15 jobs found in Chattanooga

Our growing company is always seeking motivated and ambitious professionals with expertise in Medical Content Review. At Canopy, we understand that the advertising environment has evolved and with it, so have the skills required for promotional and medical content review. In this new environment, you must understand and appreciate the legacy as well as provide creative, forward-looking ideas, approaches, and solutions to drive content that is both compelling and compliant. We look for applicants with a progressive mindset that are grounded in practiced principles to deliver a superior level of support to our clients. The role of Director, Medical Content Review and Associate Director, Medical Content Review is to act as the primary medical and scientific content reviewer and provide final approval for all medical and promotional assets for clients. The following are the general duties and expectations of the role: Represent Medical Affairs on the content review...

Required Skills & Experience • Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) • Strong ICD-10-CM coding experience and medical record review background • Knowledge of Risk Adjustment and HCC coding methodologies • Experience reviewing physician documentation and assigning accurate diagnosis codes • Strong understanding of medical terminology, anatomy, physiology, and disease processes • Ability to interpret complex clinical documentation with high accuracy and productivity • Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience • Medicare Advantage Risk Adjustment experience • Experience working with CMS-HCC models • CRC (Certified Risk Adjustment Coder) certification • Experience with EMRs and coding software platforms • Background in a health plan, physician practice, hospital, or revenue cycle environment • Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders...

Clinical Editing Dispute Review Analyst 1 Location: Remote Schedule: Monday–Friday Job Type: 5 months contract Job Summary Responsible for researching, reviewing, and resolving clinical editing inquiries, claims disputes, and appeals. Collaborates with Medical Directors, Claims, Provider Services, and external vendors to ensure accurate claims processing, timely resolution, and appropriate provider reimbursement. Key Responsibilities Research and resolve clinical editing inquiries, claims disputes, and appeals. Coordinate with Medical Directors, providers, internal teams, and vendors to obtain necessary information. Track inquiries, monitor turnaround times, and maintain review databases and logs. Communicate review decisions and resolutions to providers and stakeholders. Support claim adjustments, claims research, and appeals processing. Prepare weekly metrics, identify trends, and recommend process improvements. Ensure accurate documentation and compliance with established...

Pena4 Inc. seeks an Inpatient Medical Coder (CCS certified) for a 100% remote role. Ideal candidate has at least 5 years of IP PCS coding experience; CCS certification is required; OP coding is a plus. You will work on inpatient and outpatient accounts, using ICD-10-CM/PCS, CPT, HCPCS with Cerner/PowerChart/3M/EPIC to ensure accurate coding and DRG assignments. Start date is immediate and an assessment test is required. #J-18808-Ljbffr

Role: Med Surg Clinical Nurse Coordinator Responsibilities Coordinate patient care on a medical-surgical unit, supporting bedside nurses and ensuring adherence to evidence-based practices. Oversee patient assessments, care planning, and discharge processes to promote seamless patient transitions. Mentor staff, foster a culture of quality, safety, and patient satisfaction, and support staff education and professional development. Collaborate with physicians and interdisciplinary teams to optimize patient outcomes. Contribute to process improvements and promote a compassionate, patient-centered care environment. Qualifications & Skills Strong leadership and clinical skills in a medical-surgical setting. Excellent communication and collaboration abilities. Commitment to quality, safety, and patient care excellence. #J-18808-Ljbffr

Medical Office SupervisorJob Summary: The Medical Office Supervisor is responsible for the day-to-day business and patient in-take operations. The supervisor ensures at all times a safe, efficient, cost-effective, and high-quality patient care environment. The Supervisor oversees the training and orientation of all business and patient intake staff members and provides ongoing supervision and evaluation. Administrative responsibilities include tracking monthly financial and patient statistics, reporting on financial progress and practice production, scheduling of business/patient intake staff, overseeing billing, collection and insurance functions, ordering of office supplies, manage patient intake operations, including managing the customer experience, maximizing patient flow, performing tasks assigned by the Practice Manager, and optimizing the work environment to facilitate open communications, professional excellence and superb customer service.Education: Required: High school...

Medical Office Supervisor, Pediatric Contact Center Job Summary: The Medical Office Supervisor is responsible for the daily operations of Erlanger Medical Group, Pediatrics. Responsibilities will include supervising front office staff, coordinating physician office and call schedules, preparing and overseeing support staff schedule, oversight of the pre-cert/referral process and revenue cycle, ordering of medical and office supplies, posting and assistance with staff recruitment, accounts payable, oversight for staff recruitment / discipline / termination, patient correspondence, managing work queues, arranging various tasks for smooth and efficient operation of the practice. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

DaMar Staffing is seeking an In-Patient Coder to manage ICD-10-CM/PCS coding for acute inpatient visits, including CABG, orthopedics, and medicine cases. The role relies on 3M 360 Encoder HDM to streamline coding and billing processes. The coder will float across sites, ensure accurate DRG assignments, and maintain compliance with HIPAA and related regulations while delivering high-quality service. #J-18808-Ljbffr

Schedule: Monday-Friday Day Shift Hours Candidate must have Inpatient Facility Coding and DRG Validation experience Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan...

Galen Medical Group in Chattanooga is seeking a Risk Adjustment Coding Auditor II to review patient records and ensure accurate ICD-10-CM coding in accordance with CMS standards. You will collaborate with physicians and coding staff to improve documentation and reimbursement. The role emphasizes documentation improvement, compliance with HIPAA and CMS regulations, and data accuracy. Candidates should have CRC and CPC certifications and 3–5 years of coding experience, with CMS-HCC modeling #J-18808-Ljbffr

Risk Adjustment Coding Auditor II Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. Galen is CHATTANOOGA'S Doctor! Summary/Objective: The Risk Adjustment Coding Auditor II is responsible for reviewing and analyzing patient medical records to ensure accurate coding and documentation of chronic conditions based on ICD-10-CM guidelines and CMS standards. This role supports accurate health status assessment to drive appropriate reimbursement and quality care. This position will interact with physicians, coding staff and other members of the health care team to ensure the accuracy and completeness of clinical documentation to support...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

Physician Coder III, RemoteErlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WYJob Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED,...

Risk Adjustment Coding Auditor II Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. Galen is CHATTANOOGA'S Doctor! Summary/Objective: The Risk Adjustment Coding Auditor II is responsible for reviewing and analyzing patient medical records to ensure accurate coding and documentation of chronic conditions based on ICD-10-CM guidelines and CMS standards. This role supports accurate health status assessment to drive appropriate reimbursement and quality care. This position will interact with physicians, coding staff and other members of the health care team to ensure the accuracy and completeness of clinical...