26 jobs found in Knoxville

Overview 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 (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , 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...

PreVisit Planning Coder - Summit Medical Group Job Category: Administration Requisition Number: PREVI002276 Full-Time Hybrid Knoxville, TN 37909, USA Description Summit Medical Group is seeking a PreVisit Planning Coder to join their team. This is a full-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...

Coding Educator, Clinical Document Integrity This is a hybrid position, with onsite requirements for education. Covenant Medical Group Overview: Covenant Medical Group is 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 delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty 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 office staff. Serves as a resource to coders,...

Description Candidate must be located in the Knoxville, TN region. UHN Auditor provides superior customer experience by educating internally and externally on 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. This individual must be reliable and maintain a high level of confidentiality within all aspects of job performance. Essential Duties And Responsibilities Assists Coding Manager in developing and maintaining a quality assurance program Performs audits and medical chart reviews contributing to the continual...

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....

Revenue Integrity 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. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. This would...

Job Description Job Description 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...

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...

University Health Network seeks a Full-Time Coding Auditor to perform audits, educate staff, and support the coding team in maintaining compliance with ICD-10-CM, CPT, HCPCS and CMS guidelines. The role is remote with occasional on-site meetings for the Knoxville, TN region. Candidate must have 3+ years of ICD-10, CPT, HCPCS coding experience and current credentials (CPC/CPMA; RHIT accepted; CRC within 6 months). #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and to craft an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment and lead educational sessions to enhance quality of care and documentation. The role involves preparing reports on coding quality trends, delivering on-site education as needed, and collaborating with other market provider-facing roles. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

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...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

Overview Compliance Auditor Full Time, 80 Per Hour Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee’s top-performing healthcare network with 10hospitals and over 85outpatient and specialtyservices,andCovenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area’s largest employer with over 11,000 employees. Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer. Position Summary: Performs complex professional internal auditing. Work involves compliance audit projects for Covenant Health entities as they relate to charging, coding, documentation and billing compliance. Also provides consulting services to the organization’s management and staff and may participate in requested investigations. Maintains all organizational and professional ethical standards....

Covenant Health in Knoxville, TN seeks a Compliance Auditor Sr. who will lead complex internal auditing efforts, ensuring compliance with billing and coding regulations. You will evaluate risk areas and document audit findings while mentoring department staff. A successful candidate will have a deep understanding of healthcare billing, at least five years of experience in the healthcare sector, and relevant certifications. The position demands skills in problem-solving and public relations in a fast-paced environment. #J-18808-Ljbffr

Covenant Health in Knoxville, TN is looking for a Compliance Auditor to perform internal audits and ensure compliance with coding and billing regulations. The ideal candidate will have 3-5 years of healthcare experience, expertise in billing compliance, and possess the necessary certifications like RHIT or RN License. Employment offers a full-time role with a day shift schedule and competitive pay. #J-18808-Ljbffr

University Physicians' Association, Inc. (UPA) is seeking a UHN Auditor to join the Knoxville, TN region. The role focuses on auditing and improving coding and documentation, educating staff, and implementing quality assurance programs to enhance accuracy and compliance. The ideal candidate will have 3+ years of ICD-10-CM, CPT, and HCPCS experience, CPC/CPMA certifications, and CRC within 6 months. Strong confidentiality, analytical, and communication skills are required to succeed. #J-18808-Ljbffr

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

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29 .75 and $ 3 2 . 7 0 / hr based on experience Specialized Coders Wanted -$3,000 Sign On Bonus Awaits We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery . This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education. Job Responsibilities: Code claims directly from the medical record/operative report according to coding...