8 jobs found in Chattanooga, TN

Risk Adjustment Medical Record Coder The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices. In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy. Preferred Qualifications: CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire. Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and ACA (Affordable Care Act) programs highly preferred. What Sets You Apart: Self-motivated and proactive, thriving in a remote work environment A true team player, ready to engage in team chats and support colleagues...

Risk Adjustment Medical Record Coder The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices. What You'll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy. Preferred Qualifications: CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire. Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred. What Sets You Apart: Self-motivated and proactive, thriving in a remote work environment A true team player, ready to engage in team chats and...

Inpatient Medical Coder 2 This area codes inpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Medical Center and The James Cancer Hospital. ICD-10-CM/PCS codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. Medical record abstract data is reviewed for accuracy in EPIC/IHIS before completing the chart. This position is responsible for coding some or all the following types of records: inpatient record types. The position is primarily responsible for coding medical records and other documents at the conclusion of the patient's visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, and sequencing diagnoses and procedures. Codes flow from the Encoder Software to EPIC/IHIS Resolute Billing system. This staff member is responsible for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital...

Associate Director, Field Medical Affairs As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based, professional within our General Medicine Rare Disease group. You will deliver both strategic and operational support by establishing, developing, and maintaining high-level scientific exchange with the medical and research community aligned with our strategic objectives. This role focuses primarily on rare bone disease will also support our genetic medicine portfolio. Additionally, we ensure the timely, ethical, and customer-focused and accurate exchange and distribution of clinical and scientific information relevant to both our in-line and pipeline products. Territory: Central U.S. (residency in Chicago, Atlanta, or other major airline hub city is preferred) A typical day may include the following: Scientific Expertise & Exchange Demonstrate deep expertise about assigned compounds and the therapeutic areas and disease states while...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Associate Director of Field Medical Excellence (Fme) At Insmed, every moment and every patient countsand so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. That commitment has earned us recognition as Science magazine's No. 1 Top Employer for four consecutive years, certification as a Great Place to Work in the U.S., and a place on The Sunday Times Best Places to Work list in the UK. For patients, for each other, and for the future of science, we're in. Are you? About the Role This is a remote position. The Associate Director of Field Medical Excellence (FME) will implement field medical functional strategy to enable high-quality, impactful customer engagements with a consistent approach worldwide. The Associate Director FME...

Virtua Health Coding Specialist Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and...

Certified Inpatient Coder Full time Inpatient Coder position responsible for coding inpatient discharges, review medical record documentation to abstract data and assign accurate ICD-10 diagnosis(es) and procedure codes (PCS). Works closely with the CDI Team for clinical documentation to support code assignment. Loyola Medicine, part of Trinity Health, is a nationally ranked academic health system located in Chicago's western suburbs. We're seeking a Certified Inpatient Coder to join our Revenue Excellence team and help support accurate, ethical coding and reimbursement. This is a remote position offering a flexible work schedule, empowering you to balance your professional and personal life while making a meaningful impact. What You'll Do: Review inpatient medical records to assign accurate diagnoses and procedure codes. Apply MS-DRG, APR-DRG, POA, SOI, ROM, HAC, and PSI indicators. Use encoder software and stay compliant with guidelines from CDC, CMS, AHA, and AHIMA....