Insurance coder jobs in Atlanta, GeorgiaCreate job alerts

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. 3M Experience Needed Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment., 2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed., 3. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type., 4. Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues., 5. Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment., 6. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details., 7. Complies with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations., 8. Utilizes coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignment., 9. Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials. • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES * Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) * Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) * Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) * Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) * Performs other duties as assigned or required. (5%) QUALIFICATIONS: Minimum * High School / GED * 1 year in Hospital coding * Successful completion of coding courses in anatomy, physiology and medical terminology * Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC) * Familiarity with medical terminology * Strong data entry skills * An understanding of computer applications * Ability to work with members of the health care team Preferred Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $23.03 Pay Range Maximum: $35.70 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272373

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the management of daily operational processes, including: optimization of work assignments, timekeeping and supervision responsibilities of team, providing technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to coding. Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all service lines. Identifies work flow issues and solutions, training needs, works special projects, resolves claim/account issues and technical problems and communicates/escalates root cause issues as appropriate. Works closely with the Coding Manager to provide accurate, critical information for identification of areas needing immediate attention to improve revenue results. Monitors daily workflow, reassigns work as needed and monitors staff productivity as required to achieve key revenue cycle performances indicators. This supervisor will facilitate a climate of teamwork. ESSENTIAL RESPONSIBILITIES: * Supervises coders. Assists with training new staff, counsels staff on performance and assists with managing workload goals and standards of performance. (25%) * Assists coding manager with scheduling, payroll, work queue assignment, and physician education. (25%) * Assists with production coding when and where needed. (20%) * Builds strong relations and facilitates productive communication between key stakeholders and core support departments. Collaborates with others to develop and implement action plans to resolve errors. (10%) * Organizes, delegates, monitors and measures special projects to ensure they are completed timely and accurately. (10%) * Identifies, quantifies and monitors account detail or workflow processes for barriers. Makes process improvements or initiates courses of action for problem resolution. (10%) * Performs other duties as assigned or required. QUALIFICATIONS Minimum * Associates Degree in a Health Information related field or 4 years of experience in lieu of Associate's degree * 3 years experience as a production coder related to the coding team being supervised which includes assigning ICD-10-CM codes, ICD-10-PCS codes (inpatient), CPT/HCPCS codes. * Excellent organizational and project management skills * 1 year in a leadership type role or a similar role in oversight of staff and/or processes * Professional Coding Certification Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $30.10 Pay Range Maximum: $48.54 Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272889

Job Description SUMMARY: We are seeking a qualified and dedicated Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job. DUTIES: • Remain HIPAA and OSHA compliant., • Translate patient information and alphanumeric medical code entries., • Electronic “clean” claims submissions to Insurance Carriers., • Collect, post, and manage patient account payments., • Sort and file paperwork., • Analyzing and correcting coding errors., • Ensure healthcare facilities are reimbursed for all procedures., • Follow Up on accepted or denied claims., • Review denied claims for denial reasons and provide resolution., • Investigate insurance fraud and report if found., • Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding. Qualifications: • A minimum of 2 years’ experience as a Medical Coder ., • Knowledge of unfair debt collection practices and insurance guidelines., • Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS, • Computer proficiency and medical billing software, • Must have the ability to multitask and manage time effectively., • Excellent written and verbal communication skills., • Outstanding problem-solving and organizational abilities., • Productivity Driven. EDUCATION AND EXPERIENCE: • High School, Associate Degree or 1-3 years of Billing and Coding experience, • Professional Certification preferred Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.

Job Description Revenue Cycle Manager Department: Revenue Position Summary: The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing. The Revenue Cycle Manager will be the main contact for the Practice Management vendor, Medicaid contacts, clinically integrated networks and Clearing House vendor. They will be responsible for setting the annual practice fee schedule. This position is to stay apprised of coding and revenue trends; and is responsible for coding education to clinical and coding/billing staff. In addition, this position will manage all Revenue Cycle Management staff including billers, coders, team assistants, and the RCM supervisor; this will include day to day supervision as well as development opportunities, training, and mentorship. Supervision Received: Director of Finance/Partners at Pediatric Ear Nose and Throat of Atlanta Supervision Exercised: Coders, Billers, Team Assistant, and RCM Supervisor Classification: Full-Time Required Education and Qualifications: • A bachelor’s degree and 3-5 years of related work experience, • Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process, • Proven experience in healthcare billing, including Medicaid., • Knowledge of basic insurance policies, procedures, and reimbursement practices with Medicaid and commercial coding, • Experience supervising staff, • Prior experience with process development and execution, • Excellent communication and interpersonal skills, • 3 years healthcare experience at the management level, • Certified coder, coding auditor, or coding education experience Essential Functions: • Oversee and manage entire revenue cycle including billing, coding, collections, and denial management, • Manage relationships with external vendors for practice management software and clearinghouse vendor, • Communicate professionally with various payers, • Manage, develop, and mentor all revenue department staff, including billers and coders and RCM/Admissions Supervisor, • Teams with the operations team to oversee the registration process and manage the registration process team, • Responsible for management and maintenance of billing and practice management software platform, • Provide up to date education for clinical, billing, and coding staff on coding trends, • Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies, • Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements, • Manage and update the charge master based on the current CMS fee schedule and negotiated contracts, • Conduct monthly analysis of Medicaid/Third Party Payers, • Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors, • Responsible for the generation and management of revenue, registration and credentialing metric reports, • Review and resolve issues related to claim generation and rejected/denied billings, • Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information, • Technical expert for practice management system (eg. Mod Med), • Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations, • Maintains appropriate internal controls over accounts receivable, RCM process, • Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers, • Reviews, monitors, and evaluates third party reimbursement and researches variances, • Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, government and specific 3rd Party Payors), • Working understanding and ability to perform the task of staff members under your supervision, • All other duties as assigned Lifting Requirements Sedentary- generally, lifting not more then 50 lbs. maximum and occasionally lifting and/or carrying such articles as reports, files and small items. Travel Requirement Local; Metropolitan Atlanta Career Path Additional training/education or equivalent experience, as well as business need, are required for movement into higher level jobs. Disclaimer Must perform the essential duties and responsibilities with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and /or skills required. This job description is not an employment agreement and /or an expressed or implied contract. Management has the right to alter this job description at any time without notice.

Administrative Assistant (Temp).Georgia State University is a vibrant community in the heart of Atlanta.At Georgia State University (GSU), we value the unique skills, perspective, talents, and passion that each employee contributes to its learning community.To work at GSU is to accept an invitation

Processing sensitive and confidential information such as student payroll, evaluations, registration, and insurance records.

Call Center / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requiremen

Customer Service / Remote] - Anywhere in U.Competitive Pay & Benefits / Flexible Schedule / Career Growth / Meaningful Impact - As a Call Center Representative (CSR) at Wellcove, you will: Provide excellent customer service via phone and email; Respond to customer inquiries and resolve issues in a t

Customer Service / Remote] - Anywhere in U.Medical, dental & vision / 401k / PTO / Equipment provided - As a Call Center Associate at Vector Security, you will: Receive inbound communications from customers via multiple channels including phone, chat, email and text and provide positive customer exp

Customer Service / Remote] - Anywhere in U.DOE / Health-Dental-Vision-Life-FSA-HSA / 401(k) plan - As a Call Center Representative, you will: Assist customers with inquiries and concerns through multiple communication channels including phone, email, and chat; Provide exceptional customer service by

Customer Service / Remote] - Anywhere in U.Competitive pay & benefits - As a Call Center Rep at Jackson Hewitt Inc.Receive inbound/ make outbound calls to clients to learn about and address their needs, complaints, or other issues with products or services; Respond efficiently and accurately to clie

Customer Service / Fully Remote] - Anywhere in U.Competitive pay / $500 retention bonus / Medical, dental, and vision / 401K / PTO / Equipment provided / Paid training - As a Call Center Support Rep you'll: Receive a large volume of inbound phone calls; Assist with outbound call campaigns; Answer ge

As a FT Call Center/Customer Service Rep [Work From Home], you will: Handle incoming calls and inquiries from customers in a professional and courteous manner; Provide accurate and efficient assistance with customer inquiries, complaints, and requests; Maintain a high level of product knowledge to e

Customer Service / Remote] - Anywhere in U.Medical-Dental-Vision-401(k) with match / Hours: 6p-2a HST - As a Call Center Specialist, you will: Answer incoming calls from clients seeking information about pet hospice services; Provide compassionate and knowledgeable support to pet owners during diffi

Customer Service / Remote] - Anywhere in U.Flex Schedule 7a-11p EST / Medical-Dental-Vision-Life-AD&D / 401(k) +3% / Generous PTO + Parental Leave - As a FT - Call Center Representative - Work From Home at Lap Of Love, you will: Assist clients with their end-of-life care needs by answering phone cal

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Data Entry experience not required.Remote Work From Home Data Entry Clerk - Part Time Market Research Panelists Our company is seeking individual

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / PTO / Paid training - As a Customer Service Rep at Assurant, you will: Handle inbound customer calls and/or e-mails with empathy and professionalism; Resolve issues, answer questions, and provide proactive solutions; Document inte

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Administrative Assistant admin experience not required.Remote Work From Home Administrative Assistant Admin - Part Time Market Research Panelists

Sales Account Manager opportunity available with growing plastics/film-extrusion company! (Base + Bonus).This Jobot Job is hosted by: Marcus Curiel.Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume.Salary: $75,000 - $90,000 per year.We are a flexible p

Seeking participants for Focus Group and market research studies.Work part-time from home and earn up to $750 per week.Register to see if you are eligible.Customer service representative agent experience not required.Remote Work From Home Customer Service Representative Agent - Part Time Market Rese

Bank Clothiers - 1750-A Ellsworth Ind.Nw, Atlanta, GA, United States, 30318 [Customer Service Representative] As a Customer Service Representative at JoS.Bank Clothiers, you'll: Handle and accurately follow standard operating procedures for all customer purchases, returns, exchanges, store credits a

Customer Support / Remote] - Anywhere in U.Medical, dental & vision / 401k - As a Customer Service Rep at DGI Supply, you will: Handle customer and sales interactions via phone, email and tickets within the Customer Care Box; Process requests for quotations, order entry and product questions from cu

Required Skills & Experience.High school diploma or equivalent.Proficiency in Word, Excel, and Outlook.Bachelor's degree in business or related field.High school diploma or equivalent.No professional certifications required.Excellent interpersonal skills.Proficiency in Word, Excel, and Outlook.D

PrideStaff - - Responsibilities: Handle a high volume of inbound and outbound calls with professionalism and a positive attitude.Utilize Microsoft Excel to track customer data, update orders, and maintain accurate records.Take ownership of customer inquiries from start to finish, ensuring timely an

Front Desk Administrative Assistant.We are partnering with a highly exclusive private equity firm seeking a polished and service-driven Administrative Assistant to serve as the face of the office.This individual will deliver a seamless, high-touch experience for executives, board members, investors,