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Claims Edit Coder Jobs in Georgia (NOW HIRING)

Conduent, Inc.

Business Analyst (MMIS)

Atlanta, GA · On-site +1

Business Analyst - CMdS Claims, Member & Finance Implementation (MES) Experience: 6+ years Domain ... Provider payments, remittance advice, budget/object codes, COS, fund source / FFP concepts * CMS ...

Conduent, Inc.

Business Analyst (MMIS)

Atlanta, GA · On-site +1

Business Analyst - CMdS Claims, Member & Finance Implementation (MES) Experience: 6+ years Domain ... Provider payments, remittance advice, budget/object codes, COS, fund source / FFP concepts * CMS ...

Conduent, Inc.

Senior Business Analyst (MMIS)

Atlanta, GA · On-site +1

$89K - $114K/yr

Senior Business Analyst - CMdS Claims, Medicaid Enterprise Systems (MES) Experience: 10+ years ... Provider payments, remittance advice, budget/object codes, COS, fund source / FFP concepts * CMS ...

All JobsClaims Edit Coder JobsClaims Edit Coder Jobs in Georgia

Claims Edit Coder information

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are popular job titles related to Claims Edit Coder jobs in Georgia?

For Claims Edit Coder jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Claims Edit Coder jobs in Georgia look for?

The top searched job categories for Claims Edit Coder jobs in Georgia are:

What cities in Georgia are hiring for Claims Edit Coder jobs?

Cities in Georgia with the most Claims Edit Coder job openings:

Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in Georgia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Hybrid job distribution.

Coding Manager - Hospital

Atlanta, GA • On-site, Remote

Piedmont Healthcare Inc.
Health Care and Social Assistance • 10K+ employees

7.1

Company rating: 7.1 out of 10

Based on 468 frontline employees who took The Breakroom Quiz

379th of 894 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Piedmont Healthcare Inc.external

Full-time

Posted 7 days ago

Job description

Overview

At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

ResponsibilitiesPosition will work closely with Revenue Cycle Coding Operations Management to organize, plan, manage and control the day-to-day operations of the Coding department. Leading research and analysis of DNB review, claims edit, and Epic coding work queues. Manages the work of staff who review, interpret, code and abstract medical record documentation according to the Official Guidelines for Coding and Reporting. Ensures optimum reimbursement for hospital services through accurate and timely coding of all inpatient and outpatient service lines throughout the Piedmont System. Responsible for reviewing coding quality audit data for improvement opportunities and prepares complex reports as required. Supervisory responsibilities include assigning, directing, monitoring and evaluating members of the Coding team.QualificationsEducation
  • Bachelor's Degree from a recognized college or university Required or
  • In Lieu of degree six (6) years of relevant Coding/HIM experience will be accepted in addition to the experience requirement Required
  • Master's degree in Health Information Management Preferred
Work Experience
  • 5 years of related Coding/HIM experience is with at least three (3) years of management/leadership experience Required or
  • In lieu of degree eleven (11) years of of related Coding/HIM experience is with at least three (3) years of management/leadership experience Required
Licenses and Certifications
  • RHIA - Registered Health Information Administrator Upon Hire Required or
  • RHIT - Registered Health Information Technician Upon Hire Required or
  • CCS-Certified Coding Specialist Upon Hire Required
Business Unit : Company NamePiedmont Healthcare CorporateEmployment Type: FULL_TIME

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