163 jobs found

Job Description Job Description Salary: DOE Reading and transcribing patient charts. Turning patient information into the correct codes. Submitting billing as an insurance claim. Acting as a liaison between insurers, medical offices, and patients. Handling confidential information and abiding by HIPAA laws. Conducting audits. Ensuring maximum reimbursement for services provided. Reviewing patient medical records and assigning codes to diagnoses and procedures. Submitting claims to insurance companies for reimbursement. Interpreting the type of care a patient receives and using medical coding to assign a special designation for their services. Certified Medical Coder preferred

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...

Market Range: 05 Hiring Salary: $18.54/ Hourly THIS POSITION LOCATED IN KNOXVILLE, TN JOB SUMMARY/ ESSENTIAL JOB FUNCTIONS: The Medical Billing Specialist serves to maximize reimbursement for services provided in the clinics operated by the Departmen Billing Specialist, Medical Billing, Speech, Medical, Billing, Specialist, Healthcare

A healthcare services provider in Memphis is seeking a Coding Auditor to conduct quality reviews of accounts and develop training programs for the coding staff. The ideal candidate will have over 5 years of coding experience, a strong understanding of HIPAA regulations, and proficiency in multiple EMR systems. The role offers a competitive salary range of $57,400 to $99,000 annually, along with a comprehensive benefits package and opportunities for professional development. #J-18808-Ljbffr

Why Consider this Job Opportunity: Salary range between $57,400 to $99,000 annually based on experience Bonus incentives and paid certifications Comprehensive benefits package, including tuition reimbursement Opportunity for career advancement and professional development Recognized as a top workplace for remote work and innovation Supportive culture focused on collaboration and employee growth What to Expect (Job Responsibilities): Conduct quality reviews and audits of inpatient and outpatient accounts to ensure coding accuracy Assess educational needs of coding staff and develop training programs Assist with edits, denials, and appeals related to coding Facilitate training for new and existing staff, including the development of training materials Serve as a technical resource for coding personnel, ensuring compliance with professional coding standards What is Required (Qualifications): Minimum of 5 years of coding experience and 3 years of auditing experience...

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: This role will be responsible for orienting, training, and mentoring new employees during the on boarding process. The Sr. Medical Coding Specialist will be knowledgeable in their respective team roles and serve as the main point of contact for...

Job Description Job Description Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your...

Become a part of our caring community and help us put health first 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. 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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

A healthcare organization in Franklin, TN is seeking a Billing Specialist to work onsite. This role involves assisting with insurance and patient payments while managing outstanding claims. Candidates should be familiar with insurance practices, EOB's, and effectively communicate with patients and representatives. The position offers a negotiable salary and excellent benefits in a supportive work environment. Interested candidates can submit their resumes via fax or email. #J-18808-Ljbffr

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Busy OB/GYN practice seeking an experienced Certified Medical Coder to join our team. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment. Responsibilities include: * Accurate coding of OB/GYN office visits, procedures, and surgeries * Reviewing provider documentation for currect code assignment * Ensuring compliance with coding regulations and payer guidelines * Assisting with claim edits and denials related to coding Qualifications: * Current certification (CPC, CCS, ore equivalent) required * OB/GYN coding experience preferred * Strong attention to detail and knowledge of medical terminology * Ability to work independently and as part of a team Competitive salary based on experience. Excellent benefit and salary...

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...

Trauma Surgical Profee Coder You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Trauma Surgical Profee Coder like you to be a part of our team. 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...

Coding Specialist Under the direct supervision of the Coding Supervisor/Clinical Manager, responsible for assigned 8 hour shift, 5 days a week with possibility as needed of overtime. Essential Job Functions: Reviews electronic medical records and paper records to identify all treated diagnosis and significant procedures performed. Sequences diagnoses and procedures according to definition of principal diagnosis, other co-morbid conditions and complications, and according to definition of principal procedure and other procedures and using appropriate modifiers. Uses 3M Encoder to assign ICD-9 diagnosis and CPT procedure codes and modifiers when indicated to ensure coding accuracy. Uses compliance advisor to determine medical necessity. Utilizes online coding references, Local Coding Determinations and National Coding Determinations, Medicare Part B Announcements, Coding Alerts, Compliance Advisor, and other payer guidelines and to ensure appropriate code assignment for...

ABOUT THE ROLE We are seeking a Financial Compliance Auditor to join our team supporting the DOE's Y-12 National Security Complex ! This position is full-time and will be based out of Oak Ridge, Tennessee. Responsibilities Perform audits in accordance with Global Internal Audit Standards issued by the Institute of Internal Auditors for fieldwork, working paper preparation, and audit reporting. Analyze and appraise evidentiary data in order to formulate objective opinions on the adequacy of the system of control, the extent of conformity to established accounting policy procedures, and the efficiency and effectiveness of performance of the activities being reviewed. Determine the allowability/allocability/reasonableness of cost proposed or incurred. Make adjustments to the original audit program with management approval. Note potential problem areas not covered in the scope of the audit and write audit need memorandum for the manager or organization audit file. Prepare...

Job Description Job Description Navarro Research and Engineering is recruiting a Financial Compliance Auditor in Oak Ridge, TN. Navarro Research & Engineering is an award-winning federal contractor dedicated to partnering with clients to advance clean energy and deliver effective solutions for complex challenges in the nuclear and environmental fields. Joining Navarro means being a part of an exceptional team committed to quality and safety while also looking for innovative strategies to create value for the client’s success. Headquartered in Oak Ridge, Tennessee, Navarro has active programs in place across the nation for DOE/NNSA, NASA, and the Department of Defense. The Financial Compliance Auditor: Performs audits in accordance with Global Internal Audit Standards issued by the Institute of Internal Auditors for fieldwork, working paper preparation, and audit reporting. Analyzes and appraises evidentiary data in order to formulate objective opinions on the adequacy of...

Coding Educator, 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: 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, CDI, and/or physician office staff. Serves as a resource to coders, CDI staff, Quality and Case...

Basic Purpose Of The Job Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD 9 CM and HCPCS System for ancillary and clinical outpatient records. Responsible for assuring all outpatient ancillary department, emergency room and clinic records are coded and abstracted in a timely and accurate manner. Reports To Director-Health Information Management Job Requirements Supervisory Responsibilities: No Minimum Education: Associates Degree: Health Information Management or related field License/Certification Required: RHIT, RHIA and/or CCS preferred Minimum Work Experience: 3 years inpatient and outpatient surgery coding experience preferred. Required Knowledge, Skills, And Abilities Knowledge of medical terminology, anatomy & physiology, and ICD-9-CM and CPT-4 coding guidelines. Excellent communication skills. Detail-oriented with organizational and time...

Of the Medical Biller:Assists Billing Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue pro Medical Biller, Biller, Medical, Healthcare, Staffing, Facilities

Physician Coder I - Hybrid Position 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. 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,...

Physician Coder III, Remote 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: 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 Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent...

Coder-3 Remote Position Available 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. Job 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: Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill...

Job Posting Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities 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 assigned goals. Specifications Experience Description: Minimum Required: Skill and proficiency in coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD-9-CM and CPT-4 through 3 years' experience in an acute care facility. Preferred/Desired: Education Description: Minimum Required: TN - Skill in communicating clearly and effectively using standard English in...

Job Type Full-time Description At Athena Care, our mission is to improve access to quality mental health care so that people can live happier, healthier, more productive lives. Our vision is to create the leading mental health services platform in Tennessee and neighboring states. Services include diagnostic assessment, medical management, psychotherapy, and TMS and Spravato treatments along with Intensive Outpatient Services for adolescents and adults. Founded in 2001, Athena Care is "in-network" with most major insurance plans. Athena Care is currently seeking a Supervisor of Medical Support Services for our Nashville and surrounding clinics with a schedule of Monday - Friday, 8am - 5pm. The Supervisor, Medical Support Services, provides leadership, oversight, and operational supervision for Athena Care's medical support teams, with primary responsibility for Medical Technicians (in-clinic) and Medical Technician Phone Line / Float staff workflows. This role ensures...