Top 127 Prior authorization Jobs in Smyrna, Ga

Certified Professional Coder (CPC)
Atlanta Perinatal Associates —Decatur, GA
- $55,000 - $65,000 a year
- Full-time
- HIPAA
- Mid-level
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote
Avanos Medical —Alpharetta, GA
- $160,000 - $185,000 a year
- Full-time
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Registered Nurse
Oak Street Health —Atlanta, GA
- $60,522 - $129,615 a year
- Full-time
- RN License
- BLS Certification
- Clinic experience
- Health insurance
- Dental insurance
Referral & Authorization Care Coordinator
Oshi Health —Atlanta, GA
- $47,000 - $52,000 a year
- Email
- Remote
- Nursing
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Prior Authorization Coordinator
Soleo Health Inc —Atlanta, GA
- $20 - $23 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Patient Access Representative
Emory Healthcare —Atlanta, GA
- $18.90 - $23.03 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Wellness program
- Health insurance
Insurance Verification Specialist - Procedure Scheduling Experience Preferred
Atlanta Interventional Institute —Smyrna, GA
- Urgently hiring
- Mid-level
- Communication skills
- Under 1 year
- Paid holidays
- Health insurance
Quick Apply
Surgery Prior Authorization Specialist
PEDIATRIC EAR NOSE & THROAT OF ATLANTA PC —Atlanta, GA
- Full-time
- Surgery
- HIPAA
- Mid-level
Quick Apply
Program Assistant
PCI Professional Services LLC —Atlanta, GA
- $85,000 - $105,000 a year
- Monday to Friday
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Remote Medical Assistant- Healthguide
Guidehealth —Atlanta, GA
- $21 - $24 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Primary Care
- Paid training
- Paid parental leave
13d
Medical Records & Patient Services Coordinator
Avita Care Solutions —Atlanta, GA
- Full-time
- Spanish
- Customer service
- HIPAA
- Paid jury duty
- Paid parental leave
19h
Customer Success Manager
OffPlan —Marietta, GA
- $70,000 - $85,000 a year
- Email
- Hybrid work
- Primary Care
- Mid-level
- Office
- Health insurance
- Paid time off
Quick Apply
14d
PATIENT COORDINATOR
Georgia Urology PA —Atlanta, GA
- Computer literacy
- HIPAA
- Mid-level
Quick Apply
5d
Front Desk Coordinator
Revive Orthopedics —Dunwoody, GA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Mileage reimbursement
- Paid holidays
Quick Apply
Medical Revenue Cycle Specialist
Atlanta Interventional Institute —Smyrna, GA
- Urgently hiring
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Front Office I
Atlanta Oral & Facial Surgery —Atlanta, GA
- 8 hour shift
- Dental office
- Surgery
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Eligibility Specialist
Alpha Comfort Care —Atlanta, GA
- $45,000 a year
- Full-time
- Mid-level
- In-person
- Hospice & Palliative Medicine
- Health insurance
Quick Apply
3d
Front Office Coordinator
Excelsis Health —Marietta, GA
- $18 - $20 an hour
- Full-time
- Word processing
- Mid-level
- Administrative experience
Patient Financial Counselor
Piedmont Cancer Institute —Atlanta, GA
- From $28 an hour
- Full-time
- Master of Social Work
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Registration Associate
Children's Healthcare of Atlanta —Atlanta, GA
- Part-time
- Microsoft Word
- Basic math
- Office
- On-the-job training
Quick Apply

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Certified Professional Coder (CPC)

Atlanta Perinatal Associates -
Decatur, GA

Quick Apply

Job Details

Full-time
$55,000 - $65,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Medical coding
Microsoft Office
Certified Professional Coder
ICD-10
CPT coding

Full Job Description

Certified Professional Coder (CPC)

Maternal Fetal Medicine Practice

Job Summary

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Obtain prior authorizations. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-10-CDM, HCPCS and CPT codes.

Essential Duties

Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
Receives hospital and office information to properly bill provider services for hospital consults, in-patient/out-patient services as well as office visit services and procedures
Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided
Supplies correct HCPCS code on all procedures and services performed
Supplies correct CPT code on all procedures and services performed
Contacts providers to train and update them with correct coding information
Attends seminars and in-services as required to remain current on coding issues
Develops and maintains coding guidelines
Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies
Accurately follows coding guidelines and legal requirements from to ensure compliance with federal and state regulatory bodies
Maintains all mandatory in-services
Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Qualitative analysis - Evaluates the record for documentation consistency and adequacy Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
Performs other related duties, which may be inclusive, but not listed in the job description

Skills/Experience

Knowledge of coding/billing practices and clinical procedures and policies
Adherence to all company policies and HIPAA confidentiality
Proficient in ICD-10 Microsoft Office, telephone and email communication
Proficient in working within an Electronic Medical Records System (EMR)
Ability to examine documents/records for accuracy and completeness
Ability to work effectively with providers and all levels of the organization
Minimum of one year of billing and coding experience in a health care organization/setting
Auditing experience a must

One year of OB/GYN preferred but not required

Job Type: Full-time

Pay: $55,000.00 - $65,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Schedule:

Monday to Friday

Experience:

ICD-10: 1 year (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in smyrna, ga

Certified Professional Coder (CPC)

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote

Registered Nurse

Referral & Authorization Care Coordinator

Prior Authorization Coordinator

Patient Access Representative

Insurance Verification Specialist - Procedure Scheduling Experience Preferred

Surgery Prior Authorization Specialist

Program Assistant

Remote Medical Assistant- Healthguide

Medical Records & Patient Services Coordinator

Customer Success Manager

PATIENT COORDINATOR

Front Desk Coordinator

Medical Revenue Cycle Specialist

Front Office I

Eligibility Specialist

Front Office Coordinator

Patient Financial Counselor

Registration Associate

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