103 coder 1 jobs found

Job Posting Codes diagnoses and procedures of patient records. Abstracts information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff, and patients of BMG. Codes diagnoses and procedures of records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes all requirements for assigned goals. Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Associates Degree Preferred. Associates Degree. Up to one year prior experience in physician/professional outpatient surgery, and/or emergency department...

PreVisit Planning Coder - Summit Medical Group 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 transitions for greater specificity and accuracy. Ensure coding and documentation criteria, rules and guidelines are met....

Job Description Job Description 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....

Overview Coding Analyst, Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10hospitals,outpatient and specialtyservices,andCovenant 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: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for...

Job Opportunity At Vitruvian Health At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the regionincluding Hamilton Medical Center and Bradley Medical Centeryou'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our core valuesProfessionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued,...

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, training, and/or equivalent...

Charge Entry Specialist, Business Office, Downtown Nashville Midtown Plaza (PLZ) - Nashville, TN 37203 Overview Position Type Full Time Job Shift Day Category Finance Description SUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. ESSENTIAL DUTIES AND RESPONSIBILITIES: Captures and reviews daily charges from the Electronic Health Record's Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily...

Direct Jobs in Nashville, TN, seeks a skilled medical coder proficient in coding classification systems. The role involves reviewing and assigning diagnostic codes, ensuring compliance, and supporting staff training. The ideal candidate will have at least 4 years of relevant work experience and a High School Diploma or GED. Candidates with licensure in a specific discipline are preferred. This role is crucial for maintaining high standards in patient care and documentation compliance. #J-18808-Ljbffr

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Trauma Surgical Profee Coder. Job Summary And Qualifications As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role Reviews and codes clinical notes and operative reports for assigned...

Possess a thorough working knowledge of the revenue cycle management process including; ICD-9, ICD-10, CPT-4, and HCPS Billing.Responsibilities include ensuring that reimbursement is maximized through accurate and appropriate coding.Accountable for staying abreast of government policies and procedures as it relates to coding to ensure that company conforms to applicable guidelines and regulations.Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.MinimumHigh School Diploma or GEDCertified Medical CoderStrong understanding of industry / technical terms and processesExceptional customer service skillsStrong analytical and problem-solving skillsStrong attention to detailExcellent oral / written communication skillsDesiredBachelor's Degree2years medical coding experience- Abstract clinical information from medical records to document, assign, and sequence ICD-9 and / or CPT-4 and HCPS coding where appropriateAudit, review, and correct...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Certified Professional Coder (CPC) Certified Professional Coder (CPC) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing. Duties and Responsibilities Review of electronic medical records initiated by a health care provider. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record Review and verify component parts of medical records to ensure completeness...

Job Posting Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physician office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new specialty areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications Experience Minimum Required Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill and...

Job Posting Codes diagnoses and procedures of inpatient records and abstracting information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Codes diagnoses and procedures of records pertaining to inpatient records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Skill and proficiency in coding inpatient records utilizing ICD CM and CPT through a minimum of 2 years' experience in an acute care facility, 4 years preferred....

Signature Performance seeks an experienced Inpatient Professional Fee Medical Coder for a remote-based position open nationwide in the United States. The candidate will review medical records to assign accurate diagnoses and procedures using ICD-10-CM/PCS, CPT, HCPCS codes, and ensure proper sequencing for DRG/APC determination. Minimum two years of professional fee coding experience and AHIMA or AAPC certifications (RHIT, RHIA, CCA, CCS, CCS-P, CPC) are required. #J-18808-Ljbffr

Radiation Billing Solutions Inc is seeking a Medical Coding Specialist to analyze, code, and abstract medical records, and communicate with client staff and physicians to address billing and documentation deficiencies. The role requires handling multiple tasks efficiently while demonstrating ENCORE in all communications. Responsibilities include proficient coding (CPT/ICD-10/HCPCS), maintaining 30 CPT units per hour, and keeping error rates under 2%. #J-18808-Ljbffr

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region-including Hamilton Medical Center and Bradley Medical Center-you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our Values Our core values- Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) -guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a...

This position is responsible for coding and abstracting of medical records for Professional Services, as well as working with Providers to clarify or improve areas which affect coding. May also complete special projects related to coding, documentation, and chart auditing. High School Diploma required Certified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), other acceptable coding certification. Strong knowledge base of CPT, HCPCS, ICD-10, and coding guidelines. Minimum of 2 years of experience in medical billing/coding with experience in appropriate coding and billing practices for Professional Services. Previous coding for multiple specialties preferred. Demonstrates excellent understanding of ICD10-CM, HCPCS, and CPT-4 coding functions, billing requirements and coding compliance. Knowledge of medical terminology, general office procedures, proficient keyboard and computer skills, knowledge of general office equipment and procedures.

The Coding Specialist is responsible for coding and abstracting of medical records. Other duties as assigned. Education: High School Diploma/GED required. Education and credentials as a Registered Health information Administrator, Registered Health Information Technician, Certified Coding Specialist, Certified Procedural Coder, Certified Coding Associate eligibility for certification/accreditation, or proven experience as a qualified coder Experience: Minimum of 1 year in medical records practice in a healthcare setting; coding experience preferred. Demonstrates excellent understanding of ICD-10-CM /PCS and CPT-4 coding functions, billing requirements and coding compliance. Knowledge of general office procedures, proficient keyboard and computer skills, knowledge of general office equipment and procedures.

Job Type Full-time Description University Health Network is seeking a Full-Time Coding Auditor. This role requires normal business hours Monday-Friday and 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. UHN Auditor provides superior customer experience by educating internally and externally of 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...

Physician Billing Coder I, Hybrid Erlanger Baroness Hospital Chattanooga, TN Physician Billing Coder I, Hybrid 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 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...

Job Details Job Location: Midtown Plaza (PLZ) - Nashville, TN 37203. Position Type: Full Time. Job Shift: Day. Job Category: Finance. Summary The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. Essential Duties and Responsibilities Captures and reviews daily charges from the Electronic Health Record’s Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily appointment schedule to ensure all encounters have...

Job Summary As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles multiple schedules to ensure complete charge capture. Charge entry of codes into billing system in a timely manner. Work in conjunction with A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits....

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing....