Trabajos medical billing coding en Atlanta, GeorgiaCrear alertas

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months, • Online and in-person options available, • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who qualify. Take the first step towards your new career path today!

Nurse Practitioner (Primary Care) Opportunities in Suburban Atlanta, GA Multiple Full-Time & Part-Time Positions Available It is a distinguished privately owned Primary Care facility in the North Atlanta Suburbs. We are dedicated to delivering healthcare of the highest standard, complemented by an exceptional patient experience. Located just 20 minutes north of Atlanta, we're situated in an area renowned for top-tier schools and a plethora of recreational activities, making it an ideal place to raise a family. Join us and become part of a community where achieving work life harmony is not merely a goal, but a way of life! Specialty: We specialize in Primary Care with an emphasis on Internal Medicine or Family Medicine, catering exclusively to adult patients. Position Overview: We are looking for Nurse Practitioners (NPs) specialized in primary care/internal medicine. The NP will work collaboratively with our healthcare team to provide exceptional care to our patients. The role involves assessing, diagnosing, and treating a wide range of health issues, focusing on preventive care and the management of chronic conditions. Qualifications for Nurse Practitioner Position: State Licensure: • Georgia State Nurse Practitioner License: Candidates must hold a current Georgia state license as a Nurse Practitioner, with a specialty in family or adult medicine. Certifications: • Specialty Board Certification: Board certification in the Nurse Practitioner's specialty area, specifically as an Adult or Family Nurse Practitioner, is required., • National Board Certification: Applicants must possess national board certification., • American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC) Certification: Certification through either the AANP or ANCC is necessary. Education: • Educational Background: A Master's Degree in Nursing or a Doctorate in Nursing Practice (DNP) from an accredited nurse practitioner program is required. Experience: • Clinical Experience: A minimum of three years of experience in primary care, specifically in Internal Medicine or Family Practice, is essential., • Coding and Billing Proficiency: Knowledge of Evaluation and Management (E/M) coding guidelines is necessary., • EMR and Dictation Proficiency: Proficiency in using electronic medical record (EMR) systems is required. We utilize EClinicalWorks for our EMR system and Medical Dragon One for dictation, ensuring an efficient and optimized workflow. Clinical and Personal Skills: • Strong Clinical Skills: The ability to work independently with robust clinical skills is crucial., • Communication and Interpersonal Skills: Excellent communication and interpersonal skills are key to delivering patient-centered care and collaborating effectively with the healthcare team. Operational Details & Scheduling: • Work Schedule: This is a full-time position, structured within a 4.5-day workweek, from Monday to Friday, 8:00 AM to 5:00 PM. The arrangement can be flexible if necessary., • Weekends & Major Holidays: The office is closed to prioritize and maintain work life balance., • Patient Volume & Schedule Structure: 2 new or 3 established patients per hour., • On Call Responsibilities: Phone calls only; calls are minimal and light. Compensation & Benefits: • Salary: Competitive Base Salary, • Bonus: Productivity bonus based on Nurse collections., • Signing Bonus: Attractive Sign on Bonus., • Relocation Assistance: Support for relocation expenses provided., • Health Insurance: Comprehensive health, dental, and vision plans allowance., • Life and Disability Insurance: Life and disability insurance coverage allowance., • Professional Liability Insurance: Medical Malpractice Insurance with tail coverage included., • Retirement: 401K plan with employer matching contributions., • License and Certification Fees: Reimbursement for maintaining medical licenses, board certifications, professional memberships, and DEA registration., • Continuing Medical Education (CME): Generous allowance provided., • Paid Time Off (PTO): Ample PTO for vacation and sick leave., • Paid Major Holidays: Enjoy time off on major holidays.

Fully Remote UD HQ - Atlanta, GA 30328 Position Type Full Time Education Level High School or GED Travel Percentage As needed for business requirements. Category Revenue Cycle Management GENERAL SUMMARY OF DUTIES: Responsible for the ICD and CPT coding, data entry and claims processing of office E&M charges, office procedures, imaging, infusions, labs and other services performed by the physicians and mid-level providers of Atlanta Gastroenterology Associates. REPORTS TO: Revenue Cycle Manager RESPONSIBILITIES Duties include but are not limited to: • Claim scrubs for clean claim submission., • Works appeals/denials in a timely manner and creates solutions to prevent future denials., • Communicate and work in tandem with billing company, hospitals, and insurance payers as required, • Accurate coding and claims submission of services provided by Atlanta Gastroenterology Associates providers, including assigning the correct ICD and CPT codes., • Reviews and analyzes patient records to determine accurate levels of coding and other billable services., • Research coding and claims questions thoroughly in order to maintain high quality standards., • Ensures that appropriate modifiers are assigned when needed, to claim., • Understands and maintains payer edits in practice management system., • Provides support to office managers and staff in determining accurate coding and billing practices., • Participates in coding audits and educational endeavors as directed by the Charge Entry Supervisor, • Continues personal education by attending seminars and classes as needed., • Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes (ICD-10)., • Understands and abides by CMS and other payer guidelines in coding and billing., • Meets or exceeds quality and productivity standards as set by the Charge Entry Supervisor., • Answers emails and voicemails and returns calls in a timely and efficient manner., • Completes requests for information from other Atlanta Gastroenterology Associates staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts., • Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information., • Participates in staff meetings as directed by the Charge Entry Supervisor., • Cross trains and performs other practice functions as directed by the Charge Entry Supervisor., • Any other duties and/or special projects as assigned. REQUIRED EDUCATION, SKILLS & EXPERIENCE High School Diploma or GED required; CPC REQUIRED, 3-4 years of coding and/or medical office and billing experience; Skills and knowledge of EMR software functionality and operations; Proficiency in multiple Microsoft Office applications; Knowledge and ability to respond to claims questions and denials. Advanced knowledge in E&M and procedural Coding preferred and Specialty clinical experience in Gastroenterology experience preferred. ADDITIONAL SKILLS AND EXPERIENCE Billing Specialist must be able to: • Provide a high level of quality patient care and customer service at all times., • Plan, prioritize, and complete multiple tasks as delegated by RCM Leadership, • Productivity based assignments to be completed within time frame assigned, • Ability to work under pressure; assess, respond, and communicate issues in a timely manner., • Maintain composure and set a professional example to patients and coworkers., • Communicate clearly with patients and coworkers through the telephone, email, and in-person., • Interpret and apply clinical and non-clinical policies and procedures. PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS Requires sitting and standing associated with a normal office environment. Travel required as business needs dictate. DRUG FREE WORKPLACE United Digestive a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening. EQUAL OPPORTUNITY EMPLOYER United Digestive is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, military or veteran status, gender, color or national origin in its employment practices.

Job Description Medical Billing Specialist Location: Atlanta, GA 30327 | Full-Time | In-Person Join Our Team at Ortho Sport & Spine Physicians Ortho Sport & Spine Physicians is seeking an experienced and detail-oriented Medical Billing Specialist to join our growing Revenue Cycle team. In this role, you will help ensure claims are submitted accurately and timely, follow up on outstanding accounts, resolve claim rejections and denials, and work with insurance carriers to support appropriate reimbursement. We are looking for someone who understands the full medical billing cycle, is comfortable working high-volume accounts, and knows how to identify and resolve issues before they delay payment. What You'll Do · Submit clean and accurate claims to commercial insurance carriers, Medicare, Medicaid, and other payers. · Review claims for accuracy and completeness prior to submission. · Work claim scrubber edits, rejected claims, and outstanding encounters. · Follow up on unpaid, underpaid, and denied claims. · Research denial reasons and take appropriate action to obtain reimbursement. · Correct and resubmit claims when necessary. · Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs). · Work insurance accounts receivable and follow up on aging claims. · Identify payer-specific billing requirements and ensure claims meet submission guidelines. · Verify that appropriate documentation and coding information are present to support billing. · Communicate with insurance companies regarding claim status, payment discrepancies, denials, and appeals. · Assist with appeals and reconsiderations when appropriate. · Maintain accurate notes and documentation within patient accounts. · Identify recurring denial or payment trends and escalate issues appropriately. · Collaborate with coding, clinical, authorization, and other Revenue Cycle teams to resolve billing issues. · Help improve clean claim rates, reduce denials, and decrease accounts receivable aging. · Maintain compliance with HIPAA and all applicable federal, state, payer, and organizational requirements. What We're Looking For Required Qualifications · Minimum 2+ years of medical billing and/or revenue cycle experience, preferably in a physician practice or specialty healthcare environment. · Strong understanding of the medical billing and claims lifecycle. · Experience with insurance claim submission, follow-up, denials, rejections, and accounts receivable. · Knowledge of commercial insurance, Medicare, Medicaid, and payer-specific billing requirements. · Familiarity with CPT, ICD-10-CM, HCPCS, and modifiers as they relate to claim submission and reimbursement. · Ability to read and interpret EOBs and ERAs. · Strong attention to detail and ability to identify billing discrepancies. · Excellent organizational, analytical, and problem-solving skills. · Ability to independently manage a high-volume workload while meeting productivity expectations. · Strong written and verbal communication skills. Preferred Qualifications · Previous experience in orthopedics, spine, pain management, or another procedural specialty. · Experience with eClinicalWorks (eCW). · Experience with denial management, appeals, and insurance accounts receivable. · Familiarity with claim scrubbers, clearinghouses, and electronic claim submission. · Experience working within a high-volume, multi-location healthcare organization. The Ideal Candidate You are proactive, organized, and persistent. You don't simply resubmit a denied claim—you research why it denied, determine what needs to be corrected, and work toward resolution. You understand the importance of clean claims and timely follow-up and take ownership of your accounts from initial submission through payment. Why Join Ortho Sport & Spine Physicians? · Join a rapidly growing healthcare organization · Collaborative Revenue Cycle environment · Opportunities for professional growth and advancement · Predictable full-time schedule · No weekend or on-call requirements Benefits · Competitive compensation · 401(k) with employer matching · Health insurance · Dental insurance · Vision insurance · Life insurance · Paid time off · Paid parental leave · Tuition reimbursement Job Type: Full-Time Schedule: 40 hours per week Location: Atlanta, GA 30327 Work Location: In Person If you're an experienced medical billing professional who takes pride in resolving claims, reducing denials, and helping create a strong revenue cycle, we'd love to hear from you. Apply today to join Ortho Sport & Spine Physicians. Ortho Sport & 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 applicable federal or Georgia law.

Job Description Training Hours: 8:30a - 5:30p (EST) Monday - Friday Under general supervision of an Operations Manager, the Benefits Verification Specialist will contact insurance companies to verify patient specific benefits for programs we administer. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage. PRIMARY DUTIES AND RESPONSIBILITIES: 1. Reviews all patient insurance information needed to complete the benefit verification process., 2. Triages cases with missing information to appropriate program associate., 3. Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options., 4. Identifies any restrictions and details on how to expedite patient access., 5. Could include documenting and initiating prior authorization process, claims appeals, etc., 6. Completes quality review of work as part of finalizing product., 7. Reports any reimbursement trends/delays to management., 8. Performs related duties and special projects as assigned. EXPERIENCE AND EDUCATIONAL REQUIREMENTS: High school diploma or GED required. Requires broad training in fields such as business administration, accounting, computer sciences, medical billing and coding, customer service or similar vocations generally obtained through completion of a two-year associate's degree program, technical vocational training, or equivalent combination of experience and education. MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: 1. Proficient Windows based experience including fundamentals of data entry/typing, 2. Working knowledge of Outlook, Word, and Excel, 3. Strong interpersonal skills and professionalism, 4. Independent problem solver, good decision maker, and robust analytical skills, 5. Strong attention to detail, 6. Effective written and verbal communication, 7. Familiarity with verification of insurance benefits preferred, 8. Attention to detail, flexibility, and the ability to adapt to changing work situations., 9. Strong customer service experience PHYSICAL AND MENTAL REQUIREMENTS: 1. Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing., 2. Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus., 3. 75% or more time is spent looking directly at a computer., 4. Ability to deal with stressful situations as they arise. \nCompany Description Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries. We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries. MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations. We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com Benefits with MMC Group MMC offers health insurance plans for our active candidates on assignment, including: Medical, dental, and vision coverage Life and disability insurance Additional voluntary benefits Join MMC and enjoy the support of a team that values your well-being, both on and off the job. MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered. Get started on your career journey today! Apply to become a part of the MMC Team! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Throughout the past 30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.\r\n\r\n We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.\r\n\r\n MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.\r\n\r\n We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com \r\n\r\n Benefits with MMC Group\r\n MMC offers health insurance plans for our active candidates on assignment, including:\r\n\r\nMedical, dental, and vision coverage\r\nLife and disability insurance\r\nAdditional voluntary benefits\r\n\r\n\r\n Join MMC and enjoy the support of a team that values your well-being, both on and off the job.\r\n\r\n MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.\r\n\r\n Get started on your career journey today! Apply to become a part of the MMC Team!\r\n\r\n We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Job Description We have been retained to recruit the Vice President of Revenue Cycle Management for our client due to company growth. The client is a healthcare practice based on the north side of Atlanta with clinic locations throughout the Southeast. The organization has approximately 350 team members. The client is looking for someone that can not only create and implement a strategy for this growth but someone that can monitor day to day operations and willing to step in directly when necessary. Position Summary: A Vice President of Revenue Cycle Management leads the financial operations of patient billing, medical records and workers compensation. Key duties include optimizing cash flow, reducing claim denials, and ensuring compliance. Essential Duties and Responsibilities include the following. Other duties may be assigned. · Operations Oversight: Direct end-to-end revenue cycle activities, including patient scheduling, pre-registration, insurance verification, medical coding, billing, and accounts receivable (AR). · Financial Optimization: Implement strategies to maximize net revenue realization, accelerate cash collections, minimize bad debt, and reduce claim denial and rejection rates. · Technology & Innovation: Drive the adoption of advanced automation, analytics, and AI-enabled infrastructure to streamline workflows and reduce the overall cost to collect. · Compliance & Governance: Ensure strict adherence to federal, state, and payer-specific guidelines including CMS rules and HIPAA regulations. · Leadership & Collaboration: Lead, mentor, and scale the RCM team while partnering closely with clinical, IT, and administrative leaders across the organization. This individual will lead a team of approximately 30 people including 2 managers and 1 team lead. Qualifications / Education / Knowledge: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. · Education: Bachelor’s degree in healthcare administration, Finance, Business Management, or a related field; master’s degree (MBA or MHA) preferred. · Experience: 8+ years of progressive healthcare revenue cycle leadership experience, with at least 5+ years’ operating in an executive or director role. · Technical Skills: Deep expertise in medical billing software (e.g., Epic or ECW), electronic health records (EHR), data analytics, and automated denial management platforms. · Core Competencies: Exceptional understanding of payer contracting reimbursement methodologies, regulatory compliance, and team development. Reasoning Ability: · The ability to apply general rules to specific problems to produce answers that make sense. · The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). To learn more and receive a detailed position summary, please reply to Mark Conley for more information. \nCompany Description Established healthcare organization based in the Atlanta metro area with offices throughout the Southeast and parts of the US. Established healthcare organization based in the Atlanta metro area with offices throughout the Southeast and parts of the US.

Job DescriptionDescription: Help Shape the Financial Health of a Growing Orthopaedic Organization At Barbour Orthopaedics & Spine, we're building one of the premier musculoskeletal care organizations in the Southeast. With a growing network of orthopaedic surgeons, spine specialists, sports medicine physicians, advanced practice providers, ambulatory surgery centers, imaging services, and rehabilitation programs, we are seeking a high-performing to help optimize reimbursement, strengthen compliance, and lead our coding and authorization operations. This is an opportunity for a revenue cycle leader who understands the complexities of orthopaedic surgery, outpatient coding, payer authorizations, and ASC operations, and who thrives in a fast-paced, growth-oriented environment. If you're a Leader with a strong coding background and a passion for improving financial performance while supporting exceptional patient care, we want to hear from you. Why Join Barbour Orthopaedics & Spine? • Growing multi-state orthopaedic platform, • Opportunity to lead and build high-performing teams, • Direct impact on revenue cycle performance and organizational growth, • Collaborative partnership with surgeons, executives, and operational leaders, • Competitive compensation, bonus potential, and comprehensive benefits, • Career advancement opportunities within a rapidly expanding organization Position Summary: The Orthopaedic Coding & Precertification Manager is responsible for the strategic leadership and day-to-day management of orthopedic coding, surgical precertification, denial prevention, documentation integrity, and revenue optimization initiatives across physician practice and ambulatory surgery center operations. The ideal candidate combines deep expertise in orthopedic surgical coding, outpatient reimbursement, payer authorization requirements, and revenue cycle operations with proven leadership experience developing high-performing teams and driving measurable financial outcomes. This role serves as a critical business partner to physicians, ASC leadership, surgery scheduling teams, finance, and revenue cycle stakeholders. What You'll Do Lead Orthopaedic Coding Excellence • Ensure accurate coding of orthopedic procedures, including:, • Joint Replacement, • Sports Medicine, • Arthroscopy, • Spine Surgery, • Fracture Care, • Trauma, • Injection Procedures, • Hand and Upper Extremity Services, • Maintain compliance with CPT, HCPCS, ICD-10-CM, CMS, NCCI, and payer requirements., • Provide coding guidance related to modifier usage, laterality, global surgical packages, and medical necessity requirements., • Conduct coding audits and provider education programs to improve documentation quality and coding accuracy. Manage Surgical Authorizations & Precertification • Oversee all surgical and procedural authorization workflows., • Ensure timely authorization approvals to prevent surgical delays and avoidable denials., • Develop efficient authorization processes that improve patient access and reimbursement outcomes., • Monitor payer-specific requirements and proactively address authorization challenges. Optimize Revenue Cycle Performance • Partner with billing teams to improve clean claim rates and reduce reimbursement delays., • Monitor and resolve:, • Authorization discrepancies, • Charge lag, • Coding edits, • Clearinghouse rejections, • Unbilled claims, • Identify and implement opportunities for revenue enhancement and revenue leak prevention. Reduce Denials & Maximize Reimbursement • Analyze coding-related and authorization-related denials., • Develop corrective action plans and sustainable process improvements., • Lead appeal efforts involving medical necessity, coding compliance, authorization disputes, and bundling issues., • Present denial trends and financial impact analyses to leadership. Develop & Lead High-Performing Teams • Manage coding specialists, precertification coordinators, and revenue cycle team members., • Establish productivity and quality benchmarks., • Coach, mentor, and develop staff through training and performance management initiatives., • Foster a culture of accountability, collaboration, and continuous improvement. Drive Compliance & Reporting • Oversee internal coding and authorization audits., • Maintain compliance with federal and state regulations., • Monitor key operational and financial KPIs., • Prepare executive reports related to coding quality, authorization performance, denial trends, and reimbursement outcomes., • Support quarterly strategic initiatives and departmental goals. What Makes You Successful You are: • A strategic revenue cycle leader who understands both operational and financial impacts., • Comfortable working directly with surgeons and executive leadership., • Skilled at interpreting complex payer requirements., • Passionate about process improvement and operational efficiency., • Highly analytical and data-driven., • A collaborative problem solver who can influence change across departments.Requirements: Minimum Qualifications: • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Health Information Management, or related field preferred; equivalent education and experience may be considered., • Minimum of five (5) years of orthopedic coding, revenue cycle, authorization, or related healthcare reimbursement experience., • Minimum of two (2) years of leadership, management, or supervisory experience., • Strong knowledge of orthopedic surgical coding, precertification processes, payer authorization requirements, and revenue cycle operations., • Advanced knowledge of CPT, HCPCS, ICD-10-CM, modifier usage, medical necessity requirements, NCCI edits, and global surgery rules., • Working knowledge of commercial insurance, workers’ compensation, and third-party payer requirements., • Experience managing coding audits, authorization workflows, denials, appeals, and reimbursement-related processes., • Strong analytical, organizational, problem-solving, and communication skills., • Proficiency with Microsoft Excel and healthcare billing, reporting, practice management, and electronic health record systems. Preferred Qualifications: • Experience in an orthopedic physician practice, multi-location orthopedic organization, ambulatory surgery center (ASC), or high-volume surgical environment., • Experience with professional fee billing, surgical coding, payer contract analysis, and revenue cycle analytics., • Experience using Epic, NextGen, athenahealth, eClinicalWorks, or comparable PM/EHR platforms., • Experience utilizing Power BI or other business intelligence and reporting tools. Required Certifications and Licensure: • CPC (Certified Professional Coder) Preferred Certifications and Licensure • COCS (Certified Orthopedic Coding Specialist), • CPMA (Certified Professional Medical Auditor), • COC (Certified Outpatient Coder), • CIC (Certified Inpatient Coder), • CPC-H or equivalent coding certification, • CRCR (Certified Revenue Cycle Representative), • CPB (Certified Professional Biller)

Job Description Join the WellStreet Urgent Care Revenue Cycle Team! WellStreet Urgent Care is seeking an experienced Certified Medical Coder to support our growing Revenue Cycle team. In this role, you will accurately assign ICD-10-CM, CPT, HCPCS, and Evaluation & Management (E&M) codes for urgent care encounters while ensuring compliance with coding guidelines, quality standards, and productivity expectations. This is an excellent opportunity for a detail-oriented coding professional with Epic experience who enjoys working in a collaborative, fast-paced healthcare environment. What You'll Do • Code patient encounters for WellStreet Urgent Care Centers using internal coding software., • Accurately assign ICD-10-CM, CPT, HCPCS, and E&M codes based on provider documentation., • Apply current coding guidelines and regulatory requirements to ensure coding accuracy and compliance., • Utilize coding encoders and other coding resources to support accurate code selection., • Review provider documentation and communicate with physicians when clarification is needed., • Perform coding audits and quality reviews to ensure documentation supports assigned codes., • Assign and sequence diagnosis and procedure codes for services rendered., • Partner with Revenue Cycle Management and Billing teams to resolve coding-related issues and support timely claim submission., • Collaborate with clinic staff and providers to improve documentation quality and coding accuracy., • Meet established productivity and quality standards while maintaining a high level of accuracy., • Perform other duties as assigned.Minimum Qualifications, • Minimum of 2 years of professional medical coding experience, • Epic experience preferred, • High school diploma or equivalent, • Active CPC, RHIT, or CCS certificationPreferred Qualifications, • Urgent Care coding experience, • Occupational Health coding experienceRequired Skills & Experience, • Strong knowledge of ICD-10-CM, CPT, HCPCS, and E&M coding and leveling, • Experience using a coding encoder, • Knowledge of coding compliance, insurance payers, and the revenue cycle, • Experience working within Epic and/or other Practice Management/Billing systems, • Strong computer skills, including Microsoft Office (Word, Excel, and PowerPoint), • Excellent attention to detail and organizational skills, • Ability to work independently while managing multiple priorities in a high-volume environment, • Strong verbal and written communication skills, • Collaborative team player with a positive, professional attitude, • Commitment to maintaining coding accuracy, productivity, and compliance standardsWhy Join WellStreet? At WellStreet Urgent Care, we're committed to delivering exceptional patient care through teamwork, integrity, and excellence. We believe our employees are our greatest asset and strive to create a workplace where every team member feels valued, supported, and empowered to succeed. We're looking for individuals who: • Demonstrate a positive attitude toward patients, families, and coworkers, • Go the extra mile to create an outstanding patient experience, • Thrive in a collaborative and supportive team environment, • Take pride in delivering accurate, high-quality work, • Share our commitment to improving the health of the communities we serve If you're a certified medical coder looking to make an impact with a growing healthcare organization, we'd love to hear from you. Apply today and become part of the WellStreet Urgent Care team! #INDmisc

Job DescriptionAppeals Specialist – Medical Billing & Insurance Appeals Mount Yonah Medical Billing (MYMB) Location: Doraville, GA 30360 Employment Type: Full-Time | In Office Schedule: Monday–Friday, 8:30 AM–5:00 PM Pay: $17.00–$20.00 per hour (based on experience) About Mount Yonah Medical Billing Mount Yonah Medical Billing (MYMB) is a rapidly growing third-party medical billing company specializing in behavioral healthcare, with expertise in substance use disorder and mental health billing. We partner with treatment providers to deliver accurate, compliant, and efficient revenue cycle management services that maximize reimbursement and support quality patient care. As we continue to grow, we are seeking a detail-oriented and motivated Appeals Specialist to join our collaborative team. This is an excellent opportunity for someone looking to build a long-term career with a stable company that values professional growth and internal advancement. Position Summary The Appeals Specialist plays a critical role in our Revenue Cycle Management team by researching, preparing, and submitting insurance appeals for denied or underpaid claims. This individual will work closely with insurance carriers and internal departments to ensure timely resolution of claim denials while maximizing reimbursement and maintaining compliance with payer regulations. The ideal candidate has strong analytical skills, excellent written communication abilities, and experience navigating payer policies and behavioral health billing. Minimum Qualifications • High school diploma or GED required, • Minimum of one (1) year of recent experience in medical billing, insurance appeals, denial management, or healthcare revenue cycle required, • Experience working with Medicare, Medicaid, and commercial insurance payers preferred, • Knowledge of CPT, ICD-10-CM, and HCPCS coding preferred, • Experience using electronic health record (EHR) and medical billing software, • Ability to work full-time in our Doraville officePreferred Experience Experience with any of the following systems is highly preferred: • CollaborateMD, • Kipu EMR, • AvailityKey Responsibilities, • Review denied and underpaid insurance claims to determine the appropriate appeal strategy, • Prepare, submit, and track insurance appeals in accordance with payer guidelines and filing deadlines, • Research payer policies and identify supporting documentation necessary for successful appeal submissions, • Work closely with billing staff and clinical teams to obtain required medical documentation, • Monitor appeal status and follow up with insurance companies to ensure timely resolution, • Maintain accurate documentation of appeal activity within billing systems, • Identify denial trends and communicate findings to leadership to improve reimbursement outcomes, • Ensure compliance with HIPAA, payer regulations, and company policies, • Assist with additional revenue cycle projects as assignedSkills & Competencies, • Strong analytical and critical thinking abilities, • Exceptional attention to detail and accuracy, • Excellent written and verbal communication skills, • Ability to prioritize multiple tasks while meeting deadlines, • Strong organizational and time-management skills, • Ability to work independently while contributing to a collaborative team environment, • Proficiency with Microsoft Office and medical billing softwareWhy Join Mount Yonah Medical Billing? We believe our employees are our greatest asset. When you join MYMB, you'll become part of a supportive team committed to professional development and long-term success. We Offer: • Competitive hourly pay based on experience, • Paid training, • Performance bonus opportunities after 90 days, • Health insurance after 60 days, • Dental, vision, and life insurance after 90 days, • 401(k), • Paid Time Off (PTO), • Opportunities for career advancement and leadership growth, • Stable Monday–Friday schedule with evenings and weekends off, • Positive, team-oriented work environmentReady to Grow Your Career? If you're a motivated professional with medical billing experience and enjoy solving complex insurance challenges, we'd love to hear from you. Apply today and become part of a growing organization where your contributions make a meaningful impact every day. Powered by JazzHR 67AtjdV64q

Job Description Is This You? Are you an experienced Python developer who enjoys building backend applications, REST APIs, and data-driven automation for complex business processes? Do you bring strong backend development skills and an interest in applying them within insurance systems spanning policy, claims, underwriting, and billing? About the Role Build and support Python applications and backend services that enable core insurance business processes. This full-time, remote FormativGroup role will support a client engagement in the insurance industry. You will develop and maintain Python applications, REST APIs, and data-processing solutions; integrate internal and external systems; and collaborate with business and technical teams to deliver reliable solutions. The role also supports cloud-based deployments and CI/CD processes, along with unit testing, debugging, production support, performance optimization, and secure development practices. What You'll Work On As a Python Developer, you will: • Develop and maintain Python applications supporting insurance business processes, including Policy, Claims, Underwriting, and Billing systems., • Build REST APIs and backend services, and integrate applications with internal and external systems using APIs and web services., • Develop data-processing and automation solutions using Python and SQL, work with relational databases, and optimize SQL queries., • Develop and maintain applications using Django, Flask, or FastAPI., • Collaborate with business and technical teams to gather requirements and deliver solutions in an Agile/Scrum environment. What You'll Bring You will likely be successful in this role if you have: • Strong hands-on Python backend development experience, including building REST APIs and backend services., • Experience developing applications using Django, Flask, or FastAPI., • Experience with SQL, relational databases, data processing, and query optimization., • Experience integrating applications through APIs and web services and supporting cloud-based deployments and CI/CD processes., • Experience with unit testing, debugging, production support, performance optimization, and secure coding and development best practices. How You Work • You collaborate effectively with business and technical teams to understand requirements and turn them into practical solutions., • You are comfortable working hands-on across development, debugging, production support, and ongoing application improvement., • You balance delivery with attention to code quality, performance, security, and reliable development practices. Bonus Points If You Have • 7+ years of relevant software development experience., • Prior experience supporting insurance systems or business processes, particularly Policy, Claims, Underwriting, or Billing., • Broader experience across Python web frameworks, cloud-based deployment environments, or CI/CD processes. What Success Looks Like • Deliver and maintain reliable Python applications and REST APIs aligned with defined insurance business requirements., • Build effective data-processing, automation, database, and integration solutions using Python, SQL, APIs, and web services., • Maintain application quality through testing, debugging, performance optimization, and secure development practices., • Work effectively with business and technical stakeholders while supporting cloud deployment, CI/CD, and production needs. Why Join FormativGroup FormativGroup is a PE-backed technology consulting and implementation partner helping organizations modernize complex business platforms, improve delivery outcomes, and scale technology solutions that support long-term growth. We partner with clients across strategy, solution design, implementation, and ongoing support to help move critical initiatives from vision to execution. Our teams bring deep technical expertise, delivery discipline, and a collaborative approach to every engagement. At FormativGroup, you'll work with people who are practical, collaborative, and focused on solving meaningful business and technology problems. We're growing, which means you'll have opportunities to contribute ideas, work closely with experienced leaders, and help shape how we deliver for clients. Employment Eligibility Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa currently. This is a full-time, remote position with FormativGroup. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa currently. To be considered for this position, candidates must reside in one of the following U.S. states: AL, AR, AZ, CA, CO, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NV, NY, OH, OK, OR, PA, TN, TX, VA, WI, and Washington DC. Candidates residing outside these states are not eligible for consideration currently. We are committed to pay equity and transparency. The compensation range for this position represents our good faith estimate of the range we reasonably expect to pay for this role at the time of posting. The actual compensation offered will be determined based on factors such as the candidate's experience, skills, education, work location, and internal equity. In addition to hourly pay, employees may be eligible for discretionary bonuses, commissions, or other incentive programs, as well as a comprehensive benefits package that includes medical, dental, vision, 401(k), paid time off, etc. Estimated hourly Compensation Range: $55—$65 USD FormativGroup operates within the critical middle layer of business technology, where applications and systems connect infrastructure to business processes. We are specialists who help the middle market take full advantage of their technology investments with deep, industry-centric expertise, all in one place, to unify fragmented systems. With deep technical expertise across cloud architecture, system integration, AI, and data strategy, we bridge the gap between business goals and modern platforms. FormativGroup is an equal opportunity employer providing opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. ADA Specifications: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. #formativgroupcareers #WorkWithUs Click here to view our Privacy Policy

Job Description Exotec is at the forefront of technological excellence in order to redefine the relationship between humans and robots. Our solutions are contributing to the success of some of the largest brands in retail and eCommerce by revolutionizing the way they fulfill their orders to the end consumers, all while mitigating labor constraints and increasing workplace safety. Through the unification of artificial intelligence and high-performance hardware, our robotic solutions are now deployed across the globe and our exponential growth has led us to become the first industrial unicorn in France. Working at Exotec is an exciting opportunity to give purpose to your skills. Learn and grow with our ExoPeople around the world to help turn your ideas into a reality. The robotics revolution is just the beginning at Exotec. Will you be part of it? We strongly encourage applications from candidates of all genders to help us build a truly inclusive environment. If you don’t meet every requirement listed, don’t worry—your skills and experiences may still make you a great fit! Mission The Product Sales Officer is responsible for managing critical order-to-cash and procure-to-pay processes within a fast-paced, project-based environment. This role ensures the accurate and timely execution of sales orders, purchase orders, customer invoicing, vendor invoice management, and monthly rental billing. Success in this position requires strong organizational skills, attention to detail, and the ability to coordinate multiple project priorities simultaneously. What you will be doing • Manage end-to-end sales order processing, ensuring accuracy, timely fulfillment, and alignment with project requirements., • Create, track, and maintain purchase orders to ensure materials and services are available according to project schedules., • Work with Supply Chain and Manufacturing teams to ensure product availability for shipment, • Track multimodal shipments and keep customers informed of changes to delivery status, • Ensure customer invoices are issued accurately and on time, supporting project billing milestones and promptly resolving discrepancies., • Review, validate, and process vendor invoices, ensuring accuracy, compliance with purchase orders, and timely payment processing., • Execute monthly rental tracking, billing, and invoicing activities, ensuring accurate invoicing and revenue recognition., • Coordinate with customers, suppliers, project teams, and transportation providers to ensure frictionless delivery of materials to project sites., • Monitor order status, delivery performance, invoicing activities, rental billing, and vendor invoices, proactively addressing issues that may impact project timelines., • Maintain accurate data and documentation within ERP and order management systems., • Support project execution by providing logistics, order, procurement, and billing visibility to key stakeholders., • Coordinate with Customs Brokers on clearance of goods for US Customers, • Assist with tariff classification of goods and propose improvements in the coding of Exotec products, • Suggest ERP improvements to evolve the sales administration process Requirements • Experience in logistics, supply chain, customer service, or order management within a project-based environment., • Strong understanding of sales order management, purchase order management, customer invoicing, vendor invoice processing, and rental billing., • Experience with ERP- SAP S/4HANA is a plus, • Strong analytical, organizational, and communication skills with a high level of attention to detail. Benefits • Competitive compensation package, inclusive of annual performance bonus, • Comprehensive medical, dental and vision coverage, • Generous vacation and time off policy, • 401(k) with company match up to 5%, • Continuous opportunities for training and development in a rapidly growing, international company, • Beautiful, newly renovated office space in midtown Atlanta To apply, please submit your resume. Only shortlisted candidates will be contacted for the next steps in the hiring process. We look forward to receiving your application!

Job DescriptionHealthcare Expert Role Type: Contractor Location: Remote About the Role We are looking for experienced healthcare professionals to support AI training and evaluation projects. You'll apply your healthcare knowledge to assess AI outputs, workflows, and real-world use of healthcare systems. Key Responsibilities • Navigate and evaluate healthcare applications and EHR systems., • Assess AI outputs for accuracy, realism, and workflow alignment., • Review clinical documentation, billing, coding, and administrative processes., • Provide detailed feedback and annotations., • Collaborate with the project team to meet quality standards.Required Skills, • Epic, Meditech & Athenahealth, • MyChart & CoverMyMeds, • 3M CodeFinder, • EHR Systems & Clinical Workflows, • Clinical Documentation, • Medical Billing & Coding, • Healthcare AdministrationPreferred Qualifications, • 2+ years of experience in healthcare administration, clinical documentation, medical billing/coding, or a related field., • Hands-on experience with one or more EHR/healthcare systems., • Strong understanding of clinical workflows, patient records, billing, coding, and prior authorizations., • English proficiency at B2 level or above., • Reliable internet connection and immediate availability.

Job Description Job Description Job Title: Revenue Cycle Coder/Biller Department: Ambulatory Surgery Center (ASC) CBO Reports To: ASC Revenue Cycle Manager FLSA Status: Non-Exempt Approval Date: September 8, 2026 Summary The Revenue Cycle Coder/Biller supports the coding, billing, reimbursement, and compliance functions of the Ambulatory Surgery Center (ASC) revenue cycle. This role reviews operative reports, assigns accurate diagnosis and procedure codes, captures technical and implant charges, submits clean claims, and supports claim correction and resolution. As ASC coding transitions in-house, this position will help establish standardized coding processes, workflows, and quality controls while collaborating with physicians, Revenue Cycle, payers, and internal departments. The role will also support the evaluation and implementation of AI-assisted coding, charge capture, and denial management technologies while maintaining professional accountability for coding accuracy and compliance. Essential Duties and Responsibilities • Review complex operative reports and support clinical documentation to identify procedures, surgical approaches, diagnoses, secondary diagnoses, implants, and other services requiring coding and billing., • Assign accurate ICD-10 diagnosis codes and CPT/HCPCS procedure codes based on operative documentation and applicable coding guidelines., • Apply appropriate modifiers and other claim-specific coding requirements to support accurate reimbursement., • Help establish in-house ASC coding processes, workflows, and documentation standards as the function transitions from an outside vendor., • Participate in the evaluation, selection, and implementation of AI-assisted coding, charge capture, and denial management tools, contributing coding expertise to how they are configured and applied., • Review, validate, and correct system-generated or AI-suggested codes, charges, and claim edits, applying independent professional judgment and retaining accountability for final code assignment., • Help establish and document the review standards, exception handling, and quality checks that govern automated coding and charge capture as those tools are introduced., • Identify and communicate error patterns in automated output, providing structured feedback to improve tool accuracy over time., • Perform accurate and timely charge capture and billing for technical services provided by the Ambulatory Surgery Center., • Review surgical implant logs and applicable invoices to calculate and enter implant charges accurately., • Prepare, review, and submit clean claims to commercial payers, Medicare, Medicare Advantage plans, Personal Injury (PI), and other applicable payers., • Review front-end claim rejections, clearinghouse edits, payer messages, and billing errors and take appropriate action to ensure timely claim submission., • Correct and rebill claims within the practice management system and submit corrected claims through the clearinghouse as applicable., • Independently assess claim edits, clearinghouse messages, billing discrepancies, and claim denials to determine appropriate resolution., • Communicate with physicians and the Director of Coding to obtain clarification when operative documentation is vague, incomplete, or does not adequately support code assignment., • Document the rationale for any change to a physician-submitted code and ensure changes are reviewed and consistent with established approval and separation-of-duties requirements., • Review claim and coding documentation for completeness and accuracy prior to submission to reduce billing errors, rejections, and reimbursement delays., • Monitor coding and billing workflows to ensure claims are processed accurately and within established productivity and turnaround standards., • Identify and communicate billing trends, coding concerns, clearinghouse issues, claim irregularities, and workflow barriers that may affect clean claim submission or productivity., • Recommend solutions and corrective actions to the ASC Revenue Cycle Manager and appropriate team members when recurring coding, billing, or claim submission issues are identified., • Maintain current knowledge of third-party payer billing requirements, ASC reimbursement methodologies, organizational financial policies, coding guidelines, and industry standards., • Manage complex billing assignments, accounts receivable projects, and payer-requested audits as assigned., • Utilize analytical and critical-thinking skills to research coding and billing discrepancies and determine appropriate resolution., • Maintain accurate documentation of coding, billing, claim corrections, and follow-up activities within applicable systems., • Collaborate with Revenue Cycle, Coding, physicians, clinical teams, and other departments to resolve coding and billing issues and improve workflows., • Complete annual compliance, regulatory, and organizational training requirements., • Ensure compliance with HIPAA, CMS guidelines, payer requirements, coding standards, organizational billing policies, and applicable federal and state regulations., • Identify process improvement opportunities and implement operational efficiencies to improve coding accuracy, clean claim submission, reimbursement, and revenue cycle performance., • Perform other duties as assigned. Qualifications • High school diploma or GED required, Associate or Bachelor's degree in Health Information Management, Healthcare Administration, Business Administration, or a related field preferred., • Minimum five (5) years of medical billing, coding, and account follow-up experience required., • ASC, surgical, orthopedic, or facility coding and billing experience preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, modifiers, and applicable coding guidelines., • Knowledge of physician and facility billing, charge capture, claim submission, collections, and reimbursement processes., • Familiarity with CMS-1500 and UB-04 claim requirements and Medicare, Medicare Advantage, managed care, commercial insurance, and Personal Injury billing., • Experience reviewing operative reports and translating surgical documentation into accurate diagnosis and procedure codes., • Ability to research and resolve front-end claim rejections, clearinghouse edits, billing errors, denials, and corrected claims., • Intermediate to advanced Microsoft Excel skills preferred., • Experience with AI-assisted or automated coding, charge capture, or denial management tools preferred; genuine interest in helping implement them required., • Experience transitioning coding functions in house or building coding processes from the ground up preferred., • Comfort building process in a newly defined role, and the judgment to know when to accept a system recommendation and when to override it., • Proficiency with Microsoft Word, Excel, PowerPoint, practice management systems, clearinghouses, and healthcare billing technology., • Ability to type a minimum of 55 words per minute and effectively utilize calculators and standard office equipment., • Strong analytical, critical-thinking, organizational, communication, customer service, and problem-solving skills., • Ability to work independently with minimal supervision while managing multiple complex assignments and maintaining accuracy and productivity. Supervisory Responsibilities This position has no direct supervisory responsibilities. Certificates, Licenses, Registrations • Certified Professional Coder (CPC) preferred., • Certified Coding Specialist (CCS) preferred. Physical Demands & Work Environment This position is performed in a professional office and healthcare environment requiring prolonged periods of sitting, standing, walking, and computer use. Occasional travel between clinic locations may be required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position. Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Description Hi, we're Oscar. We're hiring a Claims Compliance Associate Director to join our Claims team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate Director, Claims Compliance leads a team of analysts responsible for investigating and responding to regulatory inquiries, including market conduct exams. This role is responsible for ensuring adherence to state and federal regulations, working directly with regulators on exams and investigations, and partnering across Insurance Operations and cross-functionally to ensure processes and workflows are in place to strengthen claims compliance. The Associate Director transforms ideas from vision to implementation, with the goal of improving claims compliance and regulatory performance. You will report into the Senior Director, Claims Quality and Compliance. Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is:$134,136 - $176,053 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses Responsibilities: • Direct and coordinate aspects of Oscar claims processes including but not limited to: research, adjustments, and regulatory inquiries., • Lead a team of claims analysts specializing in regulatory compliance, tasked with investigating regulatory inquiries and developing external responses., • Leverages industry background and knowledge of processes to influence others in sensitive complex situations while preserving relationships. Significantly influences departmental strategy by providing quantitative and qualitative inputs that drive organization success., • Translates the claims department's strategy into business plans and tactics in order to meet operational KPIs, targets and SLAs., • Creates necessary structure to achieve programmatic and departmental goals., • Understands and uses business and industry knowledge to inform strategy and execution., • Supervise and train managers and employees as needed., • Collaborate and communicate with other departments on claims issues, related projects and inter-departmental operations issues while developing effective, actionable solutions., • Effectively manage processes and inter departmental initiatives through a collaborative approach to ensure timely results or issue resolution., • Work cross collaboratively with various regulatory agencies, as well as Oscar's legal, audit, and regulatory compliance teams., • Compliance with all applicable laws and regulations., • Other duties as assigned. Requirements: • 7+ years of demonstrated experience in claims operations and processing, insurance products, and regulatory and policy language., • 5+ years of people management and team leadership experience with ability to prioritize, allocate work and manage across multiple high-value projects at once., • Proven background collaborating with regulatory agencies and strong familiarity with regulatory requirements., • Experience forming data-driven, concrete answers in a world with imperfect information. Bonus points: • Bachelor's degree, or 4 years commensurate experience., • Experience with benefit and contract interpretation or coding in professional/ institutional billing requirements., • Experience managing claims across multiple product types ( i.e.Medicare or Commercial)., • Experience analyzing and improving processes and workflows., • Experience working with technical teams (e.g. engineering and product) to communicate our requirements, design tooling, and support technical troubleshooting., • Excellent leadership and communication skills to drive decision-making and results across multiple partners. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description The 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. Responsibilities: • Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission, • 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, • Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete, • Identifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correction, • Meets daily production standards, • Audits providers on documentation and assigning accurate CPT and ICD-10 codes Minimum Qualifications: • High School diploma or equivalent, • Active CPC or CCS Certification from AAPC or AHIMA required, • 3+ years of hands-on auditing experience (not just coding) required, • Professional billing experience in an urgent care or multi-specialty environment required, • Direct experience educating physicians/providers on documentation and coding requirements required, • Experience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions required, • Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment with high growth Key Attributes that will Promote Success in this Role: • Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claims, • Strong Critical thinking, • Experience in billing software and EMR systems, Epic experience a plus, • Extremely organized with a strong attention to detail, • Motivated, dependable, and flexible with the ability to handle periods of stress and pressure, • Stay up to date on coding changes and updates, • Ability to work within a team environment and maintain a positive attitude #INDmisc

Job Description Medical Coding & Reimbursement Operations Manager Full-time | On-site | Reports to Practice Leadership About the Role A growing orthopedic surgical practice is looking for a hands-on coding leader to take ownership of coding accuracy and partner with the collections function to strengthen reimbursement outcomes. This is a great fit for someone who has spent real time in orthopedic coding, is comfortable navigating both standard insurance billing and attorney-driven personal injury claims, and wants to build out a coding team as the practice scales. What You'll Own Drive day-to-day accuracy of CPT coding for surgical cases, making sure claims go out coded correctly the first time. Partner closely with the collections lead as a true co-owner of billing and collections outcomes - this is a shared function, not a solo one, and you'll bring feedback and ideas to improve it. Manage the prior authorization process for upcoming surgical procedures. Move fluidly between coding approaches depending on claim type - commercial/insurance versus attorney-driven personal injury cases - while staying compliant and defensible. Lead, train, and grow a small in-house medical coding team that is expected to expand as volume increases. Apply sound judgment to coding edge cases rather than rigid, one-size-fits-all rule application. Act as the go-to person for coding questions across the practice. What You Bring Solid background in orthopedic surgical coding, covering both spine and extremities. Comfortable working both insurance-based and attorney/personal-injury billing scenarios. Medical coding certification (CPC, CCS, or equivalent) preferred. Experience leading or mentoring a coding/billing team. A flexible, solutions-first mindset - you look for the right compliant path forward rather than defaulting to "that's not how it's done." Work Environment On-site, five days a week. Reports directly to practice leadership.

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. With locations across Georgia, North Carolina, South Carolina, Tennessee, Florida, and Texas, our team is committed to delivering exceptional, patient-centered care through collaboration, innovation, and clinical excellence. As one of the largest single-specialty pain management practices in the nation, SSJC continues to expand its network while investing in the people who make our success possible. We are seeking motivated, qualified professionals who are passionate about making a meaningful impact and contributing to our continued growth. Job Duties: • Audits and ensures lab claim information is complete and accurate., • Claims submission and scrubbing of urinary drug screens, • Ensures accurate and timely billing of HCFA 1500 claims., • Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.)., • Creates logs for providers of pending medical encounters and or encounters with errors., • Work directly with other billing staff, management, and compliance department to meet end of month closing deadlines., • Able to work with clearinghouse rejections, print, and mail secondaries., • Address inquiries from insurance companies, patients, and providers., • Understands CPT, ICD10, HCPCS coding and modifiers., • Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc., • Knowledge of ERAs, EOBs, • Knowledge of payer specific/LCD guidelines, • Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification, • Must be proficient with spreadsheets and word processing applications. Qualifications: • Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting, 1 year of lab specific billing, • Experience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury cases., • Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management, • Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials., • Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required., • Excellent computer skills and familiarity with Microsoft Office, • Comfortable working in a growing, dynamic organization and able to navigate change., • Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment., • Bachelor's degree preferred., • Experience using eClinicalWorks preferred., • Experience with Pain Management preferred. Preferred Location While this is a remote position, preference will be given to candidates residing in one of the following states: • Georgia, • Texas, • North Carolina, • South Carolina, • Florida Candidates located in Georgia should be able to attend meetings or training at our Lawrenceville administrative office as needed. Compensation & Benefits This is a full-time position offering a competitive salary, paid time off (PTO), comprehensive health benefits, and a 401(k) with company match.

This role reports to a Director, Product Management and work closely with User Experience team and Technology teams. The Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and operations. This role will be charged with leading game changing efforts at Waystar within the company's Product team for new to market and existing solutions. Analyzing various product inputs, customer requirements, designing solution architectures and developing the business case for new product development Preparing software design plans including product specifications, use case documentation and user interface wireframes (both independently and with assistance from our User Experience team) Organizing market research including analyzing customer segments, reviewing industry research reports, and assessing strengths and weaknesses of competitors Studying healthcare industry standards and staying up-to-date on industry changes and compliance issues Gathering inspiration and ideas by visiting customers regularly and reviewing software and other products that solve similar problems in other domains 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 Working closely with internal and external resources to define system requirements that meet changing market needs and ensure customer satisfaction and product quality Assisting your VP of Product Management in coordinating with sales, marketing, development, and customer support to bring together divergent ideas and convince various stakeholders to rally behind a single product vision Working with your VP of Product Management to manage the product roadmap, including documenting product strategy, maintaining the feature backlog, and coordinating releases Experience building or managing consumer-facing digital experiences, with a strong understanding of ecommerce patterns such as checkout flows, payment UX, and conversion optimization; healthcare preferred Demonstrated ability to translate modern ecommerce UX principles into healthcare products that drive improved patient engagement, satisfaction, and payment conversion Deep appreciation for end-to-end user journeys, with experience optimizing user interactions in high-stakes, transactional environments (e.g., payments, scheduling, or digital engagement) You know how to execute and like to roll up your sleeves to get things done You are comfortable in front of a whiteboard and can describe complex information in a concise but thorough fashion An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare setting or an RCM focused HIT company Provided leadership on a team that designed, built, or used RCM Revenue Integrity products Ability to interpret regulatory guidelines from CMS, Tricare, and Medicaid websites Ability to understand the vocabulary used in hospital & professional revenue cycle operations, including healthcare coding such as DRGs, CPT/HCPC, Revenue Codes, APG and APC Organizing market research including analyzing customer segments and industry trends Possess robust technical fundamentals, especially when it comes to building software Problem solving skills; able to analyze a problem and design creative solutions Attention to detail; extraordinary eye for usability and the customer experience Excellent written communication skills; able to succinctly convey complex ideas through the written word Great people skills; able to facilitate, negotiate and persuade stakeholders Flexible and agile; able to rapidly adapt to changing situations and inputs College Degree required; Business or Computer Science degree preferred Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle. Waystar'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. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com. Competitive total rewards (base salary + bonus, if applicable) Customizable benefits package (3 medical plans with Health Saving Account company match) We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 paid holidays Paid parental leave (including maternity + paternity leave) Education assistance opportunities and free LinkedIn Learning access Free mental health and family planning programs, including adoption assistance and fertility support 401(K) program with company match Pet insurance Employee resource groups Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Specialist to join our insurance support and billing team. The ideal candidate will demonstrate professionalism, independence, and a strong understanding of insurance processes while thriving in a fast-paced environment. $5000.00 Sign on Bonus Key Responsibilities • Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims., • Process a high volume of detailed account information accurately and within established performance guidelines., • Navigate multiple systems to obtain insurance, contact, and attorney information as needed., • Support the prioritization of collections efforts by accurately updating account data and identifying next steps., • Maintain the highest level of confidentiality and adhere to all HIPAA regulations., • Apply hospital billing knowledge to carry out assigned duties efficiently. Essential Duties • Complete insurance-related tasks such as correcting and resubmitting claims, filing appeals, and contacting insurance companies, attorneys, or patients regarding outstanding balances., • Work assigned facility-specific queues, ensuring all accounts are updated with correct and complete information., • Participate in special projects or assignments as directed., • Assist colleagues and management by providing information or support related to insurance processes when needed. Qualifications • 3-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician practice, or health insurance organization., • Strong communication skills, attention to detail, and self-motivation., • Proficient knowledge of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries., • Familiarity with Medicare/Medicaid, Commercial, Auto, Workers' Compensation, Liability, Crime Victims, and State/Federal Insurance Programs., • Experience with medical billing and collection practices, business office procedures, and multi-system computer navigation., • Ability to type at least 55 words per minute., • High School Diploma or GED required; some college preferred. Position Details • Employment Type: Full-Time

As a Healthcare Process Risk Senior Associate, you will have the opportunity to grow while contributing to our clients business needs. You will help clients understand their business risks and address those risks in both proactive and responsive contexts within the Internal Audit practice, with the resources, environment, and support to help you excel. The ideal candidate will possess healthcare industry expertise and a proven track record in internal audit, enterprise risk management, and regulatory compliance within hospitals, academic medical centers, and healthcare systems. Experience should include evaluating the effectiveness of controls and processes related to revenue cycle management, billing operations, compliance programs, and broader organizational risks. The ideal candidate will also demonstrate curiosity and aptitude for leveraging emerging technologies, data analytics, artificial intelligence, automation, and Governance, Risk, and Compliance (GRC) solutions to enhance audit quality, efficiency, coverage, and client outcomes. From day one, you will be empowered by the broader Cyber & Risk team to help clients make the decisions that advance their vision while helping you achieve more, confidently. Your day-to-day may include: Review operational, financial, and administrative processes to assess risk, internal controls, and the overall effectiveness and efficiency of the processes. Obtain an understanding of clients businesses, objectives, strategies, operations, processes, IT systems, service providers, and controls. Actively participate in client engagements from planning through completion, including scoping, fieldwork, reporting, and follow-up activities. Common engagements include, but are not limited to, co-sourced and outsourced internal audit services, operational and compliance audits, enterprise risk management assessments, internal control evaluations, risk assessments, governance reviews, and assisting clients with the design, enhancement, and implementation of effective internal control frameworks and business processes. Support the engagement Manager, Senior Manager, and/or Director with project management activities, including preparing and managing engagement plans, timelines, budgets, and status reports. Supervise, train, and mentor Associates and Interns on engagements, assess performance, and provide timely feedback. Develop and execute internal audit workplans and control testing procedures based on the engagement scope, client environment, and relevant risk factors. Leverage data analytics, automation tools, and AI-enabled audit techniques to improve testing efficiency, expand audit coverage, identify anomalies, and generate more timely risk insights. Contribute to the development and use of AI agents and other technology-enabled solutions that automate or enhance audit planning, evidence review, control testing, documentation, continuous monitoring, and reporting activities. Use and help enhance GRC solutions to support risk assessments, audit planning, workpaper documentation, issue management, control monitoring, workflow management, and reporting. Apply knowledge of risk and control trends to evaluate the significance of findings and develop practical, risk-based recommendations. Collaborate with the project team and client stakeholders to deliver services in accordance with project leadership and client expectations. Perform other duties as assigned. You have the following technical skills and qualifications: Bachelors degree in Accounting, Finance, Information Technology, Management Information Systems, Business Intelligence, or a related field required. CIA, CPA, Six Sigma, or another relevant professional certification preferred. Revenue Cycle: Proven experience supporting or managing projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and operational efficiency. Healthcare Provider Experience: Minimum of three years of experience working directly in internal audit with healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a strong understanding of their operational challenges, risks, and regulatory environments. Familiarity with the Regulatory Landscape: Strong understanding of key healthcare regulations and initiatives, including the No Surprises Act, hospital price transparency requirements, and guidance issued by the Office of Inspector General (OIG), as well as the ability to adapt to evolving regulatory requirements. Experience assessing the design and operating effectiveness of enterprise and operational risk management programs, governance processes, internal control frameworks, and business process controls as part of internal audit, compliance, risk management, and assurance engagements. Strong understanding of the COSO Internal Control Integrated Framework (2013), the Institute of Internal Auditors International Professional Practices Framework (IIA IPPF), and leading practices related to governance, risk management, and internal controls. Demonstrated curiosity and aptitude for applying artificial intelligence, automation, and data analytics to internal audit activities. Experience using AI-enabled tools or creating AI agents to automate or enhance testing, documentation, monitoring, or reporting is highly desirable but not required. Ability to effectively use GRC solutions and identify opportunities to improve or enhance how those platforms support internal audit, risk assessment, issue management, control monitoring, workflow, and reporting. Experience with platforms such as ServiceNow, AuditBoard, Diligent, Archer, MetricStream, Workiva, or similar solutions is preferred but not required. Ability to execute multiple engagements and manage competing priorities in a rapidly growing team environment. Exceptional client service, communication, analytical, organizational, and project management skills. Strong computer skills, including proficiency in Microsoft Visio and Microsoft 365 applications, with the ability to quickly learn and apply emerging digital tools. Ability to travel as needed. The base salary range for this position is between $101,200 and $140,760. Placement within the pay range is at Grant Thorntons discretion, and it is based on multiple factors, including but not limited to, job -related knowledge/skills, experience, business needs, progression within the role, geographic location, and internal equity. At Grant Thornton, compensation decisions are dependent upon the facts and circumstances of each position and candidate. #Hybrid #LI-LG1 About Us At Grant Thornton, we believe in making business more personal and building trust into every result for our clients and you. Here, we go beyond your expectations of a career in professional services by offering a career path with more: more opportunity, more flexibility, and more support. Its what makes us different, and we think being different makes us better. In the U.S., Grant Thornton delivers professional services through two specialized entities: Grant Thornton LLP, a licensed, certified public accounting (CPA) firm that provides audit and assurance services ? and Grant Thornton Advisors LLC (not a licensed CPA firm), which exclusively provides non-attest offerings, including tax and advisory services. In 2025, Grant Thornton formed a multinational, multidisciplinary platform with Grant Thornton Ireland. The platform offers a premier Trans-Atlantic advisory and tax practice, as well as independent American and Irish audit practices. With $2.7 billion in revenues and more than 50 offices spanning the U.S., Ireland and other territories, the platform delivers a singular client experience that includes enhanced solutions and capabilities, backed by powerful technologies and a roster of 12,000 quality-driven professionals enjoying exceptional career-growth opportunities and a distinctive cross-border culture. Grant Thornton is part of the Grant Thornton International Limited network, which provides access to its member firms in more than 150 global markets. About the Team The team youre about to join is ready to help you thrive. Heres how: Whether it's your work location, weekly schedule, or flex time off, we empower you with the options to work the way that it best serves your clients and your life. Consistent with the firm's hybrid work model, this position will require in-person attendance at least three days per week, either at a GT office or client site. Here, you are supported to prioritize your overall well-being through work-life integration options that work best for you and those in your household. We understand that your needs, responsibilities and experiences are different and we think thats a good thing. Thats why we support you with personalized and comprehensive benefits that recognize and empower all the identities, roles and aspirations that make you, well, you. See how at www.gt.com/careers When it comes to inclusion, we are committed to doing more than checking boxes. Explore all the ways were taking action for diversity, equity & inclusion at www.gt.com/careers Heres what you can expect next: If you apply and are selected to interview, a Grant Thornton team member will reach out to you to schedule a time to connect. We encourage you to also check out other roles that may be a good fit for you or get to know us a little bit better at www.gt.com/careers. Benefits: We understand that your needs, responsibilities and experiences are different, and we think thats a good thing. Thats why we support you with personalized and comprehensive benefits that recognize and empower all the identities, roles and aspirations that make you, well, you. For an overview of our benefit offerings, please visit: https://www.grantthornton.com/careers/rewards-and-benefits Benefits for internship positions: Grant Thornton interns are eligible to participate in the firms medical, dental and vision insurance programs and the firms employee assistance program. Interns also receive a minimum of 72 hours of paid sick leave, and are paid for firm holidays that fall within their internship period. Benefits for seasonal employee positions: Grant Thornton seasonal employees are eligible to participate in the firms medical, dental and vision insurance programs and the firms employee assistance program. Seasonal employees may also be eligible to participate in the firms 401(k) savings plan and employee retirement plan in accordance with applicable plan terms and eligibility requirements. Seasonal employees receive a minimum of 72 hours of paid sick leave. Grant Thornton employees may be eligible for a discretionary, annual bonus based on individual and firm performance, subject to the terms, conditions and eligibility criteria of the applicable bonus plan or program. Interns and seasonal employees are not eligible for bonus compensation. Additional Details: It is the policy of Grant Thornton to promote equal employment opportunities. All personnel decisions (including, but not limited to, recruiting, hiring, training, working conditions, promotion, transfer, compensation, benefits, evaluations, and termination) are made without regard to race, color, religion, national origin, sex, age, marital or civil union status, pregnancy or pregnancy-related condition, sexual orientation, gender identity or expression, citizenship status, veteran status, disability, handicap, genetic predisposition or any other characteristic protected by applicable federal, state, or local law. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Grant Thornton LLP to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. To make an accommodation request, please contact HRHelp@us.gt.com. For Los Angeles Applicants only: We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles Fair Chance Initiative for Hiring Ordinance. For Massachusetts Applicants only: It is unlawful in Massachusetts to require or administer a lie detector test as condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Gran Thornton does not require or administer lie detector tests as a condition of employments or continued employment.

The Revenue Cycle Account Specialist is responsible for executing day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant processing across all billing activities. This role serves as a primary point of contact for clients while managing tasks such as charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution. The Revenue Cycle Account Specialist supports the financial health of client accounts by maintaining workflow efficiency, resolving routine issues, and adhering to established billing guidelines and performance standards. This position requires strong attention to detail, effective communication, and a solid understanding of revenue cycle processes to ensure high-quality service and client satisfaction. Function as primary liaison between RCM and client. Build team relationships with physicians, practice administrators and office staff. Manage assigned accounts to ensure timely and accurate completion of revenue cycle tasks in alignment with established benchmarks and KPIs. As it relates, but not limited to the following tasks: All charge processes ERA and paper payments are posted timely and accurately. File claims to insurance companies electronically or paper as required. Monitor clearinghouse reports for claim confirmation and acceptance. Work all rejected claims received via the clearinghouse. Research and resolve denied and outstanding claims, identifying trends and escalating issues as appropriate. Clean up of outstanding A/R, and maintain to meet division benchmarks Generate patient statements. Process patient and insurance refunds. Complete month end processing and reporting. Identify and escalate complex issues or trends to leadership for further review and resolution. Follow and maintain client-specific workflows and billing guidelines to ensure consistency and compliance. Identify and resolve issues in a timely manner to prevent escalation to management. Manage and resolve patient, insurance, and client inquiries promptly while maintaining a high level of customer service. Assist with billing system maintenance, as required. Follow company policies, procedures and protocol, report compliance issues. Adhere to all HIPAA regulations by keeping all patient information confidential and protected. Participate in educational opportunities. Follow client specific workflow schedules. Perform duties in a timely manner as required by clients and company. Other duties, as assigned. High School diploma or GED 3-5 years' experience in medical billing/collection practices and customer service Candidate should have the following knowledge for the Fertility role: Case Rate Management, Medical Record Management, Cycle Management/Treatment Mapping, Fertility Coding, Global/Bundled Services Management, Genetic Testing Management, Embryology Billing, ASC/Facility Billing, Fertility AR Follow Up Candidate should have the following knowledge for the Rural Health Center role: Medicare RHC Bundling Rules, UB04/Institutional Billing, Medicare Advantage Bundling Rules, Medicaid Bundling Rules, A/R RHC, AIR Rate & RHC Reimbursement, RHC Qualifying Visits, RHC Modifiers, RHC Provider Eligibility, RHC Lab Billing, Computer data entry Understanding of payment application processes Working knowledge of Microsoft Office and Google Workspace Ability to follow instruction and adhere to company policies and procedures Must be a team player and willing to learn and take on new responsibilities Problem solving and analytical skills Strong oral and written communication skills Familiarity with insurance companies (medical) coverage and benefits Intermediate to advanced medical billing knowledge Accounting knowledge Ability to represent the Company in a professional manner at all times Being aggressive and taking initiative; we trust you to move the needle forward Doing the job; outcomes are just as important as strategy Being adaptable and amenable to meet the changes of a dynamic and evolving industry Demonstrating humility; partnership and collaboration is who we are and how we operate Tapping into your innovative side; conventional is not always correct Competitive and comprehensive benefits: Coverage options to support the whole person, including full medical, dental, vision, and life insurance o Generous employer sponsored subsidy towards employee's medical insurance premiums o Azalea Health covers 100% of the premiums for Life AD&D and Long-Term Disability for all eligible full-time employees Balance and flexibility: Simple Paid Time Off (PTO) options. You earn your time, use it as you choose. Economic opportunity: Competitive total rewards package that offers competitive pay and advancement opportunities Azalea Health's EEO Statement Azalea Health is an Equal Opportunity Employer committed to creating a diverse and inclusive workforce where our employees excel based on merit, qualifications, knowledge, ability, and job performance. We embrace and encourage our employees' differences in age, color, disability, ethnicity, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socioeconomic status, veteran status, and any other characteristics protected by federal, state, and local laws that make our employees unique.

We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time. The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. • Develop proactive and reactive leads to identify potential fraud, waste, and abuse., • Generate FWA leads by mining claims databases, reporting tools, and investigative systems., • Validate and refine leads generated by business rules to assess their credibility and investigative value., • Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns., • Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse., • Monitor internal and external intelligence sources to detect emerging fraud schemes and patterns., • Perform detailed quantitative and qualitative analysis of medical and pharmacy claims data., • Analyze CPT, HCPCS, ICD, DRG, NDC, modifier usage, and reimbursement trends., • Review provider billing history, peer comparisons, utilization metrics, and financial impact analyses., • Conduct research utilizing internal systems, external public records, licensing boards, sanctions lists, and other investigative resources., • Analyze relationships among providers, members, facilities, and associated entities to identify potential schemes or collusive activity., • Develop comprehensive lead summaries outlining allegations, supporting evidence, and identified risk indicators., • Present analytical findings and recommendations to SIU leadership and investigative staff., • Determine whether findings support escalation to a formal investigation, monitoring activity, or closure., • Document investigative rationale and supporting evidence in accordance with SIU policies and regulatory requirements., • Provide actionable recommendations based on analytical findings and business intelligence., • Partner with investigators, clinicians, legal, compliance, and business partners regarding potential FWA concerns., • Participate in fraud trend discussions and special projects aimed at strengthening fraud detection efforts., • Support continuous improvement initiatives involving business rules, data mining strategies, and lead generation methodologies., • Assist with training and knowledge related to emerging fraud schemes and healthcare billing practices., • Ensure all activities comply with CMS, state Medicaid regulations, Medicare requirements, organizational policies, and SIU procedures., • Maintain confidentiality and safeguard sensitive information., • Meet departmental productivity, quality, and timeliness standards., • Support internal audits, quality reviews, and regulatory reporting activities., • 3+ years of healthcare data analysis, SIU, claims analysis, auditing, payment integrity, or healthcare fraud experience., • Strong analytical and critical-thinking skills with the ability to identify trends and anomalies., • Experience interpreting large healthcare datasets and transforming findings into actionable insights., • Working knowledge of healthcare claims processing and coding methodologies., • Ability to travel up to 10%, • Experience in a healthcare payer Special Investigations Unit (SIU)., • Knowledge of Medicare, Medicaid, Commercial, and Marketplace healthcare programs., • Understanding of medical and pharmacy claim data., • Working knowledge of CPT, HCPCS, ICD-10, DRG, and NDC coding structures., • Familiarity with healthcare payment methodologies and reimbursement models., • Experience using fraud detection tools, business rule engines, and investigative case management systems., • Experience with Tableau, SQL, JIRA, Power BI, SAS, or equivalent analytical platforms., • Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), or similar certification., • Excellent verbal, written, and presentation skills., • Strong organizational and time-management abilities with the capability to manage multiple priorities. Bachelor's degree or equivalent combination of education and experience. Anticipated Weekly Hours: 40 Time Type: Full time Pay Range: $43,888.00 - $93,574.00 Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process. We anticipate the application window for this opening will close on: 10/17/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their business risks and assist in addressing risk in both proactive and responsive contexts for the Internal Audit & SOX Practice all with the resources, environment, and support to help you excel. The ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as revenue cycle optimization, billing, and compliance with regulatory standards. From day one, you'll be empowered by the greater Cyber & Risk team to help clients make the moves that will help them achieve their vision and help you achieve more, confidently. Your day-to-day may include: • Review operational, financial, and administrative processes to assess risk, internal control, and the overall effectiveness and efficiency of the process., • Obtain an understanding of clients' business, objectives, strategy, operations, processes, IT systems, service providers and controls., • Actively participate in client engagements from start to completion, which includes planning, executing, and reporting. Common engagements include but are not limited to co-sourced and outsourced internal audit, internal control assessments, enterprise risk management program assessments, tests of control design and operating effectiveness for Sarbanes-Oxley (SOX) and other compliance requirements, and helping clients design and implement internal controls, • Support engagement Manager and/or Senior Manager/Director in project management activities, such as preparing and managing engagement project plans, timelines, budgets, and status reporting, • Supervise, train, mentor Associates and Interns on engagements, assess performance and provide feedback, • Develop and execute internal audit workplans and control test procedures based on engagement scope, and client environment risk factors., • Apply knowledge of risk and control trends to evaluate findings for significance, risk and develop recommendations, • Work with project team and client to deliver services in accordance with project leadership and client expectations, • Other duties as assigned You have the following technical skills and qualifications: • Proficiency in EPIC utilization: Demonstrated experience in implementing or working with EPIC (90% of our clients use EPIC)., • Revenue Cycle: Proven track record of successfully managing projects related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and operational efficiency., • Extensive Healthcare Provider Experience: Minimum of 3 years' experience working directly with diverse healthcare providers, including hospitals, academic medical centers, and healthcare systems, with a comprehensive understanding of their unique operational challenges and regulatory environments., • Familiarity with Regulatory Landscape: Proficient understanding of key healthcare regulations and initiatives, including the No Surprise Act, Price Transparency Regulation, and guidelines set forth by the Office of Inspector General (OIG), ensuring compliance and proactive adaptation to evolving regulatory requirements., • Bachelor's degree in Accounting, Finance, Information Technology, MIS, Business Intelligence, or related field required, • CIA, CPA, Six Sigma, or related license/certification preferred, • Sarbanes-Oxley Section 404 experience preferred, • Experience assessing the design and operating effectiveness of enterprise or operational risk management programs, and/or entity-level and business process controls for Internal Audit, SOX compliance, System & Organization Control (SOC) reporting, or other risk management, compliance, and assurance activities, • Strong understanding of COSO Internal Control Integrated Framework (2013), the Institute of Internal Auditors International Professional Practices Framework (IIA IPPF), and/or current focus areas of external financial statement auditors (completeness and accuracy of key reports, level of precision, etc.), • Ability to execute multiple engagements and completing priorities in a rapidly growing team environment, • Exceptional client service, communication, analytical, organizational and project management skills, • Strong computer skills, including proficiency in Microsoft Visio and Office Suite applications, • Can travel as needed The base salary range for this position is between $101,200 and $140,760. Placement within the pay range is at Grant Thornton's discretion, and it is based on multiple factors, including but not limited to, job-related knowledge/skills, experience, business needs, progression within the role, geographic location, and internal equity. At Grant Thornton, compensation decisions are dependent upon the facts and circumstances of each position and candidate. #Hybrid #LI-LG1

At Houston Methodist, the Audit & Onboarding Specialist position is responsible for planning, coordinating and completing complex documentation, coding and billing reviews. This position serves as a liaison between the Centralized Business Office (CBO) and clinical departments and provides direction and guidance to coders and clinical providers. The Audit & Onboarding Specialist is also responsible for ensuring successful onboarding of physicians regarding compliance in clinical documentation and coding. FLSA STATUS Exempt QUALIFICATIONS EDUCATION • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) EXPERIENCE • Seven years of progressive multi-specialty professional coding experience LICENSES AND CERTIFICATIONS Required • Must have one of the following:CPC - Certified Professional Coder (AAPC)CPC-H - Certified Professional Coder - Hospital (AAPC)CPC-I - Certified Professional Coder Instructor (AAPC)CCS - Certified Coding Specialist (AHIMA)CCS-P - Certified Coding Specialist Physician-based (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of International Classification of Diseases (ICD) coding, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Knowledge of healthcare billing and Physicians at Teaching Hospitals (PATH) guidelines Computer skills to include proficiency in spreadsheet, word-processing, presentation, and compliance tracking software; ability to navigate healthcare regulatory websites Effective verbal and written communication skills; and effective presentation skills to a variety of audiences Demonstrates a positive, helpful and supportive attitude and demeanor Ability for professional handling of confidential/sensitive information Proven ability to analyze information and situations and to identify issues Ability to deal with difficult issues, maintain objectivity, use good judgment, and envision outcomes when making decisions Ability to analyze, identify and articulate identified trends and report trends succinctly in a clear and concise manner Ability to multi-task in a fast paced environment, prioritize projects and apply attention to detail Must be a self-motivated individual with the ability to think critically and work independently ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Onboards new clinical practitioners, including but not limited to physicians, nurse practitioners, and physician assistants, to ensure they are documenting and coding appropriately for all services provided. Reviews coding accuracy and provides review results to the coding supervisor(s). Provides ongoing documentation, coding, and billing education to employees as needed. Collaborates with the CBO to communicate audit results. Delivers a list of exceptions needing corrective action. SERVICE ESSENTIAL FUNCTIONS Provides quality assurance, direction and guidance to departments. Demonstrates the components of the Houston Methodist Experience Service Standards and translates them into specific expectations to anticipate and meet customer needs. Ensures protection of private health and personal information. Adheres to all Health Insurance Portability and Accountability Act (HIPAA) compliance regulations. QUALITY/SAFETY ESSENTIAL FUNCTIONS Designs, delivers, and assesses educational materials for use in physician/staff training modalities. Monitors provider progress as directed by management to ensure adherence to regulations and policies and procedures. Designs and completes annual documentation and coding review plan. Delivers a summary outlining the review completed and the action items needed. FINANCE ESSENTIAL FUNCTIONS Ensures all charges performed are documented and billed appropriately in a timely manner. Reviews physician coding trends and identifies areas of opportunity for improved coding, documentation and/or charge capture. Audits new provider documentation and coding in a timely manner to ensure charges and payments are not delayed. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Maintains current knowledge of coding industry standards, policies, and procedures. Assists in writing policies, protocols, and procedures to address billing compliance and documentation issues; including drafting and working with others to edit and adopt. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. • On Call* No TRAVEL** Travel specifications may vary by department May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No QUALIFICATIONS EDUCATION • High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) EXPERIENCE • Seven years of progressive multi-specialty professional coding experience LICENSES AND CERTIFICATIONS Required • Must have one of the following: CPC - Certified Professional Coder (AAPC) CPC-H - Certified Professional Coder - Hospital (AAPC) CPC-I - Certified Professional Coder Instructor (AAPC) CCS - Certified Coding Specialist (AHIMA) CCS-P - Certified Coding Specialist Physician-based (AHIMA) Company Profile: Houston Methodist Specialty Physician Group is an integral part of Houston Methodists overall strategy to become one of the nations leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment. Houston Methodist is an Equal Opportunity Employer.

Salary: $38,220.24 Annually Location : Savannah, GA Job Type: Full Time Salaried Job Number: 2026-00933 Division/Section: District 9-1 County Position Opening Date: 08/25/2026 Closing Date: 9/27/2026 11:59 PM Eastern Description Pay Grade: H Who we are. We protect lives.The Georgia Department of Public Health is the lead agency entrusted by the people of Georgia to proudly protect lives and promote healthy lifestyles in diverse communities statewide. We are committed to preventing disease, injury, and disability; promoting health and well-being; and preparing the State of Georgia for responding to disasters. What we offer. As a member of the Georgia Department of Public Health team, you will join a passionate group of individuals who are dedicated to making an impact. No matter your role, you will individually contribute to protecting the lives of all Georgians while receiving a wide range of benefits, so you can: • Make a Professional Impact - Build your career where it matters and protect lives in the community where you live, work, and play, • Work with a Dynamic and Diverse Team- Collaborative and inclusive way of working where employees share ideas and leverage collective strengths, • Achieve Career Longevity - Countless opportunities for continuous learning/development that support a long-term career, • Take Part in a Hands-on Working Culture - Unique culture of active engagement and problem-solving, no matter your role, • Feel Pride in Where you Work - Be part of making an impact in public health alongside dedicated people just like you All Coastal Health District County Health Department employees are deemed essential employees in the event of an emergency. As such, you may be called on to participate in an event not limited to but including, staffing a shelter, a Specimen Point of Collection Site (SPOC) and/or Point of Dispensing site (POD). When you are called on to participate, you are expected and it will be a part of your job requirement to participate, whether the emergency occurs during or outside regular work hours. Job Responsibilities Supervises, guides, and/or instructs the work assignments of subordinate staff. Performs administrative and certain clinical duties under the direction of the physician on duty. Handles front office duties which include scheduling appointments, maintaining medical records, billing and coding for insurance purposes. Assists in the clinic by taking and recording vital signs and medical histories, preparing patients for examination and drawing blood. Job Responsibility 1: Works as member of the health care team. Description: Prepares patient for provider visit by documenting chief complaint (reason for visit), Vital Signs, pulse oximetry and height and weight in VHN. Performs ECG's when ordered. Assists providers with physical examinations. Keeps exam rooms clean and stocked. Maintains adequate medical supply inventory and notifies nurse when time to order. Assists provider with patient face to face inquiries or telephone calls for follow up care. Schedules patient appointments, follows up on missed appointments. Performs medication pick up as directed by provider. Completes all required Annual training per District Protocol. Job Responsibility 2: Laboratory Services. Description: Collects venipuncture samples per HIV protocol and provider plan of care. Collects hemoglobin and/or glucose finger sticks as ordered. Performs basic laboratory tests on site. Collects urine specimens for gonorrhea, chlamydia, pregnancy tests, and routine urinalysis. Sends specimens to correct laboratory for processing. Orders lab correctly through VHN. Assists coworkers in assuring all in house lab results are placed in patient VHN record same working day screened by provider. required Laboratory Proficiency testing as required by Laboratory SOP. Job Responsibility 3: Medical Records- Maintains patient confidence and protects operations by keep patient care confidential. Completes Release of Information with patient consent. Scans all patient medical information in VHN when asked. Completes HIPAA training annually. Signs Care Center HIV confidentiality agreement annually. Job Responsibility 4: Practice Infection Control. Description: Performs hand washing before and after all patient contact. Use Personal Protective Equipment appropriately. Follows universal precautions and aseptic technique/guidelines. Maintains a clean working environment. Cleans and stocks exam rooms. Keeps Lab room clean and stocked. Disinfects exam tables after each patient exam. Performs and document in house lab equipment diagnostic quality assurance consistent with laboratory SOP. Completes Bloodborne Pathogen training yearly. Job Responsibility 5: Functions as a clinic supervisor and Provider Support Expert for MD/FNP in HIV clinic. Supervises CMAs and Hire Dynamic temp staff. Supervises and plans work of assigned staff. Performs duties as needed to cover scheduled and unscheduled leave to ensure full-service delivery and to facilitate optimal provider/patient visit flow. Performs and documents staff orientation, continuing education and annual performance reviews. Utilizes strategies that foster teamwork and focus on individual staff strengths and preferences. Maintains inventory of medical supplies. Works with nurse manager on clinical and lab SOPs to meet HRSA deliverables. Performs lab quality controls on in-house labs. Minimum Qualifications Associate degree in a related field from an accredited college or university with three (3) years experience in a related field; or High School diploma/GED and four (4) years of experience in medical assisting; or Two (2) years of experience required at the lower level Medical Assistant 3 (HCT102) or position equivalent. Additional Information For more information on the State of Georgia Benefits visit http://team.georgia.gov/ Benefits for Full Time Eligible Employees 13 Paid Holidays Generous Leave Package-Educational Support Leave and 3 weeks each accrued Annual and Sick Leave Defined Benefit retirement plan Health Insurance Dental Insurance Vision Insurance Health Care Spending Account Dependent Care Spending Account Life Insurance AD&D Insurance Disability Insurance Legal Insurance Long-Term Care Insurance Specified Illness Deferred Compensation (401K & 457 Plans) Additional Perks A supportive and rewarding work environment Physical Activity Breaks Employee Assistance Program Employee discount program Tuition Assistance To learn more about the Coastal Health District visit - Applicants chosen for employment will be subject to the following Criminal Background Check/Fingerprinting Education documentation must be provided by applicants. License/certification must be provided if required for position. Reference Checks & Immunizations Required • May be subject to pre-employment drug screen Due to the volume of applications received, we are unable to provide information on application status by phone or email. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted via email by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification. This position is subject to close at any time once a satisfactory applicant pool has been identified. Coastal Health District is an Equal Opportunity Employer The State will not unlawfully consider an applicant's race, color, national origin, religion, age, disability, sex, genetic information, political affiliation, protected uniformed service, or other legally protected category when making selections. If you require accommodations under the American Disability Act (ADA), notify this agency of your request by the closing date of this announcement. Standard Benefits for Full-Time Salaried Employees In addition to a competitive salary, we offer a generous benefits package that includes a flexible schedule, training opportunities, health insurance, employee retirement plan (ERS GSEPS), deferred compensation, 13 paid holidays, vacation & sick leave, paid parental leave, dental, vision, long term care, and life insurance. Standard Benefits for Part-Time Employees Part-time employees receive the Georgia Defined Contribution Plan and paid parental leave. 01 Do you currently possess a certification as a Medical Assistant? • No, • Yes 02 How many years of experience do you have working as a medical assistant? • 0-2, • 3-4 years, • 4-5 years, • 5 or more years 03 How many years experience do you have in supervising employees? • less than 1 year, • 1 - 2 years, • 3 - 4 years, • 5 or more years 04 Do you have a current Phlebotomy Certification? • Yes, • No 05 How many years of experience do you have working in Public Health or an Outpatient Clinic setting? • Less than 1 year, • 1-2 years, • 2-3 years, • 3+ years 06 The answers you provide to the supplemental questions will be used to determine if you meet the minimum qualifications for this position. Your responses pertaining to specific work experience and education must be clearly shown in the areas for work history and education on your application. Your application must be completed in full before it is submitted. We do not accept additional information after your application has been received by the Personnel Department. Do you accept these conditions? • Yes, • No 07 How many years of experience do you have working with HIV+ patients ? • 0-1, • 1-2 years, • 2-3 years, • More than 4 years 08 Are you willing to accept the salary indicated? • Yes, • No 09 Do you have an Associate degree in a related field from an accredited college or university with three (3) years of experience in a related field; or High School diploma/GED and four (4) years of experience in medical assisting; or Two (2) years of experience required at the lower-level Medical Assistant 3 (HCT102) or position equivalent?/ • Yes, • no Required Question

The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: • Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters, • Contributes to forensic engagements related to medical coding and billing, revenue cycle, payment integrity, the False Claims Act, the Stark Law, the Anti-Kickback Statute, and other matters, • Analyzes healthcare claims data to identify improper payments, billing errors, and potential fraud, waste, or abuse, • Develops and implements strategies to improve payment accuracy and mitigate overpayments, • Collaborates with cross-functional teams to validate findings and recommend corrective actions, • Interprets payer policies, provider contracts, and regulatory guidelines to assess claim appropriateness, • Prepares and present detailed reports and recommendations to clients and internal stakeholders, • Supports the design and enhancement of payment integrity tools, algorithms, and audit methodologies, • Stays current on industry trends, CMS regulations, and emerging payment models., • Develops working relationships with internal and external stakeholders and communicates effectively, • Assists with the preparation of high-quality deliverables to ensure client satisfaction, • Acts with professionalism and integrity when working with confidential and sensitive information, • Maintains a proactive and logical approach to information gathering, combining complex ideas and clear and effective information presentation, • Identifies and researches new trends, tools, and understands the data analytics marketplace while working on client engagements, • Assists with developing documents, procedures, and solutions on non-billable practice development initiatives, • Other duties as required Qualifications, Knowledge, Skills, and Abilities: Education: • High School Diploma or equivalent, required, • Bachelor's degree in Healthcare Administration, Public Health, or Business, preferred Experience: • Three (3) years of experience in healthcare consulting, revenue cycle, claims auditing, or payment integrity, required, • Experience with healthcare reimbursement (Medicare, Medicaid, Commercial), coding (ICD-10, CPT, HCPCS), and claims processing, preferred, • Experience in the following areas, preferred:, • Forensic Analytics, • Compliance Analytics, • Artificial Intelligence, • Fraud Analytics License/Certifications: • Active credential in one (1) or more of the following, required: Nationally recognized coding credential (e.g. CPC, CCS, RHIA, RHIA) and/or Certified in Healthcare Compliance (CHC) Software: • Proficiency in data analysis tools (e.g., Excel, SQL, SAS, Tableau), preferred, • Prior experience with Electronic Health Record software (e.g., EPIC, Cerner, Athena, etc.), preferred, • Coding/DRG software, preferred Other Knowledge, Skills & Abilities: • Ability to work with a high degree of professionalism and autonomy, • Excellent verbal and written communication skills, • Ability to communicate complex information in a clear and concise manner, • Excellent communication, problem-solving, and project management skills, • Ability to work independently and manage multiple priorities in a fast-paced environment, • Solid organizational skills, especially the ability to meet project deadlines with a focus on details, • Ability to successfully multi-task while working independently or within a group environment, • Ability to work in a deadline-driven environment, and handle multiple projects simultaneously, • Ability to interact effectively with people at all organizational levels of the Firm, • Ability to work collaboratively with others with accountability for work product Keywords: Forensic, Healthcare Coding, Payment Integrity, Revenue Integrity, Revenue Cycle Management, Consulting, Disputes, Litigation, Investigation, Fraud, Waste, Abuse, Coding Auditor, Charge Capture, Healthcare Compliance Individual salaries that are offered to a candidate are determined after consideration of numerous factors including but not limited to the candidate's qualifications, experience, skills, and geography. National Range: $65,000 - $85,000 Maryland Range: $65,000 - $85,000 NYC/Long Island/Westchester Range: $65,000 - $85,000

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. The Coding Supervisor is responsible for daily supervision and operational oversight of Outpatient Coding Staff and specific functionality within the daily management of Outpatient Hospital Coding (ICD-10-CM and CPT-4/HCPCS Coding Systems). Determines workflow priorities and efficient methodologies to complete tasks. Responsible for reviewing outpatient records via GHS Electronic Health Record (EPIC) System, 3M Computer-Assisted Coding (CAC) Application, 3M R2 360 Encoder and 3M Ambulatory Revenue Management Systems (ARMS) Applications. Monitors and assesses daily performance of coding staff to assure accurate code assignment and timely billing of Clinic Encounters, Ambulatory Surgery, Observation and Emergency Department (phase-in approach). Ensures optimal use of resources to achieve departmental goals for productivity and financial expectations for DNB. Generates both routine and ad-hoc reports and serves as a senior resource to staff. Oversight of Coding Staff training and professional development with the Coding Quality Educator. In consultation with the Corporate Coding Manager, develops and implements coding/abstracting process, policies, and procedures for coding staff. This position reports to directly to the Corporate Coding Manager. Responsibilities: • Extensive knowledge of ICD-10-CM/CPT-4 and HCPCS Coding principles and Systems, CCI Edits, regulatory requirements and APC assignment methodology., • Coordinates and supervises work assignments using the Epic Electronic Health Record (EHR) work queues to ensure timely coding and billing., • Assist with performance evaluations and disciplinary actions. Supports management initiatives., • Assist with productivity analysis, on-going quality review results analysis and follow-up education for new and existing Outpatient Coding Staff., • Maintains quality and productivity records for the outpatient coding staff., • Assists the Coding Manager in the review of time and attendance records for the outpatient coders., • Develop coding policy and procedure manual for each clinic area for coding reference., • Communicates with Coding Manager on issues that could adversely affect discharge to bill drop days., • Provide coverage for coding of records. Core Competencies: These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment. 1. Patient-Centered Care Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families., 2. Integrity & Accountability Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes., 3. Collaboration & Teamwork Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals., 4. Communication Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership., 5. Respect & Inclusion Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all., 6. Quality & Safety Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes., 7. Adaptability & Resilience Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure., 8. Continuous Improvement Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback., 9. Leadership & Professionalism Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency., 10. Employee Experience Focus Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care. Grady Total Rewards: At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including: • Health & Wellness: Medical, dental, vision, and prescription drug coverage., • Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage., • Work-Life Balance: Paid time off, holidays, and family leave benefits., • Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement., • Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services. Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond. Why Join Grady? Grady Health System is more than a hospital we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration. Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued. At Grady, we don't just work, we make an impact. Equal Opportunity Employer Statement: Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic. Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.

Experience: 3 years Required, Any Preferred Preferred Preferred Yes Certs marked with are preferred BLS Skills marked with are preferred Work Settings: • Acute Hospital, • Long Term Acute Care/Rehab/Skilled Nursing Case Management/Utilization Review: • Admission Criteria, • Care coordination, • Discharge Planning, • Utilize InterQual Criteria, • Utilize Milliman Guidelines Utilization Review: • Admission Criteria Appeals and Denials, • Concurrent Review, • Continued Stay Reviews, • Medical Necessity, • Retrospective Review, • Utilize InterQual Criteria, • Utilize Milliman Guidelines Regulatory: • CMS: Centers for Medicare and Medicaid Services, • CPT (Current Procedural Terminology) coding and billing, • Department of Health, • DRG (Diagnosis Related Groups), • HEDIS (The Healthcare Effectiveness Data and Information Set) Measures, • HIPAA guidelines (Health Insurance Portability and Accountability Act), • ICD 10 Coding, • NCQA (National Committee for Quality Assurance), • OSHA, • The Joint Commission/Core Measure/National Safety Goals, • Workers Compensation Unit Details: • Block, • Days: - Nights: - Weekends: -, • Yes Note: Within facility/scope of practice as needed

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. The Coder II is responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, and coding denial management for coding related tasks. 1. Review Clinical Documentation • Review physician or provider documentation to identify services rendered. 1. Assign Appropriate Medical Codes • Apply correct CPT, ICD-10-CM, and HCPCS codes for:, • Evaluation & Management (E/M) services, • Diagnostic and procedural services, • Facility or professional fees 1. Ensure Compliance • Validate that documentation supports billed services., • Ensure coding follows:, • Medicare/Medicaid regulations, • CMS guidelines, • CPT documentation standards 1. Resolve Coding Edits & Denials • Navigate EMR work queues (e.g., Epic) to address claim edits and charge review items., • Resolve coding-related denials to support accurate reimbursement. 1. Maintain Productivity & Quality Standards • Meet hourly productivity and accuracy standards set by enterprise coding teams. 1. Conduct Quality Audits • Perform audits within specialty areas to ensure coding accuracy and identify improvement opportunities. 1. Provide Education & Feedback • Educate providers on documentation and billing requirements., • Communicate trends in coding errors and denials. 1. Collaborate Across Teams • Work with billing departments, coding leadership, and clinicians to resolve billing or documentation concerns. 1. Enter and Validate Billing Data • Perform accurate charge entry and ensure all billing information is complete. 1. Develop Process Documentation • Create workflows, tip sheets, and written procedures to improve coding processes and train peers. 2+ years relevant coding and abstracting experience in an acute care hospital. Experience with Epic, 3M CAC and HDM systems. Highschool Diploma or GED. Certified Professional Coder (CPC) or CCS-P, CCS-H, RHIA, RHIT, or equivalent coding certification. These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment. 1. Patient-Centered Care Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families., 2. Integrity & Accountability Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes., 3. Collaboration & Teamwork Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals., 4. Communication Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership., 5. Respect & Inclusion Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all., 6. Quality & Safety Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes., 7. Adaptability & Resilience Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure., 8. Continuous Improvement Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback., 9. Leadership & Professionalism Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency., 10. Employee Experience Focus Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care. At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including: • Health & Wellness: Medical, dental, vision, and prescription drug coverage., • Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage., • Work-Life Balance: Paid time off, holidays, and family leave benefits., • Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement., • Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services. Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond. Grady Health System is more than a hospital we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration. Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued. At Grady, we don't just work, we make an impact. Equal Opportunity Employer Statement: Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic. Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.

Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen servicescreating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360 value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360 value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment through implementation, and you hold yourself accountable for results. You build relationships with CROs, Revenue Cycle VPs, and operational leaders, and you know how to communicate findings in a way that leads to action. You're comfortable managing up and managing across, keeping clients aligned, teams moving, and workstreams on track. You understand that good transformation work isn't just about recommendations; it's about bringing people along with you. You keep up with what's changing in the industry, from AI and automation to prior authorization reform, value-based reimbursement, and shifting payer dynamics, and you can help clients think through what those changes mean for their operations. You also know how to develop people, and you take that part of the job seriously. The Work: • Lead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery)., • Reimagine and redesign revenue cycle operating models. Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks tied to net revenue improvement, denial rate reduction, and cash acceleration., • Identify and prioritize client value creation opportunities based on rigorous analysis, developing business cases and value propositions, benchmarking, and a clear-eyed view of performance gaps, and strategic priorities., • Develop implementation plans and lead cross-functional teams to deliver project outcomes on schedule, within budget, and against defined performance targets. Direct business pilots and client deployment activities and ensure planned outcomes are achieved and sustained after go-live., • Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support., • Advise clients on payer contracting strategy, managed care optimization, and reimbursement model performance to address margin pressure and support the transition from fee-for-service to value-based care., • Help clients navigate a complex and evolving regulatory environment, including HIPAA compliance, CMS billing and coding requirements, No Surprises Act obligations, price transparency mandates, and prior authorization reform., • Stand up or transition clients to managed services and extended business office (EBOS) models, including SLA/OLA design, staffing governance, playbook development, and vendor performance management., • Support technology enablement across provider IT, EHR (e.g., Epic, Oracle, Athena), and revenue cycle systems, advising on system optimization, interoperability, and workflow configuration aligned to revenue cycle objectives., • Design and execute the engagement's overall communication and change management approach, tailored to the client's organizational culture and readiness., • Manage engagement risk, project economics, deliverable quality, and client satisfaction throughout the engagement lifecycle. Client Relationship Development and Management • Build and maintain strong relationships with key client stakeholders, including Revenue Cycle VPs, CROs, and operational leaders, across all stages of the engagement., • Facilitate complex meetings, executive presentations, and cross-functional workshops that build client commitment, resolve competing priorities, and move transformation forward., • Cultivate follow-on opportunities and develop business cases and proposals that connect Accenture's capabilities to client priorities, while managing engagement economics including budgets, revenue forecasting, and margin performance. Practice Building • Contribute to practice-building activities including conference participation, thought leadership development, market offering design, and recruiting., • Develop and share recognized expertise in specific RCM domains, contributing to internal methodology, toolkits, and knowledge assets that strengthen Accenture's market position., • Coach and mentor consultants and analysts, setting high standards for analytical rigor and client communication while actively supporting their professional development and career growth., • Stay current on the regulations, reimbursement trends, and technology shaping revenue cycle across hospitals, health systems, medical groups, and ambulatory settings., • Travel as needed, up to 80%. Qualifications Here's What You Need • Minimum of 5 years of finance and management consulting experience, • Minimum of 5 years of healthcare provider Revenue Cycle experience, with demonstrated knowledge across patient access, mid-cycle, and back-end operations, • Minimum of 2 years leading revenue cycle transformation engagements with measurable impact on net revenue, denial rates, cash acceleration, or operational efficiency, • Minimum of 2 years of direct people management experience, including leading, coaching, and developing consultant or analyst teams in a project delivery environment, • Familiarity with the RCM regulatory environment, including HIPAA, CMS billing and coding requirements, price transparency rules, and prior authorization mandates, • Strong financial acumen, including the ability to build business cases, model revenue scenarios, forecast engagement economics, and develop early warning indicators, • Prior experience in a consulting firm environment with a track record of business development, client expansion, and proposal development, • Bachelor's degree Bonus points if: • Experience advising on or deploying AI, automation, and RPA in revenue cycle contexts, such as analytics for denials prediction, coding, prior authorization, or patient financial engagement, • Hands-on experience with payer contracting strategy, managed care optimization, or underpayment recovery, • Prior experience with managed services or EBOS governance, including SLA/OLA design and vendor performance management, • Proficiency in data visualization and analytics tools such as Tableau, Power BI, and Python, applied to revenue cycle performance improvement, • Experience implementing or optimizing major EHR and revenue cycle platforms in a consulting or delivery capacity, • MBA, MHA, or equivalent advanced degree

The 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. Responsibilities: • Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission, • 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, • Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete, • Identifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correction, • Meets daily production standards, • Audits providers on documentation and assigning accurate CPT and ICD-10 codes Minimum Qualifications: • High School diploma or equivalent, • Active CPC or CCS Certification from AAPC or AHIMA required, • 3+ years of hands-on auditing experience (not just coding) required, • Professional billing experience in an urgent care or multi-specialty environment required, • Direct experience educating physicians/providers on documentation and coding requirements required, • Experience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions required, • Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment with high growth Key Attributes that will Promote Success in this Role: • Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claims, • Strong critical thinking, • Experience in billing software and EMR systems, Epic experience a plus, • Extremely organized with a strong attention to detail, • Motivated, dependable, and flexible with the ability to handle periods of stress and pressure, • Stay up to date on coding changes and updates, • Ability to work within a team environment and maintain a positive attitude Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: • Comprehensive health benefits that start day 1, • Student Loan Repayment Assistance & Reimbursement Programs, • Family-focused benefits, • Wellness incentives, • Ongoing mentorship, development, leadership programs, • And more This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue potential for the department. Revenue cycle responsibilities include daily functions that contribute to service capture, charge capture (Evaluation & Management expert), management of patient financial information (registration/insurance, referrals, pre-certs etc.), and collection of patient service revenue. Assignments will focus on the most complex and high risk procedures/cases with a strong understanding of anatomy and physiology as well as coverage across multiple specialties. Additional functions include: mentoring those in Coder I and Coder II roles; dividing time between coding, auditing (presenting and defending findings), internal training and external physician education and onboarding; assisting in cross training the coding team and fostering existing/new physician relationships. This role should be an expert in both E&M and procedure coding and be knowledgeable about several related specialties. They must be able to represent coding guidelines (specifically as applicable to the pod) at a high level and participate in proactive revenue issue resolution. The Coder III should be able to work independently and maintain a high level of compliance and quality. This role is often seen as the go to coder for projects and is regularly engaged to enhance charge capture across the whole team. This role will foster collaboration among other coders on the team and providers. The Coder III will be able to maintain all assigned tasks and keep all metrics in expected thresholds. This position reports to the Supervisor or Manager, Revenue Cycle Operations. Employee may be responsible for other duties as assigned. MINIMUM QUALIFICATIONS: A High School Diploma or equivalent; coding certificate through nationally recognized organization (AAPC, AHIMA, etc.) required: CCS-P, CPC, RHIA, RHIT, CCS, CPC-H; and an additional specialty certification. Three years professional coding experience in CPT, HCPCS, and ICD10-CM; two years of experience must be in an outpatient specialty or Surgical/Ancillary Diagnostic discipline. Preferred working knowledge includes: medical terminology, anatomy and physiology, GE Centricity experience, billing regulations, insurance coverage limitations, managed care protocols, the ability to research unfamiliar procedures and services, Computer Assisted Coding (CAC), introduction to research, Medicare guidelines and billing requirements, medical devices, professional medical society websites, NCCI edit conventions. A mandatory training program based on skill set is required upon hire. Completion of the internal CDP program is preferred. PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Environmental factors affecting conditions may vary depending on the 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, use of personal protective equipment. Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

InnovaCare Management Services Company, LLC Position Summary: Detail-oriented and data-savvy Clinical Documentation Integrity (CDI) Specialist. The ideal candidate will play a key role in ensuring accurate and complete clinical documentation that supports appropriate risk adjustment, ICD-10 coding integrity, and optimized reimbursement under Medicare Advantage and other value-based care programs. This role requires strong collaboration across departments and effective use of AI platforms and data tools to drive documentation excellence and compliance. Key Responsibilities: • Review patient medical records (charts) for completeness, accuracy, and compliance with ICD-10-CM coding guidelines and CMS risk adjustment criteria., • Identify documentation gaps or opportunities that impact HCC capture and risk scores, • Utilize AI-enabled CDI platforms, electronic health records (EHR), and data dashboards to analyze trends, prioritize chart reviews, and flag discrepancies., • Work closely with primary care providers, specialists, and other clinical staff to clarify documentation and educate on best practices, when required., • Collaborate with coding, billing, compliance, and analytics teams to align goals and implement CDI strategies, when required., • Support the execution of cross-functional projects aimed at improving data integrity, documentation quality, and risk adjustment outcomes., • Maintain accurate tracking and reporting of CDI queries, provider responses, and documentation improvements in designated systems or databases., • Stay up to date on current CMS guidelines, ICD-10-CM updates, HCC risk adjustment models (CMS-HCC, RxHCC), and relevant healthcare regulations. Qualifications: • Credentialed coder (CRC, CPC, CMPA or similar), clinical background is a plus (RN, IMG)., • Minimum of 3 years of experience in clinical documentation improvement, risk adjustment, or outpatient medical coding., • Strong understanding of ICD-10-CM coding, HCC coding principles, and Medicare Advantage documentation requirements., • Experience working with AI-based CDI platforms, EHR systems, and healthcare data tools., • Excellent communication, critical thinking, and problem-solving skills., • Ability to work independently and collaboratively in a fast-paced environment., • Bilingual (English/Spanish) is a plus.

Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas Oncology, Inflammation, General Medicine, and Rare Disease we reach thousands of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller, happier lives. Our award-winning culture is collaborative, innovative, and science-based. If you have a passion for solving complex challenges and driving meaningful impact for patients, you'll thrive as part of the Amgen team. How Might You Defy Imagination? At Amgen, our shared missionto serve patientsdrives all that we do. As a global biotechnology leader, we collaborate across disciplines to deliver innovative therapies that reach millions of patients worldwide. It's time for a career you can be proud of. Live What You Will Do The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. The PAL serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role focuses on ensuring timely and sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financial assistance programs. Working within a collaborative field environment, the PAL partners with internal teams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to support the patient journey. The role operates with independence in managing assigned patient cases and contributes field insights that inform broader access strategies. Key Responsibilities Patient Access and Reimbursement Support • Serve as a resource on patient access and reimbursement for infused and specialty therapies., • Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes., • Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims., • Provide education regarding coding and billing considerations relevant to therapy access. Patient and Caregiver Engagement • Develop relationships with patients and caregivers through phone, virtual, and in-person engagement., • Secure written or electronic patient HIPAA authorization within assigned geography., • Assess individual patient needs and provide education and resources that support access to therapy., • Educate patients on coverage considerations and the steps required to obtain prior authorization., • Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate. Provider and Site-of-Care Education • Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes., • Provide information regarding common prior authorization requirements, coding considerations, and billing practices., • Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases. Access Issue Resolution • Investigate patient access challenges before and after infusion., • Support physician offices and sites of care in reviewing denied claims and identifying potential next steps., • Escalate complex or systemic reimbursement issues to appropriate internal stakeholders. Cross-Functional Collaboration • Partner with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient access initiatives., • Coordinate with internal and external partners to ensure appropriate resources are available to support patient access., • Share field insights regarding payer policies and reimbursement challenges. Compliance, Safety, and Operational Excellence • Adhere to company policies, compliance guidance, and applicable to federal, state, and local regulations., • Ensure activities align with HIPAA privacy requirements and internal compliance guidelines., • Report adverse events and product complaints through established pharmacovigilance processes., • Maintain accurate documentation of activities and interactions in Amgen's internal system. Win What We Expect of You Basic Qualifications - Level 5 Doctorate degree OR Master's degree and 2 years of patient services and/or access and reimbursement experience OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience OR Associate's degree and 8 years of patient services and/or access and reimbursement experience OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience Basic Qualifications - Level 6 Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience Preferred Qualifications • Experience supporting buy-and-bill or infused pharmaceutical therapies, • Rare disease or orphan drug experience, • Clinical background such as nursing or allied health, • Understanding of reimbursement processes including prior authorization, appeals, and denied claims management, • Knowledge of HIPAA guidelines and FDA regulatory requirements, • Familiarity with internal and OIG compliance guidelines, • Strong analytical and problem-solving skills, • Excellent written and verbal communication skills, • Ability to manage complex patient situations and resolve access barriers, • Experience working in cross-functional field teams, • Proficiency in Microsoft Office, CRM, AI and relevant systems, • Access and reimbursement knowledge, • Prior authorization processes, • Healthcare reimbursement systems, • Coding and billing awareness, • Patient support program knowledge, • Compliance and privacy requirements, • Learning agility, • Decision quality, • Stakeholder engagement, • Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses, • Ability to operate effectively in matrix field environments, • Travel up to 50%, including occasional overnight and weekend commitments Thrive What You Can Expect of Us As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being. The annual base salary range is from $158,394 -$185,578 for Level 5, $164,276 - $ 222,256 for Level 6. Actual salary will vary based on several factors including, but not limited to, relevant skills, experience, and qualifications. In 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., • A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan, • Stock-based long-term incentives, • Award-winning time-off plans and bi-annual company-wide shutdowns, • Flexible work models, including remote work arrangements, where possible

Job Description POSITION TITLE: Nurse Practitioner CLASSIFICATION: PRN/As Needed DEPARTMENT: Clinic MANAGER: Clinical Operations Manager POSITION SUMMARY CBWW is seeking an experienced and dependable PRN Nurse Practitioner to provide flexible clinical coverage within the Wellness Clinic. The PRN Nurse Practitioner will provide primary, preventive, and problem-focused healthcare based on patient volume, provider availability, planned or unexpected absences, specialty clinic needs, and other operational requirements. The provider will work collaboratively with the Medical Director, Nurse Practitioners, Medical Assistants, and clinical support team to maintain safe, timely, and high-quality patient care. Key Responsibilities · Provide primary care, preventive care, and Problem-Focused & Same-Day Visits. · Perform patient histories, physical examinations, assessments, diagnoses, and treatment planning. · Manage common acute and chronic conditions, including hypertension, diabetes, and cholesterol. · Provide STI screening, treatment, preventive care, and women’s health services when qualified. · Prescribe medications within authorized scope of practice. · Personally enter and manage laboratory, imaging, and diagnostic orders. · Review and interpret laboratory and diagnostic results and ensure appropriate follow-up. · Enter specialty referrals and coordinate additional care when clinically indicated. · Complete accurate and timely documentation in the electronic medical record (EMR). · Respond to patient clinical questions, results, and portal messages associated with assigned care. · Provide appropriate clinical handoff for unresolved patient needs at the completion of PRN coverage. · Maintain documentation necessary to support medical necessity, coding, and insurance billing. · Collaborate with the clinical team to maintain efficient patient flow and continuity of care. · Follow CBWW policies, HIPAA requirements, clinical protocols, and applicable professional standards. Provider Order Responsibilty The Nurse Practitioner is responsible for determining and entering all laboratory and diagnostic orders associated with their patient care. Medical Assistants and other unlicensed staff may not process provider-authorized orders but may not independently add, remove, substitute, or modify laboratory or diagnostic testing. REQUIRED QUALIFICATIONS § High School diploma or equivalent § Current Georgia RN and Nurse Practitioner licensure/authorization. § Graduate degree from an accredited Nurse Practitioner program. § Current national Nurse Practitioner certification. § Current prescriptive authority § Current BLS/CPR certification. § Experience independenly assessing and managing patients in an outpatient clinical setting. § Strong clinical decision-making and patient education skills. § EMR proficiency and strong clinical documentation skills. PREFERRED QUALIFICATIONS § Family Nurse Pratitioner (PNP) or Adult-Gerontology Primary Care Nurse Practitioner certification. § Two or more years of outpatient or primary care experience. § Experience with chronic disease management, women’s health, and STI care. § Experience in community health, outpatient, nonprofit, FHC, or safety-net settings. § Experience serving underserved and diverse patient populations. PRN SCHEDULE This is an as-needed position with no guaranteed minimum hours. PRN providers may provide coverage for planned and unexpected provider absences, increased patient volume, specialty clinics, telehealth, outreach events and other operational needs. \nCompany Description The Center for Black Women’s Wellness (CBWW) is a community-based nonprofit organization that provides free and low-cost services to empower underserved women and their families, toward physical, mental and economic wellness. CBWW offers the following comprehensive services: women’s health, primary care and mental health services; health education and promotion programs; perinatal case management services; and financial literacy and self-employment training. The Center for Black Women’s Wellness (CBWW) is a community-based nonprofit organization that provides free and low-cost services to empower underserved women and their families, toward physical, mental and economic wellness. CBWW offers the following comprehensive services: women’s health, primary care and mental health services; health education and promotion programs; perinatal case management services; and financial literacy and self-employment training.

Job DescriptionDescription: Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery. The Coding Compliance Specialist is responsible for extracting clinical information from a variety of electronic medical record systems to analyze medical documentation and ensure proper assignment of CPT billing selection by utilizing coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). The Coding Compliance Specialist has a deep understanding of medical terminology, coding guidelines, and healthcare regulations. Essential Duties: • Review and analyze medical records and documentation for inconsistent documentation practices and offer remediating solutions., • Perform ongoing outreach/education for new and existing coders on Emergency Medicine & Hospital Medicine coding and documentation requirements using a variety of formats., • Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services based on medical documentation., • Validate the accuracy of codes and ensure adherence to coding guidelines and regulations., • Maintain up-to-date knowledge of coding standards, regulations, and payer policies., • Ensure quality and productivity goals set by Coding Manager is met., • Ensure compliance with federal, state, and payer-specific coding guidelines and requirements., • Review and address coding discrepancies and provide feedback coding leadership team., • Conduct audits of coded records to ensure accuracy and compliance., • Provide recommendations for coding improvements and best practices., • Review new business medical records for documentation opportunities and templating education., • Utilize coding software and electronic health record (EHR) systems efficiently., • Stay informed about updates and changes to coding systems and software., • Serves as a resource for expert knowledge in coding and documentation requirements., • Perform other related duties as assigned. Skills, Knowledge, Abilities: • Strong organizational skills with the ability to multi-task in a fast-paced environment., • Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization., • Knowledge and understanding of medical coding and billing systems and regulatory requirements. Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation., • Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members., • Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts., • Strong analytical skills and the ability to work independently to analyze and solve problems., • Adept at learning proprietary software applications., • Collaborate with professionals internal and external to the company and across geographic locations, • Exhibit growth mindset and team-orientated behaviors, • Navigate competing priorities and effectively work in a fast-paced environment Requirements: Education: • Bachelor’s degree or equivalent is required, • Preferred: RHIA, CDI, CPC, CCS, CCS-P Experience: • 1-2 years’ experience in Hospital or Physician practice environment desired., • Experience with Evaluation & Management coding; emergency medicine/hospital medicine background preferred., • EHR/EMR (Electronic Health Record/Electronic Medical Record) experience required., • Chart Auditing/Optimization experience preferred Work Location: • Remote work with travel for in-person meetings and events. The employee must have reliable access to internet. Core Clinical Management, LLC is an equal opportunity employer and complies with ADA regulations as applicable.? Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Job Description We are seeking a detail-oriented and experienced Insurance A/R Specialist to join our growing Pediatric ENT practice in Atlanta, GA. The ideal candidate will have a strong background in medical billing, insurance collections, and accounts receivable, with a focus on maximizing reimbursement and ensuring timely follow-up with payers. Key Responsibilities: • Review, analyze, and work insurance claims to ensure timely and accurate payment, • Perform detailed follow-up on unpaid or underpaid claims, including appeals and resubmissions, • Maintain accurate records of payments, denials, and communications with insurance companies, • Resolve any discrepancies related to insurance claims and patient accounts, • Ensure compliance with payer guidelines and regulations, • Work closely with clinical and administrative staff to resolve billing and coding issues, • Generate reports on accounts receivable status and trends Qualifications: • Previous experience in medical billing, particularly in insurance A/R, is required (ENT experience is a plus), • Strong understanding of insurance guidelines, including commercial payers, Medicaid, and Medicare, • Proficiency with electronic medical records (EMR) and billing systems, • Excellent problem-solving skills with the ability to work independently, • Strong communication and interpersonal skills, • Detail-oriented and highly organized, • Familiarity with pediatric healthcare and ENT services is a plus Benefits: • Paid federal holidays off, • Medical, dental, and vision insurance, • 401(k) plan with company matching, • Competitive salary and opportunities for growth Why Join Us: • Be a part of a dedicated team providing specialized care to pediatric patients in a respected ENT practice, • Opportunities for professional development in a supportive and collaborative environment If you are an experienced Insurance A/R Specialist looking to contribute to a compassionate, patient-focused pediatric practice, we encourage you to apply!

Job DescriptionDescription: RevCycle is growing, and we’re excited to welcome new team members! With over 30 years in business, we focus on developing our employees and helping them reach their full potential. Work remotely or from our Marshfield, WI office, with opportunities to start in our August training class. Position Summary: • Delivers exceptional and consistent customer experiences by demonstrating excellence in understanding and resolving requests with patience, empathy, compassion, and sincerity. Handles customer inquiries through inbound and outbound calls as well as written communication., • This position exists to effectively manage inquiries and concerns related to billing and insurance with the goal of offering payment options and facilitating the processing of payments. Customer Service Representatives will work in a company office or home office environment. They will operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws. Essential Duties and Responsibilities: • Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues, • Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections, • Answers complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes), • Reviews financial information and recommends payment options and/or assistance programs in accordance with client guidelines, • Manages both common and challenging objections and concerns from consumers, • Discusses and helps consumer think through payment resources and makes necessary referrals to the client, • Uses required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call, • Maintains working understanding of account requirements, leveraging related documentation and resources as needed, • Independently and efficiently performs account documentation including notes and codes, making few errors, requiring minimal assistance, • Skillfully works within both internal and client systems, • Adheres to company Core Values and Strategic Anchors, • May learn and perform other duties and responsibilities as assigned based on business needsRequirements: Required Knowledge, Skills and Abilities: • Prior work experience in a call center and healthcare customer service setting is preferred, • Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus., • Working knowledge of medical billing and coding is preferred, • Prior work experience in a medical office and/or general understanding of health insurance is preferred, • Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools, • Able to navigate multiple computer applications and databases, • Moderate to advanced computer keyboard typing and navigation skill, • Able to communicate on the phone and navigate multiple computer systems simultaneously, • Able to overcome patient objections and obstacles to negotiate payment successfully, • Reliable and responsible. Arrives on time and uses time productively and efficiently, • Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes, • Possesses and demonstrates professional judgement and operates with client business acumen., • Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information, • Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages, • Self-motivation and committed to career success, • High School Diploma or equivalent (i.e., GED) required, • Prior supervisory experience is welcome in this growing company Work Environment: Employee works in a company office and/or home office and sits at a desk during regularly scheduled work hours. Employee will work with an online team utilizing screen monitoring and/or video conferencing. Employee answers and makes telephone calls using a computerized telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources. Employee may occasionally be required to stand or walk short distances along with bend or twist to access lower and higher desk drawers. Career Path Note: The Customer Service Representative is a fully trained production role in the organization. They are relied upon in all cases to meet and in most cases exceed stated KPIs, goals and objectives. Those who desire may find advancement as a team lead, or in a functional role. These opportunities have unique requirements which are detailed in the respective job descriptions. Employees are also encouraged to work with their department leadership, Human Resources and/or company leadership to discuss and work toward their career goals. Disclaimer: This job description provides a summary of essential job functions and required knowledge, skills, abilities, education, and experience. It may be modified at any time depending on the organization's needs. Management reserves the right to assign or reassign duties and responsibilities to this job at any time. The existence of this job description does not guarantee employment. It is understood that employment is “at will.”

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As a growing and innovative organization, we operate with a high degree of agility. Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed. This collaborative and flexible mindset is essential to our success. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business—ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team. Join us as we put healthcare on a better path!! Job Description WHAT YOU’LL BE DOING • Work in a fully remote environment and virtually engage with company and team in your daily work., • Subject Matter Expert (SME) on entire scope of QI measures, services, customers and quality initiatives under various commercial and governmental payers., • Conduct proactive patient outreach initiatives to identify and address quality gaps, engaging with patients to educate them on preventive care measures, schedule necessary screenings or appointments, and facilitate adherence to treatment plans, thereby contributing to improved health outcomes and closing quality gaps., • Collect quality data using various methods of data sourcing-EMR, claims, provider outreach., • Manage daily work using multiple systems and applications-EMR systems, payer portals, vendor platforms, Guidehealth applications, Microsoft 365 for Excel, Word and PowerPoint and Teams for messaging and meetings., • Work with patient lists, gap lists, sourced health data and medical records in your daily work., • Leverage all quality related resources to ensure accuracy and completeness of work measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference guides., • Prioritize daily work to meet various quality reporting deadlines and requirements., • Communicate quality performances, barriers and improvement strategies both internally and with customers., • Follow all established policies and procedures for various QI workflows to ensure overall success., • Collaborate w/ customers, payers, co-workers to accomplish daily work., • Participate in all departmental and payer sponsored webinars/trainings/support calls throughout the year., • Communicate professionally and develop positive relationships with co-workers, customers, providers and providers’ support staff. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or greater in related field or certified/licensed professional-CMA, LPN., • Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding., • Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach, • Tech savvy in managing the technical side of this position-working with health data, working in excel and PowerPoint, navigating multiple systems and applications., • Highly skilled in verbal and written communications., • Strong attention to detail, organized and ability to meet hard deadlines., • Ability to collaborate w/ others and work effectively with management, co-workers, and customers. WOULD LOVE FOR YOU TO HAVE • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Proficiency in Electronic Medical Record (EMR) software and cloud platforms. Additional Information The base pay range for this role is between $28-$30 per hour paid bi-weekly ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us., • This is what it means to be ALIVE with purpose. This is how we thrive — together — at Guidehealth. BENEFITS: While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need., • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Job Description Independent Primary Care group seeks an Internal Medicine Physician in Suwannee, Georgia (Live in the desired Northern Atlanta area!) Generous Compensation and 4 day week available! • Contact: Raymond Stiles raymond@nowhealthcare.org (843 574 8233) About the group: • Privately owned medical practice established in 2008, • Distinguished Primary Care facility in Suwanee, GA, • Dedicated to delivering healthcare of the highest standard, complemented by an exceptional patient experience, • Currently 5 Primary Care Physicians, 7 APP's, and 28 Employees, • 100% Physician-Owned — No corporate interference or private equity, • AI-Powered Practice — Technology across all departments, • Career Growth — Expanding locations create advancement opportunities, • Modern Facilities — High-end, comfortable workspace, • Adult primary care focus (18+ only — no pediatrics), • Comprehensive preventive and chronic disease management, • Choice of 4-day or 5-day workweek, • Productivity bonus based on personally performed services About the Role: • Internal Medicine Physician, • Location: Suwanee, GA (Based in the very desirable Northern Atlanta area!), • Work Schedule: Clinic Runs Monday to Friday, 8:00 AM to 5:00 PM - Open to a 4 day week!, • Excellent schools, amenities, and a very safe area of Atlanta to work and live., • Our practice is dedicated to treating adult patients, with a focus on both chronic and acute illnesses. With an emphasis on preventative care., • Patients will be adolescent and adults in age. This practice does not provide pediatric services., • Wide range of diagnostic procedures, such as ultrasounds, sleep studies, DEXA scans, spirometry, electrocardiography, blood pressure monitoring, and phlebotomy., • Adult primary care focus (18+ only — no pediatrics), • EMR: eClinicalWorks and Dragon Medical One for dictation., • Weekends & Holidays: The office is closed to prioritize and maintain work life balance., • Patient Volume: The schedule accommodates 2 new or 3 established patients per hour. (Est. 20 per day), • Call Responsibilities: Very Minimal - Phone Only and Prescreened by a phone service., • Hospitals: Affiliated with 3 hospital systems in the local area, • Supportive Environment: Be part of a team of dedicated receptionists, schedulers, medical assistants, nurses, medical billing, and administrative staff. Compensation and Benefits: • Generous Base Salary and productivity bonuses - Earn $300,000 - $400,000 / year!, • Physician Keeps 30% of all annual billings above 900K, • Signing Bonus: $25,000 Sign On, • Relocation Assistance: Support for relocation expenses provided., • Health Insurance: Comprehensive health, dental, and vision plans allowance., • Life and Disability Insurance, Professional Liability Insurance, • 401K plan with employer matching contributions (6%), • Assistance available for student loan repayment., • Reimbursement for maintaining medical licenses, board certifications, professional memberships, and DEA registration., • Continuing Medical Education (CME) Generous allowance provided., • Paid Time Off (PTO) Ample PTO for vacation and sick leave., • Paid Major Holidays, Enjoy time off on major holidays., • Excellent schools and communities available for raising a family in the Metro Atlanta area. Candidate Background: • Board Eligible or Board Certified - Internal Medicine Physician, • Ability to hold a Georgia State Medical License, • No experience needed!, • Commitment: Preference will be given to candidates with ties to the area seeking long-term employment., • Professionalism: Essential qualities include demonstrated bedside manners, excellent customer service skills, flexibility, and compassion., • Coding & Billing Proficiency: Knowledge of ICD codes and adherence to E/M coding guidelines are essential., • This is not a visa sponsorship role Contact: Raymond Stiles raymond@nowhealthcare.org (843 574 8233)

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You