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Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: PRN (non-benefit eligible) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder II will work remotely on a PRN (non-benefit eligible

Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder III will work remotely on a full-time basis. BayCare offe

Job Description Senior Manager, Content Performance & Coding Compliance at Rialtic, Inc. Atlanta or Remote About Rialtic Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. Founded in 2020 and backed by leading investors including Oak HC/FT, F-Prime Capital, Health Velocity Capital and Noro-Moseley Partners, Rialtic's best-in-class payment accuracy product brings programs in-house and helps health insurance companies gain total control over processes that disparate and misaligned vendors have managed. Currently working with leading healthcare insurers and providers, we are tackling a $1 trillion problem to reduce costs, increase efficiency, and improve quality of care. For more information, please visit www.rialtic.io. Position Overview The Senior Manager, Content Performance & Coding Compliance, will strategically leverage quality trends, client data, and content sources to drive E2E performance improvement of Rialtic's content development process and ensure coding compliance. This is a foundational leadership role within a high-growth startup, requiring a dynamic leader who blends thought leadership with decisive execution, thrives in ambiguity, and builds structure in fast-evolving environments. We're looking for a hands-on, forward-thinking leader who understands the payer-centric landscape, embraces new ways of working, and brings a sharp sense of tempo and adaptability to everything they do. This person will help reimagine how content is created, deployed, and governed — using modern tooling, including AI-enabled solutions, to scale effectively. Success in this role demands both creativity and rigor, a collaborative spirit, and a mindset oriented toward performance and compliance. You will work cross-functionally to embed process improvement, automation solutions, and continuous quality improvement into Rialtic's content development and management efforts, ensuring a consistent, high-value experience for our customers. Key Responsibilities Team Development • Grow and lead a high-performing team of Content Policy Managers and Analysts, • Serve as a player-coach, creating an environment of ownership, resilience, and high accountability — without micromanaging Policy Inquiry Support • Research potential policy defects and resolve inquiries submitted by clients and colleagues from across the enterprise, • Troubleshoot policy defects and collaborate with Content and Engineering teams to adjust and resolve policy design to deliver the intended functionality Performance Improvement • Lead root cause analysis (RCA) of identified policy defects to determine additional controls needed to drive E2E continuous quality improvement, • Proactively leverage policy utilization trend data to monitor, investigate, and mitigate insight rate anomalies, • Leverage the combined policy defect and utilization trend data to identify and develop process changes, automation/tooling enhancements, and scalable, AI-enabled approaches to drive increased efficiency and quality across the E2E Content development process, • Partner with Product and Engineering teams to define and drive strategic Content platform enhancements, • Maintain a strong sense of speed of play — balancing urgency with quality Coding Compliance • Lead the ongoing maintenance of Rialtic's policy library to ensure policies remain accurate and up-to-date with source changes, • Lead the implementation of new CPT, HCPCS, and ICD-10 codes across Rialtic's policy library, • Manage Rialtic's subscriptions to Content reference sources and serve as vendor relationship managerQualificationsEducation & Experience, • Bachelor's degree in healthcare administration, finance, or related field; Master's degree or MBA preferred., • Minimum 5 years of experience in healthcare, preferably with at least 2-3 years in a leadership role in Payment Integrity, or Claims Operations, • Experience with both payer and provider perspectives is strongly preferred. Knowledge & Skills • Claims Adjudication: Strong understanding of commercial, Medicare, and Medicaid claims workflows, including pre- and post-pay integrity processes., • Medical Coding: Proficient in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II coding and their use in policy and reimbursement logic., • Regulatory Policy: Knowledge of CMS, Medicaid, and ACA guidelines and how they inform content strategy and compliance., • Analytical Skills: Ability to interpret large datasets; experience collaborating with data science teams on fraud, waste, and abuse detection or pattern recognition., • Performance Improvement: Skilled in building scalable processes, identifying automation solutions, and delivering continuous quality improvements., • Technical Workflow: Understanding of how clinical content is deployed and managed within rule engines and claims editing platforms., • Team Leadership: Experience leading small teams, mentoring talent, and delivering outcomes in high-change environments., • Adaptability: Comfortable operating in dynamic settings with evolving priorities and a limited predefined process., • Communication: Strong written and verbal communication skills for cross-functional collaboration and stakeholder alignment, • Remote Work: Comfort with modern asynchronous communication tools such as Slack, Zoom, and other documentation solutions such as Notion and Google Drive. Preferred Qualifications • Experience with commercial, Medicare Advantage, and/or Medicaid plans., • Certified Professional Coder (CPC) or similar credential., • Hands-on experience working with policy authoring tools, claims databases, SQL-based analysis platforms, or BI tools (e.g., Looker, Tableau). Nice to have: • Nationally recognized coding or billing credentials: CPC, CCS-P, RHIA, CCS, CCS-P, CPB, • SQL query-building and lookup skills for claims data analysis and data mining for editing opportunities, • Claims editing experience, • Project Management experience, • Experience with mapping CMS 1500, EDI and FHIR Rialtic Values • High Integrity, • Do the right thing. Provide candid feedback. Be humble and respectful., • Customer Value Comes First, • Delivering value to our customers is our North Star., • Work as One Team, • Collaborative, inclusive environment to advance our mission., • Be Bold & Accountable, • Speak up. Take accountability. Continually improve., • Pursuit of Excellence, • Innovate, iterate and chase the best possible outcomes., • Take Care of Yourself & Others, • Prioritize the health and wellbeing of yourself and your teammates. Rialtic Benefits: • Freedom to work from wherever you work best and a home office stipend to make it happen, • Meaningful equity and 401 (k) matching, • Unlimited PTO, comprehensive health plans, and wellness reimbursements, • Comprehensive health plans with generous contributions to premiums, • Mental and physical wellness support through TalkSpace, Teladoc, and One Medical subscriptions We are headquartered in Atlanta, but we are remote-friendly. Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Rialtic, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this role or others.

This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!What You Will Do:Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codesAccurately sequence and abstract medical codes from patient records, ensuring pr

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

Sutherland is seeking a Multi-Specialty Profee and/or Facility Medical Coder in Atlanta, Georgia. The ideal candidate will have at least 2 years of medical coding experience, specifically in multi-specialty practices, and possess relevant certifications such as CPC, CCS, or CCS-P.

A leading health provider in the region is seeking a remote Medical Records Outpatient Coder II. The role involves coding diagnosis and procedures using various coding systems and assisting in mentoring junior coders.

BayCare offers a competitive total reward package including: Benefits (Medical, Dental, Vision) Paid Time Off Tuition Assistance 401K Match and additional yearly contribution Annual performance appraisals and team award bonus Family resources and wellness opportunities Community perks and discounts

A leading health organization is seeking a Medical Records Coder II to work remotely, primarily from Georgia. The ideal candidate will have strong experience in ICD-10 coding systems and a background in mentoring other coders. This full-time position requires a minimum of 2 years in medical coding,

A prominent healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely. Candidates should have strong medical terminology skills and be capable of mentoring junior coders.

This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What You Will Do: Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes Accurately sequence and abstract medical codes from patient records, ensur

Job Description Overview Overview The Clinical Quality Manager serves as a key member of the Office of Clinical Services and is responsible for supporting enterprise efforts related to clinical protocol compliance, quality improvement, and operational compliance with contractual obligations. This role monitors clinical performance, evaluates adherence to approved protocols and standards of care, assists with quality review activities, supports corrective action planning, and helps ensure that service delivery aligns with contractual requirements, regulatory expectations, and organizational goals. The Clinical Quality Manager works collaboratively with regional leadership, operations, medical direction, revenue cycle management, education, and clinical personnel to identify trends, investigate gaps, support performance improvement initiatives, and promote consistent, compliant, and high-quality clinical care across the organization. This position will travel 25-30%. Why Choose AmeriPro At AmeriPro Health, you are at the heart of everything we do! Thrive here with industry-leading pay from day one, comprehensive benefits, clear career pathways, on-going training, and a supportive environment where your expertise is valued. Powered by innovative, cutting-edge technology and state-of-the-art ambulances, you will have the tools to focus on what matters: saving lives and shaping the future of healthcare. Join AmeriPro and be part of a forward-thinking team redefining EMS through innovation and a relentless commitment to excellence! Compensation & Benefits AmeriPro supports you and your family by offering a comprehensive and competitive health and well-being benefits program. • Competitive compensation, • Personal Time Off starting at 2 weeks and increasing with tenure, • Expansive Benefits package to include Medical, Dental, Vision, Short-term Disability, Life, Accident and Critical Illness and Hospital Indemnity, • Employer paid Basic Life and AD&D, • Employer $600 contribution to HSA with an HDHP, • 401(k) Employer Match of 50% up to first 6% of eligible compensation, • Employee Assistance Programs (EAP), • $5,000 Tuition Reimbursement for Professional Development, • Opportunities for career Advancement, • Flexible Scheduling Options Responsibilities Key Responsibilities • Identify learning gaps through clinical trend analysis and develop focused education, coaching, and local interventions to address observed performance issues, • Coach healthcare providers on complete and defensible patient care reporting to ensure high-quality care, accurate quality reporting, and reimbursement integrity, • Track protocol compliance and key performance indicators to evaluate the effectiveness of current training programs and identify future education needs, • Support enterprise-wide quality initiatives by collecting and presenting clinical data that drives continuous learning and process improvement across service lines, • Partner with leadership to develop and implement corrective action plans and clinical improvement strategies for providers falling below established standards, • Ensure all clinical activities meet service contract requirements and state or local standards, maintaining accurate documentation for specialty program reviews, • Collaborate with Medical Direction, Operations, and Revenue Cycle teams to bridge compliance gaps and reinforce evidence-based clinical practices, • Promote a high-performance culture centered on patient safety, professionalism, and the continuous professional growth of all clinical staff Physical Requirements • Ability to work for extended periods at a computer and review electronic records, reports, and dashboards, • Ability to travel occasionally as needed for meetings, audits, investigations, or operational support, • Ability to work in the field in support of EMS operations in adverse conditions for prolonged periods of time Qualifications Qualifications Required: • Current certification or licensure as a Nationally Registered Paramedic, or the ability to obtain within 3 months of hire, • Minimum of five years of experience in EMS, mobile healthcare, clinical quality, healthcare operations, or a related area, • Experience with chart review, clinical auditing, protocol compliance review, quality improvement, or performance improvement activities, • Experience working with data, reports, dashboards, or other performance monitoring tools, • Strong understanding of clinical documentation, protocol adherence, patient care standards, and operational accountability, • Ability to work independently in a remote environment while maintaining strong communication and collaboration across teams Preferred: • Bachelor’s degree in a related field, • Experience in EMS quality management, clinical investigations, contract oversight, or regulatory compliance, • Familiarity with NEMSQA measures, Mission: Lifeline metrics, or other EMS quality benchmarks, • Experience with business intelligence platforms, dashboard development, or performance reporting tools, • Experience supporting multi-site or multi-market healthcare operations, • Certified Ambulance Documentation Specialist (CADS), Certified Ambulance Compliance Officer (CACO), or Certified Ambulance Coder (CAC) from the National Academy of Ambulance Compliance. Certification & Licensure Requirements • Current certification or licensure as a Nationally Registered Paramedic, or the ability to obtain within 3 months of hire., • Current BCLS, ACLS, and PALS certification Equal Opportunity Employer Statement It is the policy of AmeriPro Health to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender identity, sex, sexual orientation, national origin, age, physical or mental disability, genetic information, marital status, status as a veteran or military service, or any other characteristic protected by applicable federal, state, or local civil rights laws. AmeriPro Health supports veterans, provides reasonable accommodations for individuals with a disability. We maintain a workplace is committed to maintaining a workplace free from harassment/retaliation. #AmeriPro

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

Administrative Assistant-International Comparative Labor Studies.Position Title - Administrative Assistant-International Comparative Labor Studies.Location - Morehouse College - Atlanta, GA.Position Summary - Assist ICLS faculty and staff by processing the flow information, both coming in (mailing l

Administrative Assistant/Office Assistant.Administrative Assistant/Office Assistant.Our client has a need for an Administrative Assistant/Office Assistant that is open to assist with some accounting (Accounts Payable) and Human Resources! The Administrative Assistant will be responsible for the foll

The Medical Office Receptionist will greet patients, activate patient files, and move patients through a pre-determined schedule of appointments at a physician's office. Welcomes patients and visitors to the medical office by greeting patients and visitors in person and on the telephone and answerin

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With a career at The Home Depot, you can be yourself and also be part of something bigger.The Administrative Assistant performs full administrative and general office duties in support of a Director and/or department.Performs clerical duties such as typing, note taking, and managing daily mail to ma

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Administrative Assistant II Project Shared Services (PSS).Location: Atlanta, GA 30308 Contract- 3 Years Client- Georgia Power.The Administrative Assistant II provides high-level administrative and coordination support to middle and upper-level managers within the Project Shared Services (PSS) organ

Administrative Assistant 2, Long-Term Care Program.The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people.DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and

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Southern Company Grade Level: Non-Exempt 06.This position provides administrative support to the DOT/Joint Use and Interconnections Planning teams within the Planning & Policy organization, installing confidence and trust by proactively identifying administrative needs and ensuring they are met.Duti

Eberly & Collard Public Relations is a national firm specializing in integrated marketing communications, branding, product positioning, thought-leadership campaigns, event planning, public/media relations, digital marketing, SEO, demand generation, social media, influencer marketing and advertising

Duration: 6+ months (Possible Extension/Conversion).Work Schedule: 4 days in-office, 8am-5pm.This position offers administrative support to middle and upper-level managers and their teams in the Project Shared Services (PSS) organization.PSS provides standardized, scalable frameworks for project con

DC Administrative Assistant/h2pAssist and support the Distribution Center with customer issues, DC coordination, and other activities by handling daily administrative tasks.The following duties and responsibilities are expected:/pulliReads and routes incoming mail/liliComposes and types routine corr

BCBS Medical & Dental insurance Options.

Parks & Recreation Administrative Assistant I - Parks Seasonal.Provides varied administrative and clerical services to an assigned department.May supervise administrative support staff, temporary employees, or interns.Prepares, reviews, distributes, and files routine correspondence, memoranda, lette

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Location: 241 Ralph McGill Blvd.Atlanta GA GPC Corporate Office.This position will provide administrative support to the Capital Governance and Support team.This role requires exceptional communication skills, strong attention to detail, sound judgment, and the ability to manage multiple priorities