22 document coder jobs found

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...

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...

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....

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...

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...

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...

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....

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,...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period , Day Shift Remote: Southeast U.S. (Eligible states: TN, KY, NC, GA, AL, VA, MS, AR, MO) 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...

Summary This position is in the Health Information Management (HIM) section at Memphis VA Medical Center. MRT (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-biased settings, such as group practices, multi-specialty clinics, and specialty centers. Responsibilities This job opportunity announcement (JOA) will be used to fill one 1) full-time and permanent Medical Records Technician (Outpatient and Inpatient Coder) vacancy(s) at the Memphis, TN Veteran Affairs Medical Center (VAMC), with Business Office Service Total Rewards of a Allied Health Professional Major duties may include, but are not limited to: Applies knowledge of medical record content, medical terminology, anatomy & physiology, diseases processes, and official coding guidelines to assign codes to the most basic and routine outpatient and/or inpatient professional services. Selects and assigns codes from the current versions of the International...

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 categories....

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....

Overview Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs daily feedback and education to providers, staff and patients of BMG. Assists 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. Experience Minimum Required Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in coding physician/professional outpatient...

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 & creates claims to send to insurance. Must have experience working with and billing for Rural Health Clinics (RHC). Review and correct invalid claims from the 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 with 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...

Medical Billing Specialist The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. Extract and verify billing information from medical records Ensuring collection of past due balances; follow up as needed Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies Answer patient account inquiries; assists establish alternative payment plans when necessary Maintain patient account records; settle third party payer issues as required Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) Prepare and review patient statements prior to...

Medical Billing Specialist The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. Extract and verify billing information from medical records Ensuring collection of past due balances; follow up as needed Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies Answer patient account inquiries; assists establish alternative payment plans when necessary Maintain patient account records; settle third party payer issues as required Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) Prepare and review patient...

Medical Billing SpecialistThe Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.ESSENTIAL JOB DUTIES:Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely filing of all Medicare, Medicaid, and third-party insurance claimsBalance daily charges;...

At ScionHealth , we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated systemEssential FunctionsUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures that all factors necessary for assigning an accurate CPT are present, and that all diagnoses are recorded properlyContacts practice designee regarding questions on diagnoses, need for...

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...