26 jobs found in Knoxville

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Overview Coding Analyst, Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10hospitals,outpatient and specialtyservices,andCovenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for...

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Certified Coder to ensure accurate coding and documentation for professional services. This role emphasizes CPT-4, ICD-10, HCPCS knowledge and collaboration with providers for audits. The position may involve work-at-home options within the Middle Tennessee region; candidates should reside near Knoxville or Columbia areas for on-site requirements. #J-18808-Ljbffr

Medical Biller Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible coordinating daily workflow for accurate submission of insurance claims to...

Summit Medical Group at KPA Weisgarber is seeking an experienced nurse to join their passionate, authentic, and growing team. The ideal Clinic Supervisor will be overseeing the daily clinical functions of our pediatric clinic. This role will ensure efficient patient flow, and high-quality care are provided by the clinical nursing staff by implementing proper processes and procedures and following appropriate quality standards. Full-Time Opportunity / working 4 days/week Key Responsibilities And Required Skills May Include Directly supervise clinical staff including nurses, medical assistants, and other healthcare providers, ensuring adherence to established clinical protocols and best practices in pediatric care. Manage clinic schedules, assigning staff to patient appointments and ensuring appropriate coverage throughout the day. Oversee inventory management of clinical supplies and equipment. Provide clinical guidance and support to staff regarding complex issues. i.e.,...

Description University Health Network is looking for a full-time University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians’ Association. Essential Duties and Responsibilities (this list does not include all duties assigned) Performs coding services while...

Summit Medical Group is seeking a PreVisit Planning Coder to join their team. This is a f ull-time opportunity in the KNOXVILLE, TN area due to onsite requirements. Examples of Duties (List does not include all duties assigned) Medical Records review and abstractions for the assessment of HEDIS and CMS STARS quality measures and communications to improve compliance. With use of specified reports, HCC database, Athena EHR, hospital portals, member summaries and Group Management, review all records, progress notes and diagnosis for accuracy and completeness of documentation to support ICD coding to the highest level of specificity. Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive services and support code transitions for greater specificity and accuracy. Ensure coding and documentation criteria, rules and guidelines are met. Ensure effective, necessary tasking...

NOW HIRING – Medical Biller West Knoxville, TN Pay: $18-$23/hour (Based on Experience) Monday–Friday | 8:00 AM – 5:00 PM Temp-to-Hire | Hybrid/Remote Opportunity After Training Adecco Healthcare & Life Sciences is hiring Medical Billers in West Knoxville, TN! This is a great opportunity for candidates looking to grow their healthcare administration career in a supportive and team-oriented environment. Training will begin onsite, and once training is successfully completed, employees may have the opportunity to transition into a remote or hybrid schedule. We are looking for motivated, dependable, and detail-oriented individuals who enjoy problem-solving, working with insurance claims, and helping support the healthcare revenue cycle process. What You’ll Do Process and follow up on patient billing and insurance claims Review accounts and identify billing or reimbursement issues Work with insurance carriers to understand payer requirements and resolve claim...

Overview Compliance Auditor Sr. Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Performs complex-level professional internal auditing. Work involves leading or conducting compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance....

This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. University Health Networ k is seeking a full-time Certified Medical Coder to join our team. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding HCC diagnoses using ICD-10-CM guidelines. CPT and E/M experience is not required for this role. Essential Duties and Responsibilities (this list does not include all duties assigned) Performs coding services while meeting daily production and quality goals Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards. Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services. Collaborate with healthcare providers to clarify diagnoses and procedures to...

Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories....

Medical Biller, CMG Business Office This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Responsibilities Acts a resource for Medical Biller Is with resolving intermediate to complex account and claims issues. Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed....

Overview Coding Educator, C linical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift This is a hybrid position, with onsite requirements for education Covenant Medical Group Overview: Covenant Medical Groupis the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team deliversexpertiseacross a broad spectrum of specialtiesfrom primary careand walk-in clinics topreventive medicineandadvanced surgical andsubspecialty services.We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders, CDI, and/or physician...

University Health Network is seeking a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. The position requires normal business hours Monday-Friday and is remote with occasional on-site meetings; candidate must be located in the Knoxville, TN region. You will perform detailed documentation reviews, assign ICD-10-CM, CPT, HCPCS codes and modifiers for #J-18808-Ljbffr

Summit Medical Group At Kpa Weisgarber Summit Medical Group at KPA Weisgarber is seeking an experienced nurse to join their passionate, authentic, and growing team. The ideal Clinic Supervisor will be overseeing the daily clinical functions of our pediatric clinic. This role will ensure efficient patient flow, and high-quality care are provided by the clinical nursing staff by implementing proper processes and procedures and following appropriate quality standards. This is a Full-Time Opportunity / working 4 days/week. Key responsibilities and required skills may include: Directly supervise clinical staff including nurses, medical assistants, and other healthcare providers, ensuring adherence to established clinical protocols and best practices in pediatric care. Manage clinic schedules, assigning staff to patient appointments and ensuring appropriate coverage throughout the day. Oversee inventory management of clinical supplies and equipment. Provide clinical guidance and...

A healthcare provider in Knoxville is seeking a full-time Certified Medical Coder. The position requires thorough clinical documentation reviews and accurate coding of HCC diagnoses using ICD-10-CM guidelines. Candidates must have current CPC or RHIT certification, be team players with strong communication skills, and maintain HIPAA privacy. This remote role involves occasional onsite meetings, making it crucial for candidates to reside in the Knoxville area. #J-18808-Ljbffr

Job Description Job Description PYA is seeking an Inpatient/Outpatient Facility Coding Auditor to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue and Compliance Advisory Program . RESPONSIBILITIES : Apply inpatient and outpatient facility/hospital coding and reimbursement methodologies to provide advisory services to PYA clients with a focus on the following: ICD-10-CM and PCS/CPT/HCPCS code assignment MS-DRG and other DRG validation APC validation and charge capture Clinical documentation improvement Regulatory compliance for third party payors Work in collaboration with the PYA executive team and other service lines to offer complete business solutions to clients Manage the preparation of excellent client deliverables and exhibit exceptional project management skills while balancing firm risk and compliance with appropriate professional...

Job Description Job Description Description: University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday and is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. UHN Auditor provides superior customer experience by educating internally and externally of errors and opportunities for improvement discovered during routine auditing. This individual will work closely with management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. The UHN Auditor performs duties in a professional manner while exercising good judgment and ethical standards, interacts effectively and builds respectful working relationships across the organization, and demonstrates integrity by adhering to high standards of personal and professional conduct....

Covenant Health - - Responsibilities: Review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Analyze rejections/denials to determine root-cause and best course of action to resolve account issues; Provide guidance to other departmental roles regarding plan eligibility, claims processing details, and patient balance explanations; Prepare and submit payor reconsiderations and appeals

Covenant Health - - Responsibilities: Provides clerical and administrative support for the billing team; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate; Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues; Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements