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This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin. 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.

Emory Healthcare Inc

Remote Professional Coding Auditor

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information. In this role, you will help expand CGI's claims edits library by identifying, developing, implementing, and optimizing edits designed to prevent inaccurate, inappropriate, or wasteful healthcare payments.

CGI Inc

Senior Payment Integrity Analyst - Claims Editing

FULL_TIME

Maintains confidentiality in matters regarding the clinic, its patients, and employees Accurately documents all patient observations, treatments, and procedures administered, patient/family responses, medication dispensed or prescribed, hospital data in the medical record. Assisting in lab tracking, pap smear follows up auditing, missing tickets, (Non-US or DEXA).Promotes wellness by providing patient education materials, communicating physicians' advice and instructions on how to manage selfcare.

Sullivan Group HR

Triage Nurse {OBGYN)

Talent Acquisition

As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

HOUR

Datavant

Inpatient Audit Specialist FT- Sign on Bonus

IRecruitee

As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. 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.

CenterWell

Primary Care Physician

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The Clinical Charge Audit Analyst provides clinical documentation improvement, auditing, coding and charge entry for all diagnostic, interventional, structural heart and surgical cardiovascular procedures performed in the Cardiac Catheterization Labs and Electrophysiology Labs. Educate physicians and clinical staff on any and all coding changes quarterly to ensure complete and accurate documentation to support appropriate diagnostic and procedural ICD-10 and CPT-4 codes to the greatest specificity for the most accurate reimbursement for all Cardiovascular procedures performed in the Cath Lab, and EP Lab.

<p>As the largest healthcare system in the suburbs of Atlanta, WellStar serves more than a million patients a year within our hospitals, health parks, urgent care centers, and medical practices in NW Atlanta. We are a leading not-for-profit health system with state-of-the-art medical technology and a world-class employee family. Onsite concierge services, pension plans and job sharing are just the start of our innovative vision of a ‘Work Life Well Lived!’</p>

WellStar Health System Inc

Clinical Charge Audit Analyst

Conduct focused audits related to Evaluation and Management (E/M) services, procedural coding, assist with teaching physician documentation, modifier utilization, clinical documentation integrity, and specialty-specific billing requirements common within an academic medical center environment. We exist to: Improve the health and well-being of individuals and communities; Increase the diversity of the health professional and scientific workforce; Address primary health care through programs in education, research and service; With emphasis on people of color and the under-served urban and rural populations in Georgia, the nation and the world.

Morehouse School of Medicine

Sr. Claims Auditor - Revenue Integrity

This position is responsible for monitoring, identifying, and reporting trends, risks, and discrepancies in charge capture and reports to the Coding Manager to ensure clear accountability for reconciliation; daily charge capture and revenue monitoring, to include consultation on eliminating lost charges/revenue. KEY RESPONSIBILITIES: Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, for monitoring, identifying, and reporting trends, risks, and discrepancies in charge capture and coding denial management for coding related tasks.

Grady Health System

PB CODING -Business Analyst III -

The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

JOB SUMMARY: Audits medical record documentation and coding to extract data and determine appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. EDUCATION REQUIREMENTS: 4 year / Bachelor's Degree in Health Information Management or related medical degree (Required); In lieu of a Bachelor's Degree; an Associate Degree and a Minimum of 4 years additional relevant experience is acceptable.

Phoebe Putney Health System

Coding Auditor & Education Advisor (Remote)

Preferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. How you will make an impact: Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits meet the industry's best practices and payer-specific requirements.

YEAR

Elevance Health Inc

DRG Coding Audit Manager

Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Elevance Health

Clinical Fraud Investigator II

Essential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Job Summary: The Concergent Data Modeler within the Convergent Medical Terminology team (CMT) is responsible for designing, maintaining, and optimizing clinical terminology models using SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms).

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics

Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Savista

Inpatient Coding Specialist - Facility

Support Coding Quality Education (CQE) and Coding Leadership by monitoring and updating all operational PHC hospital coding policies to optimize the quality and accuracy of the coding services provided by PHC hospital coding staff. Responsibilities: Monitor and validate hospital soft coded/abstracted information for specific hospital patient types, and provide education and/or training to Piedmont Healthcare (PHC) coding staff on identified improvement areas.

Piedmont Healthcare Inc.

Coding Qual/Edu Auditor- Hosp

[AW]-iCims

Minimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

The Director collaborates closely with providers and leadership across Risk Adjustment, Population Health, Practice Operations, Quality, Finance, Analytics, and Clinical Operations to ensure BOI initiatives are coordinated, compliant, measurable, and successfully implemented. This role uses data and performance trends to identify opportunities, establish organizational and practice-level priorities, and develop programs that improve documentation, coding accuracy, condition recapture, prevalence, and overall value-based care outcomes.

Millennium Physician Group

Regional Director, Burden of Illness Operations

Those tasks and activities include but are not limited to the following: distribution of uncoded patient encounters to employed and contract coding resources for final coding; ongoing training of coders and vendor support staff on the accurate coding of patient encounters according to patient type and/or facility specific coding guidelines. This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin.

Remote Coding & Documentation Coordinator

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). 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.

Medical Coder Jobs in Georgia

Remote Professional Coding Auditor Emory Healthcare Inc

Senior Payment Integrity Analyst - Claims Editing CGI Inc

Triage Nurse {OBGYN) Sullivan Group HR

Inpatient Audit Specialist FT- Sign on Bonus Datavant

Primary Care Physician CenterWell

Clinical Charge Audit Analyst WellStar Health System Inc

Sr. Claims Auditor - Revenue Integrity Morehouse School of Medicine

PB CODING -Business Analyst III - Grady Health System

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

Coding Auditor & Education Advisor (Remote) Phoebe Putney Health System

DRG Coding Audit Manager Elevance Health Inc

Clinical Fraud Investigator II Elevance Health

IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser Permanente

Inpatient Coding Specialist - Facility Savista

DRG Coding Audit Manager Elevance Health

Coding Qual/Edu Auditor- Hosp Piedmont Healthcare Inc.

Clinical Fraud Investigator II Elevance Health Inc

Regional Director, Burden of Illness Operations Millennium Physician Group

Remote Coding & Documentation Coordinator Emory Healthcare Inc

PB Coding Supervisor Grady Health System

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