31 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....

FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and servicesfor use in commercial and industrial facilitiesto verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process thats backed by scientific research and testing, and over a century of experience. FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and servicesfor use in commercial and industrial facilitiesto verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process thats backed by scientific research and testing, and over a century of experience. A mid-level auditor position within the Auditing and Quality Assurance department. The role of the Quality Auditor is expected to...

Inpatient Coder An inpatient coder is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate DRG or APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. An inpatient coder functions under the direct authority and supervision of the Coding Supervisor and Director of the Health Information Management Department. Some of the many skills performed: Coding of diagnoses and procedures for: Inpatients Observation Other Outpatient Service Types, if appropriate Education: High school graduate or equivalent 2 years or more in Health Information Management 1-2 years' experience in inpatient coding Licensure/certification: RHIA, RHIT, or CCS certification preferred Certification must be obtained within one (1) year of employment Lake Guntersville, a mountain-lakes...

Medical Coding Specialist Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed. Education/Certification HS/GED required. Prefer post high school education in anatomy, physiology and pathophysiology. Require CCS certification (certified coding specialist). Experience ICD-10-CM/PCS or CPT coding experience in hospital or physician's office preferred. Additional Skills/Abilities Must have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine. Highlights of Our Hospitals Huntsville Hospital...

Job Description Job Description  Part time Medical Billing Specialist needed for busy office in Huntsville, Alabama.  Hours are flexible; approximately 15 hours per week.  Work will need to be done at office only. Duties include: Medical Billing  Collection of payments due Reconciliation of Remits from Insurance Companies Will be working with a team to ensure that billing and remits are processed in a timely manner Experience required: A minimum of 1 year of medical billing experience is required.  Experience working with reconciling remits and refiling claims needed.         Company Description Express Employment Professionals - Huntsville, AL Company Description Express Employment Professionals - Huntsville, AL

Coding Specialist Responsible for overseeing processing of clinic and hospital professional charges including updating of procedure and diagnosis codes in database coordinating reports and maintaining fee ticket files. Education: High School graduate or GED. Experience: Three years of coding experience including one year of experience in a health care organization preferred. Additional Skills/Abilities: Knowledge of accounts receivable practices and medical patient accounting services procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of insurance agency reimbursement procedures and practices. Knowledge of the organization's policies and procedures. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with co-workers and supervisors as a team member. Ability to communicate clearly. Upholds...

Pain Business Coordinator Required Skills CPT and ICD 10 Excel and Word software Required Experience 5+ years experience in Medical Office Advantx or equal Patient Accounting Software Qualifications: CPT and ICD 10 Excel and Word software

Job Description Job Description Job Title: Medical Coder Schedule: Monday–Friday, 8:00 AM–5:00 PM, fully onsite in Alpharetta Pay: $25/hour+ (Depends on Experience) Employment Type: Ongoing Temporary with Temp-to-Perm Opportunity   Position Summary A specialty surgical practice is seeking an experienced Medical Coder to support its vascular surgery team. This role is responsible for reviewing detailed clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for vascular procedures, diagnostic studies, and related encounters. The Medical Coder plays a key role in ensuring coding accuracy, compliance with payer and regulatory guidelines, and the integrity of the revenue cycle.   Key Responsibilities Review operative reports, clinical documentation, imaging studies, and diagnostic results to assign accurate CPT, ICD-10, and HCPCS codes for vascular surgery services. Ensure all coding meets CMS regulations, NCCI edits, payer-specific...

Job Description Job Description Description: The Certified Medical Coder is responsible for analyzing medical records and identifying documentation deficiencies. They serve as subject matter experts for other coders within the billing department and review documentation to verify diagnoses, procedures, and treatment results. JOB RESPONSIBILITIES · Communicate effectively with individuals at all levels of the organization, demonstrating strong written and written communication skills. · Perform CPT and ICD-10 coding under the direction of the Coding Lead and Revenue Cycle Manager, ensuring accuracy and maximum reimbursement. · Apply knowledge of anatomy, physiology, disease processes, medical terminology, coding guidelines for outpatient and ambulatory surgery, and documentation requirements. · Work both independently and as part of a team, demonstrating strong attention to detail and process orientation. · Manage multiple tasks, organize and prioritize work...

A healthcare solutions provider in Alpharetta, Georgia is seeking a Pro Fee Coder specializing in hospitalist services. This role requires expertise in assigning ICD-10-CM and CPT/HCPCS codes for accurate billing and requires a minimum of two years of coding experience. The ideal candidate possesses an active coding credential and is proficient in EHR systems. Benefits include competitive health plans, 401(k) matching, and paid time off. Join a team dedicated to compliance and quality patient care. #J-18808-Ljbffr

Job Description – Pro Fee Coder – Hospitalist The Pro Fee Coder – Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet the requirements of physician billing and reimbursement. This role focuses on professional fee (pro‑fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. Duties and Responsibilities Select and assign ICD‑10‑CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission‑to‑discharge same‑day encounters Critical care...

Job Description Job Description Description: Seeking a detail-oriented and knowledgeable Provider/Coding Auditor Educator to support accurate and compliant coding practices across our provider network. This role will be responsible for performing audits of medical documentation and coding, educating providers on best practices, and ensuring adherence to industry guidelines and payer regulations. The ideal candidate is a certified coding professional with strong communication skills and a passion for education and compliance. This role requires flexibility to travel 50% of the time to various provider locations in the State of Georgia for onsite education and auditing support, as needed Requirements: Key Responsibilities Conduct prospective, concurrent, and retrospective coding audits for professional and/or facility services. Review medical documentation to ensure codes assigned (ICD-10-CM, CPT, HCPCS) are supported and meet regulatory and payer guidelines. Deliver coding...

FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and services-for use in commercial and industrial facilities-to verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process that's backed by scientific research and testing, and over a century of experience. FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and services-for use in commercial and industrial facilities-to verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process that's backed by scientific research and testing, and over a century of experience. A mid-level auditor position within the Auditing and Quality Assurance department. The role of the Quality Auditor is...

A healthcare solutions company is seeking a Pro Fee Coder for Cardiology. The role involves reviewing clinical documentation to ensure accurate coding for a variety of cardiology procedures, supporting patient billing, and collaborating closely with healthcare providers. Candidates must have relevant coding credentials and a strong background in cardiology coding to achieve compliance and accuracy standards. #J-18808-Ljbffr

Job Description – Pro Fee Coder – Cardiology (Full Procedural) The Pro Fee Coder – Cardiology (Full Procedural) will review clinical documentation to assign and sequence diagnostic and procedural codes for a wide range of cardiology services, including both non-invasive and invasive procedures. This role ensures accurate coding for cardiac evaluations, diagnostic testing, interventional cardiology procedures, and electrophysiology studies to support compliant billing and proper reimbursement. The Coder will collaborate with providers and clinical teams to clarify documentation, ensure coding accuracy, and maintain compliance with all regulatory and payer‑specific requirements. Duties and Responsibilities Select and sequence ICD-10 and/or CPT/HCPCS codes for cardiology professional fee services, including but not limited to: Cardiac catheterizations (left/right heart caths) Angioplasty and stent placements Pacemaker and ICD implantations and checks Stress tests, EKGs,...

Job Description – Pro Fee Coder – Hospitalist The Pro Fee Coder – Hospitalist will review clinical documentation to assign and sequence diagnostic and procedural codes for hospital-based inpatient and observation encounters to meet the requirements of physician billing and reimbursement. This role focuses on professional fee (pro‑fee) coding for hospitalists, ensuring accurate Evaluation & Management (E/M) coding for initial, subsequent, and discharge visits, as well as compliant documentation to support medical necessity and coding integrity. The Coder performs documentation review and assessment for accurate abstracting of clinical data and may interact with providers and clinical staff for clarification and education. Duties and Responsibilities Select and assign ICD‑10‑CM and CPT/HCPCS codes for hospitalist services, including: Initial hospital care Subsequent daily visits Discharge management Observation and admission‑to‑discharge same‑day encounters Critical care...

Job Description Job Description Sleep Better Georgia is a patient-focused medical practice specializing in the treatment of obstructive sleep apnea and snoring through oral appliance therapy. We pride ourselves on high-quality care, excellent customer service, and a supportive work environment. We are growing and looking for a skilled Medical Biller who can also support provider credentialing tasks. Position Summary The Medical Biller will be responsible for managing the full revenue cycle process, assisting with provider credentialing, and handling all medical billing tasks. This role requires strong attention to detail, excellent communication skills, and the ability to work both independently and collaboratively. Key Responsibilities Medical Billing (Primary Role) Submit medical and DME claims accurately and timely to commercial payers, and Medicare. Review, correct, and resubmit denied or rejected claims. Follow up on outstanding A/R and ensure timely...