Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Rev Cycle Specialist II handles complex account follow-up, denials, and claims resolution, working more independently and applying advanced knowledge of payer rules and billing systems. Minimum Job Qualifications - Licensure or other certifications: GA HMFA Certified Patient Account Representative (CPAR) Certification (or must obtain with 6 months of hire) - ​Educational Requirements: High School Diploma or GED - Minimum Experience: Minimum 3 years hospital or professional billing/collections experience. - Other: Strong understanding of payer policies, explanation of benefits interpretation, and patient accounting systems. Preferred Job Qualifications - Preferred Licensure or other certifications: - Preferred Educational Requirements: - Preferred Experience: - Other: Job Specific and Unique Knowledge, Skills and Abilities - Solid knowledge of Revenue Cycle functions, including registration, authorization, and insurance billing. - Personal computer proficiency to include all programs necessary to perform job duties and ability to toggle between systems efficiently. - Excellent listening and problem-solving skills with attention to details. - Excellent customer service skills and ability to remain calm and professional in stressful situations. - Excellent verbal and written communication skills. - Ability to work independently within guidelines. Essential Tasks and Responsibilities - Review, resubmit, and follow up on complex insurance claims. - Perform detailed account research and update account information accurately. - Resolve denials and ensure adherence to payer contract requirements. - Maintain work queues and ensure timely resolution of accounts. - Provide support to teammates and cross-train in additional revenue cycle functions. - Demonstrate strong documentation, analytics, professionalism, and customer service. Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time - Vision: Moderate, Occasionally 0-30% of time - Kneeling/Stooping/Bending: Occasionally 0-30% - Standing/Walking: Occasionally 0-30% - Pushing/Pulling: Occasionally 0-30% - Intensity of Work: Frequently 31-65% - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. . You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility - Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits - Understand the Medicare Ambulatory Payment Classification (APC) codes - Abstract additional data elements during the chart review process when coding, as needed - Adhere to the ethical standards of coding as established by AAPC and/or AHIMA - Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 - Provide documentation feedback to providers, as needed and query physicians when appropriate - Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others - Participate in coding department meetings and educational events - Review and maintain a record of charts coded, held and/or missing - Additional responsibilities as identified by manager You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED (or higher) - Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H) - 2+ years of outpatient facility coding experience - 2+ years of experience working with Same Day Surgery Coding - 2+ years of ICD-10 experience - Intermediate level of proficiency with Windows environment including MS Excel and EMR systems Telecommuting Requirements: - Access to a dedicated work area established that is separated from other living areas and provides information privacy - Ability to keep all company sensitive documents secure (if applicable) - Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. **PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Globe Life AO are currently seeking motivated individuals to join our growing remote team in an entry-level professional role. This opportunity is ideal for candidates looking to begin or transition into a flexible, work-from-home career within a structured and supportive environment. Key Responsibilities: - Maintain accurate records, reports, and documentation - Support internal team coordination and workflow organization - Manage scheduling, follow-ups, and task tracking - Participate in virtual training sessions and team meetings - Ensure timely completion of assigned projects and deliverables Qualifications: - Strong organizational and time management skills - Excellent written and verbal communication - Ability to work independently in a remote setting - Basic proficiency with online tools and computer systems - Detail-oriented with a proactive mindset - No prior experience required (training provided) What We Offer: - 100% remote / work-from-home setup - Flexible scheduling options - Comprehensive training and ongoing support - Opportunities for career growth and advancement - Collaborative and professional team environment If you are looking to build a long-term remote career with a company that values development and flexibility, we encourage you to apply. Globe Life AO is an equal opportunity employer committed to fostering a positive and inclusive workplace.

Department: 10351 Enterprise Revenue Cycle - Coding Production Operations: Administrative Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Will support: - Responsible for performing informal coding accuracy reviews of outpatient encounters prior to billing, with a focus on cases involving high risk CPT codes and Inpatient Only (IPO) CPT codes. This role supports coding accuracy, regulatory compliance, and revenue capture by identifying errors and providing constructive feedback to coders to improve overall accuracy and consistency. - Specialists analyze and validate pre billing edits, including but not limited to LCD/NCD edits, unspecified code edits, and modifier related edits—to promote coding accuracy, compliance, and alignment with CMS guidance. Schedule: - Monday - Friday 1st shift 40 hours a week. Certification desired: - Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $28.05 - $42.10 - Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy. - Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS. - Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge. - Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes. - Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios. - Completes informal peer-review on inpatient and outpatient coders. - Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities. - Communicates with Medical Staff, CDI, Post -bill for documentation clarification. - Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes. - Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients. - Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking. License/Registration/Certification: - Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC) Education: - Two Year associate degree or equivalent work experience Experience: - Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility Knowledge, Skills & Abilities Required: - Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. - Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. - Excellent communication (oral and written) and interpersonal skills. - Excellent organization, prioritization, and reading comprehension skills. - Excellent analytical skills, with a high attention to detail. - Ability to work independently and exercise independent judgment and decision making. - Ability to meet deadlines while working in a fast-paced environment. - Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: - Exposed to a normal office environment. - Must be able to sit for extended periods of time. - Must be able tocontinuously concentrate. - Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. - Operates all equipment necessary to perform the job. - This job description indicates the general nature and level of work expected of the incumbent. It is not designed - to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.