Part Time Optometric Technician- Weekends CantonPart Time Optometric Technician- WeekendsCanton, GeorgiaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.