12 jobs found in Knoxville, TN

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant 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 Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength...

Job Type Full-time Description 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 meeting daily...

Job Description Job Description We are currently hiring a Medical Billing Specialist for a well-established healthcare organization in Knoxville. This is a great opportunity for someone with experience in medical billing and insurance follow-up who is looking for a stable, full-time schedule. Details: Pay rate: $18/hour Schedule: Monday – Friday, 8:00 AM – 4:30 PM On-site role – great team environment Temp-to-hire opportunity Key Responsibilities: Process and submit insurance claims accurately and efficiently Follow up on unpaid claims and resolve billing discrepancies Post payments and reconcile accounts Assist with patient billing inquiries Requirements: Previous medical billing experience required Familiarity with insurance guidelines and EOBs Strong attention to detail and organizational skills EMR/medical billing software experience a plus Apply today to learn more!

Job Description Job Description An Insurance Follow-Up Representative's primary responsibility is to  ensure accurate and timely payment of medical claims by insurance companies . This involves verifying insurance eligibility, submitting and following up on claims, addressing denials, and working with patients to resolve billing issues. They also gather payor trends, provide feedback, and identify areas where client assistance is needed.  Key Responsibilities: Claim Submission and Follow-up:  Ensuring accurate and timely submission of medical claims to insurance companies and following up on their status.  Denial Management:  Resolving claim denials, submitting appeals, and requesting appropriate adjustments when required.  Patient Communication:  Communicating with patients about their insurance information, account balances, and billing issues.  Documentation and Record Keeping:  Maintaining accurate records of claims, payments, and patient information.  Insurance...

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, 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...

PYA is seeking a Professional Coding Auditor/Consultant 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 Integrity team in a quality assurance and project management role. RESPONSIBILITIES: Responsible for the accurate quality assurance review of PYA coding audits, as well as coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including strength in E/M and surgical coding, especially cardiology and orthopedic surgery. Expertise in facility inpatient and outpatient coding auditing is preferred but not required. The Consultant will assist PYA clients with provider documentation improvement, reviews for billing and other regulatory compliance with third...

Knoxville Generates revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts. Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur. Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies, determines appropriateness of pursuing legal remedies, and testifies in court cases. Maintains Medicare bad-debt cost report by tracking billings, monitoring collections, and compiling information. Initiates claims against estates by monitoring deaths and unpaid accounts, informing legal department to act on probate and estate issues, and following-up with clerk of court. Secures outstanding balance payments for care of employees by establishing payroll deductions and obtaining signatures for automatic transfers. Secures obstetrical payments by interviewing and obtaining...

Overview Coder Analyst Specialist, Clinical Document Integrity 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: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding...

BASIC PURPOSE OF THE JOB Conduct comprehensive chart reviews of clinical departments to identify potential clinical documentation, coding and/or charge capture opportunity areas. Conduct research to identify root cause(s) of missed charges and coordinate with clinical departments and physicians to review and resolve the areas of opportunity. JOB REQUIREMENTS Minimum Education Associate's degree in Health Information Management or related field required; Bachelor's degree preferred Minimum Work Experience 2 years of experience in Health Information Management field preferred Required Licenses/Certifications RHIA, RHIT, CCS, or CPC preferred Required Skills, Knowledge, and Abilities Strong understanding of medical record documentation and coding guidelines Familiarity with CMS documentation requirements, CPT and HCPCs coding guidelines Strong interpersonal and communication skills PHYSICAL REQUIREMENTS Note: Reasonable accommodations may be made for...

Overview 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...

Overview 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...

Job Type Full-time Description University Physicians' Association is seeking qualified applicants for a full-time Certified Coder position for University Cancer Specialists located in Alcoa, TN. The Certified Coder Position is normal business hours Monday-Friday. Coder audits medical provider clinical documentation inpatient and outpatient while adhering to Medicare guidelines and reviews documentation. Identifies areas for documentation improvement and effectively communicates with providers. Ensure the provider has entered the correct coding and adding modifiers as needed. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance. Essential Duties and Responsibilities: Performs coding services and audits documentation before claims are submitted Partners with providers and staff to improve quality and efficiencies in coding and documentation Maintains HIPPA Guidelines for privacy. Remains current...