23 analyst coder jobs found

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 initiatives....

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...

Covenant Health is hiring a Coder Analyst Specialist for the Clinical Document Integrity team in Knoxville, TN. This full-time role involves analyzing medical documentation to code services accurately and assist in compliance with billing guidelines. The ideal candidate will have extensive coding experience and possess a CPC certification or RHIT registration. Responsibilities include quality audits, communicating with physicians, and maintaining accurate coding practices. #J-18808-Ljbffr

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....

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....

Job Summary Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team‑based approach to care and is trained to meet the highest level of function for its role as per the State of Tennessee/Georgia guidelines. Responsibilities Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. Provide various components of coding services...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities May include any and/or all of the following: Accurately enter patient information into LifeLinc's billing software. Verify patient insurance is valid and active. Organize files and collect data to be entered. Analyze and verify data for errors. Report problems with data received or missing data. Follow-up on data that has not been received. Keep sensitive patient and company information confidential. Appropriately compose and type routine correspondence, memos, letters, etc. Performs other duties as assigned. Qualifications EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) is required Minimum of 1-year related experience,...

Job Description Job Description Salary: Job Summary We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations, and managing medical billing processes. Your expertise in medical terminology and coding systems will be crucial in maintaining accurate patient records and facilitating timely reimbursements. Duties Review and analyze patient medical records to extract relevant information for coding purposes. Assign appropriate ICD-10 codes for diagnoses and procedures in accordance with established guidelines. Ensure accuracy of medical coding to support billing processes and compliance with regulations. Collaborate with healthcare providers to clarify documentation and resolve discrepancies in medical records. Process medical claims for reimbursement. Maintain up-to-date...

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...

Description Must Reside in AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better. Summary: Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and...

Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will 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. Provider onsite education, based on business needs Collaboration with other market provider facing role 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...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based on documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA Status Non-exempt...

Come join our team and experience working in a positive environment with a true work-life balance with competitive salary and comprehensive benefit plan. Position Summary: We are a Franklin, TN based healthcare company seeking a Medical Biller to support Revenue Cycle operations.The ideal candidate should be able to demonstrate strong analytical and problem solving skills, be proficient in data aggregation and utilization, have excellent written and verbal communication skills, and be a self-motivated individual. Essential Functions: Works closely with insurance carriers for reimbursement requirements to ensure payment. Reviews outstanding AR accounts and contacts insurance for reimbursement explanation. Resolves denials and seeds to understand and prevent future denials. Effectively identifies trends that inhibit timely payment and escalates to management and operations to resolve root cause issues. Input codes into practice management system for billing. Assist team members with...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Duties And Responsibilities Supervises daily operations of SSC collections team. Assists the AR Manager in implementing and monitoring departmental policies and procedures including QA assessments on staff. Assists training team in developing training programs and materials for staff. Works with manager to draft team evaluations as well as participate in drafting and delivering disciplinary actions. Keeps informed on all current applicable third‑party payer regulations, requirements, and state laws and guidelines. Informs management and other staff members of changes and keeps documentation current and accessible. Identifies any payer trends and resolves or escalates as appropriate. Supervises the effort to successfully reduce days in A/R and meets productivity goals. Qualifications Education High School Diploma Experience Minimum of 3 years of medical collections or billing experience related to Physician Billing required. License(s)/Certification(s) N/A...

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 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,...

Physician Coder I - Hybrid Position Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction,...

Job Summary and Responsibilities The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level. The Sr Coding Compliance Auditor's primary focus will be...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Medical Billing And Coding Specialist QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve. Essential Responsibilities: Performs daily posting of payments. Reconciles payments and imports remits. Post & create claims to send to insurance. Review and correct invalid claims from clearing house and handle accordingly. Review rejected claims from the insurance payers and handle accordingly. Perform claims follow-up by working aged balances in accordance of timely filing deadlines. Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement. Communicate with providers to resolve coding issues or when additional information...

Job Description Physician Coder III, Remote ( 43806 ) - Erlanger Baroness Hospital Chattanooga, TN Regular - Non-exempt - Full-time - Standard Hours 37.5 Description Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY. REMOTE Job Summary The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS, and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain...

Hospital Inpatient Coder (Remote) page is loaded## Hospital Inpatient Coder (Remote)locations: US - Remote (Any location)time type: Full timeposted on: Posted Yesterdayjob requisition id: 37391**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets.* Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles,...

Join to apply for the Physician Coder III, Remote role at Erlanger 3 days ago Be among the first 25 applicants Join to apply for the Physician Coder III, Remote role at Erlanger Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB,...