9 jobs found in Franklin

Coding Compliance Auditor Fully Remote Overview Position Type Full Time Education Level High School Diploma/GED Category Other Positions Description US Heart and Vascular is in need of a Remote Coding Compliance Auditor to join our team. The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department. Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations. Responsibilities: Performs coding audits reviewing for compliance and accuracy with CPT, ICD-10, HCPCS and corporate coding policy and follows up for timely completion within designated time period. Maintains excellent documentation of all reviews, methodologies employed, results, corrective...

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Busy OB/GYN practice seeking an experienced Certified Medical Coder to join our team. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment. Responsibilities include: * Accurate coding of OB/GYN office visits, procedures, and surgeries * Reviewing provider documentation for currect code assignment * Ensuring compliance with coding regulations and payer guidelines * Assisting with claim edits and denials related to coding Qualifications: * Current certification (CPC, CCS, ore equivalent) required * OB/GYN coding experience preferred * Strong attention to detail and knowledge of medical terminology * Ability to work independently and as part of a team Competitive salary based on experience. Excellent benefit and salary...

Job Description Job Description Job Summary: Envision Pain Management is seeking a detail-oriented and experienced Medical Billing and Coder to join our dedicated team. As a Medical Billing and Coder, you will play a critical role in ensuring accurate coding, timely billing, efficient collections, and overall seamless financial operations across our clinics. Join us in delivering next level care and support to our patients and team members! Responsibilities Verify appropriate ICD, CPT, and HCPCS codes according to Clinicians documentation. Posting of ancillary charges. Manage and process medical claims, including preparing and submitting claims to insurance companies. Follows-up with insurance companies & worker's comp to ensure claims are paid/processed timely. Reports on any trends or possible discrepancies that may cause claims not to be adjudicated correctly. Investigate and resolve any billing discrepancies or insurance-related issues, working...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

JOB RESPONSIBILITIES: Abstracts pertinent information from patient records for provider services. Reviews the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, including modifiers, assigned by providers. Works with providers to correct any codes or charges when errors are identified. Reviews medical records for diagnoses that meet medical necessity according to the CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NDC) guidelines. Reviews and interprets provider notes using CPT and ICD coding books and/or software. Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Works with providers to correct any identified errors. Conducts chart audits for provider documentation and recognizes when it is necessary to obtain further clarification from providers when documentation is...

A leading medical device company is seeking a professional to manage specialized projects related to medical devices. Responsibilities include providing technical training and collaborating on product development initiatives. The ideal candidate will have a bachelor's degree in a health-related field and at least 6 years of experience in clinical support management. This position requires considerable travel, with approximately 65% overnight and occasional weekend commitments, enhancing service to medical personnel and institutions. #J-18808-Ljbffr

Position Summary Handles, posts and resolves patient charge entry for both the clinic and all surgery locations at Bone and Joint Institute. Assist with business office matters as needed and/or assigned by management. Position Requirements Formal Education / Training: Must be a high school graduate or equivalent Have physician billing experience Have PC and calculator experience Have good communication skills to convey financial policies Workplace Experience: Prior experience in a physician office setting or related area is required Coding and charge entry experience preferred Equipment and Skills Training: AthenaOne systems Allscripts System Phreesia System Meditech PC, Printers, Fax, Copier Physical Environment: Business Office Physical Effort: Requires sitting for prolonged periods of time, viewing the computer screen, and using repetitive motions, and must have a clear, understandable telephone voice Benefits Medical, Dental, Vision PTO Retirement Matching...

PRIMARY FUNCTION: Conversion of diagnosis and procedures into codes using an international classification of diseases and current procedural terminology. ORGANIZATIONAL RELATIONSHIP: Reports directly to the Charge Description Master/Coding Quality Coordinator and works closely with hospital staff, office staff, and physicians. RESPONSIBILITIES AND ACCOUNTABILITIES: Codes all diagnosis and procedures in accordance to ICD-10-CM, CPT, HCPCS coding principles and coding clinic. Enters diagnosis, procedures, and required billing information into the computer. Verify charges for each procedure as noted on the charge sheet. Review progress notes to ensure coding accuracy. Assists with chart audits. Follow up on coding errors, if required. Performs all other clerical duties associated with the position. Performs other related duties as requested or assigned by the Charge Description Master/Coding Quality Coordinator. JOB SKILLS AND KNOWLEDGE:...

A healthcare organization in Franklin, TN is seeking a Billing Specialist to work onsite. This role involves assisting with insurance and patient payments while managing outstanding claims. Candidates should be familiar with insurance practices, EOB's, and effectively communicate with patients and representatives. The position offers a negotiable salary and excellent benefits in a supportive work environment. Interested candidates can submit their resumes via fax or email. #J-18808-Ljbffr