Refund Specialist
Atlanta, GA · On-site
Ensures correct reimbursement rates based on current client contracts and responds to payor ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Atlanta, GA · On-site
Ensures correct reimbursement rates based on current client contracts and responds to payor ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Atlanta, GA · On-site
Ensures correct reimbursement rates based on current client contracts and responds to payor ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
Ensures correct reimbursement rates are paid on claims based on current client contracts. Utilizes ... are revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use ...
This role owns the living control budget, cost coding and WBS, pay-application controls ... Demonstrated ownership of GMP contracts, multi-package cost structures, pay-application governance ...
This role owns the living control budget, cost coding and WBS, pay-application controls ... Demonstrated ownership of GMP contracts, multi-package cost structures, pay-application governance ...
This role owns the living control budget, cost coding and WBS, pay-application controls ... Demonstrated ownership of GMP contracts, multi-package cost structures, pay-application governance ...
This role owns the living control budget, cost coding and WBS, pay-application controls ... Demonstrated ownership of GMP contracts, multi-package cost structures, pay-application governance ...
Atlanta, GA · On-site
$89K - $161K/yr
... contract. * Consults with clinical reviewers and/or medical directors to ensure medically ... Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG ...
Atlanta, GA · On-site
$89K - $161K/yr
... contract. * Consults with clinical reviewers and/or medical directors to ensure medically ... Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG ...
$89K - $161K/yr
... contract. * Consults with clinical reviewers and/or medical directors to ensure medically ... Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG ...
$89K - $161K/yr
... contract. * Consults with clinical reviewers and/or medical directors to ensure medically ... Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG ...
Atlanta, GA · On-site
$102K - $169K/yr
Works with medical directors, contract negotiators, coding teams, cost of care staff, payment ... Professional coding certification such as CPC, CCS, RHIT, or equivalent coding certification or ...
Atlanta, GA · On-site
$102K - $169K/yr
Works with medical directors, contract negotiators, coding teams, cost of care staff, payment ... Professional coding certification such as CPC, CCS, RHIT, or equivalent coding certification or ...
Works with medical directors, contract negotiators, coding teams, cost of care staff, payment ... Professional coding certification such as CPC, CCS, RHIT, or equivalent coding certification or ...
Works with medical directors, contract negotiators, coding teams, cost of care staff, payment ... Professional coding certification such as CPC, CCS, RHIT, or equivalent coding certification or ...
Atlanta, GA · On-site
Experience in hospital charge setting, reimbursement and managed care contract modeling, supported ... Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) #LI-ATL, #LI-CHI, #LI-NASH ...
Atlanta, GA · On-site
Experience in hospital charge setting, reimbursement and managed care contract modeling, supported ... Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) #LI-ATL, #LI-CHI, #LI-NASH ...
$21.07 is the 25th percentile. Wages below this are outliers.
$16.41 - $21.12
25% of jobs
The median wage is $24.28 / hr.
$21.12 - $25.83
37% of jobs
$28.23 is the 75th percentile. Wages above this are outliers.
$25.83 - $30.54
25% of jobs
$30.54 - $35.24
4% of jobs
$35.24 - $39.95
4% of jobs
$39.95 - $44.66
2% of jobs
$44.66 - $49.36
2% of jobs
$49.36 - $54.07
0% of jobs
$54.07 - $58.78
0% of jobs
$58.78 - $63.49
0% of jobs
$63.49 - $68.19
0% of jobs
$16
$28
$68
One of the most common challenges contract CPC coders encounter is quickly adapting to new healthcare providers’ documentation styles and organizational workflows. As each assignment may involve different specialties, EHR systems, and coding protocols, being able to learn and align with these variations efficiently is essential. Contract coders are also expected to produce high levels of accuracy under tight deadlines while sometimes working remotely or independently. Maintaining clear communication with supervisors and clinical staff is important to resolve documentation queries and ensure smooth billing processes.
To excel as a Contract CPC Coder, you need a solid understanding of medical coding principles, anatomy, and ICD-10, CPT, and HCPCS coding guidelines, backed by a Certified Professional Coder (CPC) credential. Familiarity with electronic health record (EHR) systems, coding software, and healthcare billing platforms is typically required. Strong attention to detail, time management, and effective written communication are valuable soft skills in this role. These capabilities ensure accurate claim submissions, proper reimbursement, and seamless collaboration with healthcare providers and billing teams.
A Contract CPC Coder is a certified professional coder who works on a contractual basis to review and assign medical codes for diagnoses, procedures, and services. They ensure accurate coding for billing and insurance reimbursement, often working remotely or for healthcare providers, insurance companies, or third-party billing services. Contract coders typically have flexibility in their assignments and must stay updated on coding guidelines such as ICD-10, CPT, and HCPCS.
7.3
Based on 440 frontline employees who took The Breakroom Quiz
302nd of 886 rated healthcare providers
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
ResponsibilitiesProcesses payor correspondence and refund requests through extensive phone, fax, and written correspondence with the payors and pricing agencies. Ensures correct reimbursement rates based on current client contracts and responds to payor requests in a timely manner. Utilizes knowledge of the revenue cycle and patient accounts to maximize productivity. Abides by and promotes HIPAA compliance at all times.
QualificationsREQUIRED:
1. 1 year insurance collections/ AR receivables experience or 2 years of customer service/ banking/ accounting experience 2. Good verbal and written communication skills. 3. Basic computer skills, including the Microsoft Office Suite 4. Basic reading, writing, and arithmetic skills.
PREFERRED:
5. Knowledge of healthcare receivables and collections, including denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites.
Work Hours:600am -245pmEmployment Type: FULL_TIMEGet the full story on Breakroom
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* 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group
Hospitals
10,000+ Employees
Atlanta, GA, US
1970