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Coding Reviewer Jobs in Atlanta, GA (NOW HIRING)

Coding Coordinator

Atlanta, GA · On-site

$37.14/hr

Reviews dashboards and reports, to identify and report needs to coding leadership. (30%) * Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what ...

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 ...

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 ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

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 ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Ability to explain effective prompt patterns, code review practices for AI output, and rapid prototyping workflows while preparing students for modern AI-augmented development. * Conceptual Teaching ...

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data ...

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data ...

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data ...

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25 - $28.50/hr

Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data ...

Inpatient DRG Coding Auditor

Johns Creek, GA · On-site

$25.25 - $28.75/hr

Reviews inpatient medical records for select payer populations post-discharge and pre-bill; audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data ...

Showing results 41-60

Coding Reviewer information

What is a coding reviewer?

Coding Reviewers are professionals responsible for evaluating, analyzing, and verifying code written by other developers to ensure it meets established standards and best practices. They check for errors, maintainability, security vulnerabilities, and adherence to coding guidelines. Their feedback helps improve code quality, reduce bugs, and facilitate team collaboration. Coding Reviewers often participate in code walkthroughs, pull request reviews, and may also mentor junior developers.

How does a coding reviewer typically collaborate with software development teams during the review process?

Coding Reviewers work closely with developers by examining code for quality, consistency, and adherence to best practices before it is merged into the main codebase. They often provide constructive feedback through code review tools or meetings, helping developers understand and resolve issues. Effective collaboration also involves clear communication to ensure that suggested changes are well-understood and implemented, fostering continuous improvement and knowledge sharing within the team.

What are the key skills and qualifications needed to thrive as a coding reviewer, and why are they important?

To thrive as a Coding Reviewer, you need in-depth knowledge of medical coding standards (such as ICD-10, CPT, and HCPCS), healthcare regulations, and relevant clinical terminology, typically supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) systems, coding audit tools, and healthcare compliance software is essential. Strong attention to detail, analytical thinking, and effective communication skills help Coding Reviewers identify errors and provide clear feedback. These skills ensure accurate billing, regulatory compliance, and optimized revenue cycles in healthcare organizations.

What is the difference between Coding Reviewer vs Medical Coder?

AspectCoding ReviewerMedical Coder
CredentialsCertification in coding (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentReviewing medical codes, often in healthcare settingsAssigning medical codes from patient records
Industry UsageUsed in hospitals, clinics, insurance companiesUsed in hospitals, clinics, billing companies
Primary RoleReview and validate coding accuracyAssign and input medical codes

Both Coding Reviewers and Medical Coders require similar certifications and work in healthcare environments. Coding Reviewers focus on verifying the accuracy of codes assigned by others, ensuring compliance and correctness. Medical Coders are responsible for assigning the initial codes based on medical records. While their roles are interconnected, Coding Reviewers primarily audit and validate, whereas Medical Coders handle the coding process itself.

Coding Coordinator

Atlanta, GA • On-site

Highmark Health
Health Care and Social Assistance • 10K+ employees

$37.14/hr

Other

Posted 5 days ago


Highmark Health rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz


Job description

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding Department including: day-to-day communication with vendors, managing Epic work queues, investigating and completing coding updates and corrections, coordinating appeals, denials, and rebills, creating and maintaining complex Excel worksheets. Serves as the HIM Epic Super-user for coding, and works closely with Epic analysts to support coding and charging workflows, integrated 3M encoder, testing and upgrades.

ESSENTIAL RESPONSIBILITIES:

  • Reviews dashboards and reports, to identify and report needs to coding leadership. (30%)

  • Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what was identified. (30%)

  • Processes, records, and trends data. (10%)

  • Monitors, triages, enters and tracks IT tickets. (15%)

  • Coordinates with other departments to resolve missing documentation and ensure timely billing of visits. (5%)

  • Performs other duties as assigned or required. (10%)

QUALIFICATIONS:

Minimum

  • 3 years advanced knowledge of billing and coding workflow, procedures, and departmental processes

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$23.73

Pay Range Maximum:

$37.14

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J286622


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About Highmark Health

Sourced by ZipRecruiter

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia, and eastern and northwestern New York with customers in 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. And our companies cover a diversified spectrum of essential health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Our financial position reflects strength and stability, with our year-end 2022 consolidated revenues totaling $26 billion. And we're proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

Industry

Health care and social assistance and insurance services

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US