Trabajos medical coder en Atlanta, GACrear alertas

The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do. * $60,000 Sign-on Bonus * Total compensation package (base pay + bonus) could exceed $300K depending on experience and location. Responsibilities: * Evaluates and treats center patients in accordance with standards of care. * Follows level of medical care and quality for patients and monitors care using available data and chart reviews. * Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. * Acts as an active participant and key source of medical expertise with the care team through daily huddles. * Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. * Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. * Follows policy and protocol defined by Clinical Leadership. * Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. * Participates in potential growth opportunities for new or existing services within the Center. * Participates in the local primary care “on-call” program of CenterWell as needed. * Assures personal compliance with licensing, certification, and accrediting bodies. * Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Required Qualifications: * Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required * Graduate of accredited MD or DO program of accredited university * Excellent verbal and written communication skills * Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients * Fully engaged in the concept of “Integrated team based care” model * Willingness and ability to learn/adapt to practice in a value based care setting * Superior patient/customer service * Basic computer skills, including email and EMR * This role is considered patient facing and is a part of CenterWell’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Preferred Qualifications: * Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferr * Active and unrestricted DEA license * Medicare Provider Number * Minimum of two to five years directly applicable experience preferred * Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment * Knowledge of Medicare guidelines and coverage * Bilingual is a plus * Knowledge of HEDIS quality indicators * Guaranteed base salary + quarterly bonus * Excellent benefit package – health insurance effective on your first day of employment * CME Allowance/Time * Relocation and sign-on bonus options * 401(k) with Employer Match * Life Insurance/Disability * Paid Time Off/Holidays * Minimal call #physiciancareers #LI-DH1 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $203,400 - $299,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Job Description SUMMARY: We are seeking a qualified and dedicated Billing and 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 Biller and 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 Biller or similar role., • Knowledge of unfair debt collection practices and insurance guidelines., • Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS, • Computer proficiency and medical billing software, • Must have the ability to multitask and manage time effectively., • Excellent written and verbal communication skills., • Outstanding problem-solving and organizational abilities., • Productivity Driven. EDUCATION AND EXPERIENCE: • High School, Associate Degree or 1-3 years of Billing and Coding experience, • Professional Certification preferred Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Coding Operations Manager is essential to the Provider HIM Coding division. This position oversees the daily operations of designated client accounts and team members, focusing on resource scheduling, productivity, quality assurance, employee management, and client relations. You Will:Customer Retention and Satisfaction • Maintain customer retention and satisfaction at 95% or higher by promptly addressing customer needs and proactively resolving potential issues., • Conduct account review meetings with clients.Performance Reporting, • Provide monthly performance data to clients (e.g., volume metrics, six-month trends, quality audit scores, and productivity levels)., • Include action plans for performance improvement as needed.Operational Management, • Ensure that direct reports meet established accuracy and productivity standards., • Manage performance improvement initiatives by monitoring productivity and quality levels., • Oversee the employee requisition process, ensuring timely interviewing and selection to meet customer needs., • Implement the onboarding process for new coders, coordinating equipment and access, developing training plans, and creating support structures for successful coder engagement and outcomes., • Supervise quality assurance and performance improvement efforts, providing formal development plans when standards are not met., • Manage attendance and PTO schedules.Employee Relations, • Conduct regular check-ins and one-on-one discussions with employees., • Address employee concerns promptly and escalate issues as necessary., • Facilitate biannual growth conversations and ensure timely completion of required paperwork, including new hire documents and performance reviews., • Recruit, interview, and hire qualified staff based on defined job responsibilities., • Direct the work of employees and manage their career progression., • Ensure staffing levels meet quality service requirements as per contract agreements., • Maintain employee turnover at or below corporate standards., • Provide comprehensive orientation and training to staff, continually assessing and enhancing their competencies, including compliance with HIPAA., • Conduct timely and meaningful performance appraisals, recognize achievements, and implement performance improvement plans when necessary., • Document unplanned absences and take appropriate coverage actions while monitoring absence patterns., • Foster effective employer-employee relations and conduct thorough investigations into employee complaints, involving HR as needed., • Delegate responsibilities to a trusted staff member in your absence and ensure they are informed about ongoing operations., • Relevant Associate or Bachelor's degree, ideally from an AHIMA-certified HIM Program or Nursing Program., • At least 5 years of management or supervisory experience in a hospital setting., • Industry credentials (RHIT, RHIA, or CCS) with at least 5 years of coding experience., • Excellent interpersonal and organizational skills., • Excellent client and customer relations skills., • Experience with Microsoft Office Suite (Word, Excel, Outlook) preferred., • Must be ambitious, accountable, flexible, mature, and always conduct themselves professionally., • Must communicate effectively at all levels inside and outside of the organization and express ideas and information clearly and concisely, both verbally and in writing. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated total cash compensation range for this role is:$94,000—$99,500 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description About Us PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner. Position Overview The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics. Key Responsibilities • Manage and support a physician network to ensure successful EHR integration and troubleshooting., • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans., • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows., • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure., • Conduct coding audits and provide education to providers on compliant documentation., • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations., • Assist with billing, claims submission, payment posting, and collections as needed., • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis)., • Analyze denial reports, identify trends, and recommend corrective actions., • Support quality improvement initiatives by ensuring accurate coding for chronic conditions., • Answer patient billing and claims questions in a professional and clear manner., • Maintain compliance with HIPAA, coding regulations, and company policies., • Certified Professional Coder (CPC) or equivalent certification., • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies., • High school diploma or GED required; associate’s or bachelor’s degree preferred., • 2+ years of medical coding, billing, or risk adjustment experience., • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred)., • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance., • Excellent communication and training skills for working directly with providers and staff. This position requires 50-75% local travel and is eligible for a car allowance. BACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner.

Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities • Process and submit medical claims accurately and on time, • Assign appropriate ICD-10, CPT, and HCPCS codes, • Review documentation for coding compliance, • Follow up on denied or unpaid claims as needed, • Communicate with providers, payers, or clients when necessary, • Maintain HIPAA compliance and data security standards ???? Qualifications ✅ Preferred: • Experience with medical billing, coding, or claim processing, • Familiarity with EHR or billing software, • Strong attention to detail and accuracy, • Basic understanding of insurance guidelines and terminology, • Certifications such as CPC or CBCS are a plus ???? Entry-Level Applicants: If you do not have experience, that’s okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process. ???? Position Details • Location: 100% Remote, • Schedule: Flexible – hours vary based on client/project needs, • Compensation: Varies depending on experience and client placement, • Type: Independent Contractor (1099) ???? To Apply Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps. ???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Become a part of our caring community and help us put health first The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The Physician work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins to influence department s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Position Highlights: • Low Patient Volume, Value-based, • Comp package (base pay+bonus) up to $300K+, • Strong Sign-on, • Longer authorized appointments (45 minutes), • Easy Call Schedule, Better Hours, • Excellent benefit package health insurance effective on your first day of employment, • Access to resources, Training, Mentorship, • Forbes Best Employers for Diversity, • Physician practice supported by experienced and well-established team of: APPs, Nurses, Behavioral health specialists, Pharmacists, • CME Allowance/Time, Paid Relocation, Life Insurance/Disability/Residency stipend, • Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care. Take the next step in your career with CenterWell and experience the rewarding difference of senior-focused primary care! Job Responsibilities • Evaluates and treats center patients in accordance with standards of care., • Follows level of medical care and quality for patients and monitors care using available data and chart reviews., • Assists in the coordination of patient services, • Acts as an active participant and key source of medical expertise with the care team through daily huddles., • Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor., • Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity., • Follows policy and protocol defined by Clinical Leadership., • Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues., • Participates in potential growth opportunities for new or existing services within the Center., • Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred, • Active and unrestricted DEA license, • Medicare Provider Number, • Minimum of two to five years directly applicable experience preferred, • Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment, • Knowledge of Medicare guidelines and coverage, • Knowledge of HEDIS quality indicators

Medical Coder II, Physician-Based (GA Region). Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification

Multi-Specialty Profee And/or Facility Medical Coder. At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices. EEOC and Veteran Documentation During employment, employees are treated without regard to race,

Medical Coder III, Physician-Based Coding. Completes medical coding by: translating clinical information into coded data to enter appropriate codes for diagnoses, procedures, and other services rendered, following coding guidelines for the most current version of the International Classification of