We have other current jobs related to this field that you can find below

  • Claim/Charge Edit Specialist

    5 months ago

    Atlanta, United States PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC Full time

    Job DescriptionJob DescriptionClaim/Charge Edit Specialist is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture and processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Claim/Charge Edit Specialist works closely with...

  • Charge Capture 1

    4 weeks ago

    Atlanta, United States WellStar Health Systems Full time

    Facility: VIRTUAL-GA Job Summary: The Charge Capture Specialist I is responsible for reviewing clinical documentation to ensure timely, accurate, and compliant charge capture. The specialist works closely with Physician Practices as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS,...

  • Charge Entry Specialist

    4 weeks ago

    Atlanta, United States Prestige Staffing - Healthcare Jobs - Revenue Cycle Full time

    Job DescriptionJob DescriptionJobID: 46327Job Description: Medical Biller/ Collector SpecialistLocation: Sandy Springs / Hybrid role (2-3 days/week in office once trained)Pay: 21-25 /hr depending on years of experienceHours: Monday-Friday, normal business hoursExperience required:Manage follow-up claim queues for assigned clients and organize daily workload...

  • Real Estate Foreclosure Legal Specialist

    5 days ago

    Atlanta, Georgia, United States Denovo Review Full time

    Real Estate Attorney OpportunityDenovo Review, a comprehensive real estate legal practice, is seeking a dedicated Real Estate Attorney to manage our operations in Georgia. The successful applicant will possess significant knowledge in mortgage foreclosure processes, particularly in non-judicial foreclosures within the state. A valid title agent license in...

  • Claims Review Specialist

    4 days ago

    Atlanta, Georgia, United States State of Georiga Full time

    Key Responsibilities:In this role, you will operate under general oversight to assess proposed stipulated settlement agreements related to workers' compensation claims. Your primary focus will be to ensure that all agreements adhere to relevant laws, regulations, and agency protocols.Additionally, you will:Provide informed recommendations to enhance the...

  • Claims Review Specialist

    5 days ago

    Atlanta, Georgia, United States State of Georiga Full time

    Position Overview:In this role, you will operate under general oversight to assess proposed stipulated settlement agreements related to workers' compensation claims. Your primary responsibility will be to ensure that all agreements adhere to relevant laws, regulations, and agency protocols.Key Responsibilities:Conduct thorough reviews of stipulated...

  • Claims Review Specialist

    5 days ago

    Atlanta, Georgia, United States State of Georiga Full time

    Key Responsibilities:In this role, you will operate under general oversight to assess proposed stipulated settlement agreements related to workers' compensation claims. Your primary focus will be to ensure adherence to relevant laws, regulations, and agency protocols.Additionally, you will provide informed recommendations to the appropriate parties,...

  • Healthcare Claims Review Specialist

    5 days ago

    Atlanta, United States KARNA LLC Full time

    Position OverviewAre you dedicated to enhancing healthcare outcomes? KARNA LLC is seeking a skilled Medical Claims Review Nurse to contribute to our mission of supporting individuals affected by significant health events. This role is pivotal in ensuring that claims are meticulously reviewed for medical necessity and in addressing provider appeals...

  • Water Mitigation Reviewer

    2 weeks ago

    Atlanta, United States Crawford & Company Full time

    Position Summary This position reviews water mitigation estimates and invoices in an effort to control water mitigation costs on residential and commercial property claims. The position will be responsible for reviewing estimates and negotiating adjustment of losses with contractors, public adjusters, insurers, and attorneys. This position could present...

  • Senior Full Charge Bookkeeper

    4 weeks ago

    Atlanta, United States Fuller & Company Full time

    Job DescriptionJob DescriptionPosition Overview: Exciting opportunity for an experienced and driven Full Charge Bookkeeper to work in a fast paced, growing firm. The ideal candidate will have a strong background in public accounting with expertise in maintaining accurate books and records for clients. As a key member of our team, the Senior Full Charge...

  • Account Manager- Charging Stations

    4 weeks ago

    Atlanta, United States New Millennium Technical Resources Full time

    Job DescriptionJob DescriptionUS Grid SolutionCommission OnlyAccount Manager Charging StationsJob Summary:The Sales Representative for Charging Stations is responsible for driving sales and expanding the customer base for electric vehicle (EV) charging solutions. This role involves identifying potential clients, presenting charging station solutions,...

  • EV Charging Solutions Account Executive

    5 days ago

    Atlanta, Georgia, United States New Millennium Technical Resources Full time

    Job DescriptionCompany: New Millennium Technical ResourcesPosition: Account Executive for Electric Vehicle Charging SolutionsOverview:The Account Executive for Electric Vehicle Charging Solutions plays a pivotal role in driving sales and expanding the clientele for innovative EV charging technologies. This position is centered around identifying prospective...

  • Care Coordination Specialist

    5 days ago

    Atlanta, Georgia, United States Kaiser Permanente Full time

    Job Overview: The Care Coordination Specialist plays a pivotal role in facilitating non-clinical operations across the care continuum. This position is essential in assisting Case Managers and Physicians with their daily tasks, ensuring that data integrity is maintained for all relevant inpatient and outpatient services. The Specialist is responsible for...

  • Plan Review Specialist, Sr

    1 month ago

    Atlanta, United States City of Atlanta Full time

    JOB DESCRIPTION Posting expires: Open until filled. General Description and Classification Standards The purpose of this job is to review major construction plans to ensure compliance with regulatory zoning codes, ordinances, and laws. Supervision Received Works under very general supervision. May work independently or with other skilled or semi-skilled...

  • Lead Corrosion Engineering Specialist

    1 day ago

    Atlanta, Georgia, United States Burns & McDonnell Full time

    Lead Corrosion Engineering SpecialistWe are seeking a skilled Lead Corrosion Engineering Specialist to become a vital part of our organization. In this role, you will take charge of creating detailed technical drawings, executing corrosion engineering tasks, and designing cathodic protection systems while collaborating on diverse projects with a dedicated...

  • Plan Review Specialist, Sr

    7 days ago

    Atlanta, United States City of Atlanta Full time

    Posting expires: Open until filled. General Description and Classification Standards The purpose of this job is to review major construction plans to ensure compliance with regulatory zoning codes, ordinances, and laws. Supervision Received Works under very general supervision. May work independently or with other skilled or semi-skilled workers with...

  • RN-Charge Nurse

    4 weeks ago

    Atlanta, United States United Digestive Full time

    Job DetailsJob LocationMidtown Endoscopy Center - Atlanta, GAPosition TypeFull TimeEducation Level2 Year DegreeTravel PercentageAs needed for business requirements.Job CategoryEndoscopyDescriptionGENERAL SUMMARY: In collaboration with the Registered Nurse Manager (RN), responsible for the routine functioning of the Endoscopy Center. Responsible for...

  • RN-Charge Nurse

    4 weeks ago

    Atlanta, United States United Digestive Full time

    Job DetailsJob LocationNorthern Crescent Endoscopy - Atlanta, GAPosition TypeFull TimeEducation Level2 Year DegreeTravel PercentageAs needed for business requirements.Job CategoryEndoscopyDescriptionGENERAL SUMMARY: In collaboration with the Registered Nurse Manager (RN), responsible for the routine functioning of the Endoscopy Center. Responsible for...

  • Patent Specialist

    1 month ago

    Atlanta, Georgia, United States The Ladders Full time

    Kilpatrick, a large international law firm, is seeking a Patent Specialist for our IP Department in our Walnut Creek, Winston-Salem, Raleigh, Houston or Atlanta office. This position will be part of our team of attorneys and professional staff providing a high level of service to both internal and external clients. At Kilpatrick we are one team where each...

  • Accounts Payable Specialist

    3 months ago

    Atlanta, United States Addison Group Full time

    Job DescriptionJob DescriptionRole: Senior Accounts Payable Specialist Location: Buckhead, Georgia Pay Rate: $23 / HourInternal Job ID: 10014910 Are you looking for a growth opportunity for a reputable company with a positive work environment? Our client is looking for an Accounts Payable Specialist to join their team. Please contact us today to discuss...

Charge Review Specialist

2 months ago

Atlanta, United States Atlanta Diabetes Associates Full time
Job DescriptionJob DescriptionDescription:

As a Charge Review Specialist, you will meticulously review and analyze medical charges and claims to ensure accuracy, compliance, and adherence to billing guidelines. Your role is essential in preventing billing errors, identifying discrepancies, and optimizing revenue for our healthcare organization.


Responsibilities:


Charge Validation:

Review and analyze medical documentation, including patient records, encounter forms, and electronic health records.

Verify the accuracy of CPT, HCPCS, and ICD-10 codes assigned to services and procedures.

Ensure that charges submitted for billing are complete and meet all documentation requirements.


Coding Compliance:

Assess coding compliance with federal and state regulations, as well as payer-specific guidelines.

Identify and rectify any coding errors, discrepancies, or unbundling issues.

Collaborate with coding specialists to resolve coding-related discrepancies.


Charge Accuracy:

Validate the appropriateness of charges for services rendered based on medical records.

Confirm that charges match the services provided and the documentation in the patient's file.

Investigate any undercoding or overcoding issues and take corrective action.


Claim Submission:

Collaborate with billing specialists to ensure that corrected charges are accurately resubmitted.

Prepare and maintain documentation related to charge reviews and corrections.


A/R Follow-up:

Monitor and resolve outstanding claims, communicating effectively with payers, and reconciling payments, while contributing to the clinic's ability to continue providing quality healthcare services to our patients.


Requirements:

Qualifications:

High school diploma or equivalent; certification in medical coding preferred.

Proven experience in charge review, medical billing, or coding.

Proficiency in using electronic health record (EHR) systems, billing software, and coding tools.

Strong knowledge of medical terminology, CPT, HCPCS, ICD-10 coding, and compliance regulations.

Detail-oriented with exceptional analytical and problem-solving skills.

Excellent communication and teamwork abilities.

Familiarity with HIPAA regulations and patient confidentiality.


Physical Requirements:

• Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.


Working Conditions:

Work is performed in an office, laboratory, and/or clinic environment. This is a full-time position and full-time is defined as 40 hours per work week. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Management retains the right to add or to change the duties of the position at any time.