40 jobs found

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 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,...

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....

Job Description Job Description Actively participates in the review and improvement of processes and services Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed Prepares and presents coder education as needed based on trends and/or problematic areas identified by HSCs or corporate HIM. Collates and presents quality trends and findings to the VRM management team, Vendor teams HSC coding leadership and HIM Leadership Monitors and ensures vendor staff adhere with coding guidelines and policies Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality) Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates...

Great Company. Great People. Great Experience. Vanderbilt Mortgage Internship. If you want to thrive during the summer, invest in your future and begin to build some incredible relationships, this is the internship for you! Our program is set up to give you the best team member experience doing real jobs, building real relationships, and adding value to the company while gaining valuable hands-on experience. Our mission is to provide real work experience in a professional setting while also serving as an ambassador for Clayton. We want to challenge, engage, and stimulate professional growth to aid in deciding next steps for your future career! This program is the best way to learn about our company and help determine if you would be interested in building a long-term career with Vanderbilt Mortgage! If you are interested in gaining this experience, take the first step and complete an online application- It's just the beginning! Vanderbilt Mortgage Internship - real hands-on...

Overview Coder Analyst, Clinical Document Integrity Full time, 80 Hours per pay period, Day shift Covenant Medical Group is Covenant Healths 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...

Overview: Mountain Management Services and CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S. News & World Report. We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.We offer the following benefits to support you and your family:On-site childcare with extended hoursCare@Work premium account for additional support with children pets dependent adults and household needsEmployee Assistance Program (EAP) for you and your familyPaid Time Off (PTO)Health/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident Critical Illness and Identify TheftAdoption AssistanceTuition Assistance for career growth and developmentMatching 401(k) and 457(b) Retirement ProgramsWellness ProgramAdditional incentives for eligible...

Overview: Mountain Management CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia. We care about our employees well-being and offer benefits that complement work/life balance. We offer the following benefits to support you and your family: Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs Employee Assistance Program (EAP) for you and your family Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident, Critical Illness, and Identity Theft...

Centurion is proud to be the provider of healthcare services to the Tennessee Department of Correction. We are currently seeking a full-time Medical Records Supervisor to join our team at Bledsoe County Correctional located in Pikeville, Tennessee. T Medical, Records, Supervisor, Shift, Healthcare

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 physican office staff, clinical documentation specialist, case managers, etc. + Completes assigned goals. Requirements, Preferences and Experience Education Preferred: Associates degree Minimum: Skill and proficiency in coding physician/professional and outpatient (ancillary, emergency department, oupatient surgery, etc. ) records utilizing ICD-9-CM and CPT -4 through 5 years experience in an acute care facility, professional office or intergrated health system. Skill in communicating clearly and effectively using standard English in...

Job Description Job Description Job description About us HealthQuest, PC is a small business in HEALTH_CARE_MEDICAL. We are professional, agile and collaborative. Our work environment includes: Modern office setting Growth opportunities Relaxed atmosphere We are searching for a Medical Billing Specialist with an interest in healthcare, who is looking to advance their career and knowledge. The ideal candidate has an understanding of medical terminology, as well as excellent communication skills and the ability to work in a fast-paced environment. The successful Billing Specialist will interact with providers, insurance companies and patients and is expected to develop state-of-the-art billing policies. Responsibilities: Make sure that all medical records are properly filed/submitted. Enter demographic & financial information into a computer system. Monitor payments and refunds in accounts payable and receivables. Conduct medical research....

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: CHOC DOT 6 Med Spec Job...

Compliance Auditor for NHC Corporate Office located in Murfreesboro, TN NHC Corporate Office located in beautiful Murfreesboro, TN is looking for a Compliance Auditor to join our Compliance Team! Under the direction of the Corporate Compliance Audit Manager, candidate will: Ensure that the company is adhering to any federal and state regulations relevant to business. Review and enforce compliance with standards or regulations imposed by professional organizations or internal guidelines. Ensure compliance with regulations and controls by examining and analyzing records, reports, operating practices, and documentation. Complete audit work papers and memorandums by documenting audit tests and findings. Communicate audit progress and findings by preparing reports and providing information in meetings. Design required training programs for compliance procedures. Develop and/or review compliance policies. Maintain knowledge of all required regulations. Candidates must...

Our Opportunity: Chewy is seeking a Regulatory Compliance Auditor, Health Care Security, to join our organization and support the safe and secure handling of medications within our retail, compounding, and veterinary care operations! This role will focus their efforts on ensuring compliance with federal, state, local regulations and internal Chewy procedures. Additionally, they will coordinate the development and management of the health care security auditing program. They will use Chewy's permitting requirements, related to the secure handling, storage, and distribution of medications, as its core foundation. The Regulatory Compliance Auditor will implement and coordinate recurring audit protocols, ensuring that Chewy exceeds regulatory standards and applies standard processes in medication security across all Chewy operations. What you'll do: Conduct regular audits of Chewy's retail, compounding, and vet care operations to ensure compliance with jurisdictional...

Security Shift Supervisor - Medical Campus Nashville, Tennessee Position Type Full Time Shift Type Evening Req ID: 2024-1268903 Job Priority Field ID None--> Work Days Available Monday - Friday,Saturday - Sunday Posting Date Sep. 04, 2024 Save Job > Allied Universal, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive workplace, you will be part of a team that fuels a culture that will reflect in our communities and customers we serve. We offer medical, dental and vision coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time positionsStarting Pay: $19.00 / HourShift: 3:00 PM - 11:00 PM Position Requirements:21+ Years OldMinimum 5+ Years of Security ExperienceLocation: Nashville, TNPaid Orientation, Medical, Dental, Vision and 401k for Full-Time EmployeesThe Shift Security Supervisor...

Position Summary: Chewy is seeking a Regulatory Compliance Auditor, Food Safety, to join our team and ensure the safe handling of food and drug products across our operations! This role will focus on ensuring alignment to FDA directives at both the local and federal levels and inspecting sites to verify compliance with Chewy's food safety guidelines. The Compliance Auditor will play a significant part in identifying improvement opportunities within our food safety processes and ensuring the continued success and regulatory adherence of Chewy's Foreign Supplier Verification Program (FSVP). What you'll do: Conduct comprehensive site inspections to assess adherence to FDA regulations and Chewy's internal food safety policies, identifying non-compliance areas and potential risks. Audit the Foreign Supplier Verification Program (FSVP) to verify that imported items meet U.S. safety standards, reviewing documents and processes in collaboration with the Sr. Program Manager, Food...

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 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,...

Job Description Job Description Job Summary We are seeking a Medical Biller to join our team!  As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, posting payments and collecting necessary documentation from clients.  you will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices to obtain records, and accurately record patient information.  The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending time on the phone. Responsibilities  Enter all billing and payment information into the system properly and without errors  Follow up with clients and insurance companies  Post payments  Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare  Note and process all necessary forms from the insurance  Assist patients...

Job Description Job Description This is not a remote position. Position Summary: The Coder is responsible for timely and accurate review of patient records and assigns appropriate codes for each diagnosis and procedure. The coder assigns procedure codes to one or more areas for all Rennova Health hospitals and clinics: inpatient, outpatient, surgery, observations, emergency department, and ancillary. The Coder must make independent decisions on ICD-10-CM & PCS, and CPT / HCPCS codes that have an integral role in determining the reimbursement revenue for Rennova Health Hospitals. The position requires strict adherence to coding compliance regulations and corporate policies developed to ensure timely and compliant billing. Essential Duties and Responsibilities Assign accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for all Rennova entities. Works closely with providers, and clinical and patient financial...

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...

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software...

**Overview****CHI Memorial Mountain Management**CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.We care about our employees’ well-being and offer benefits that complement work/life balance.**We offer the following benefits to support you and your family:**Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needsEmployee Assistance Program (EAP) for you and your familyHealth/Dental/Vision InsuranceFlexible spending accountsVoluntary Protection: Group Accident, Critical Illness, and Identity TheftAdoption AssistancePaid Time...

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We are always looking for people inspired to help us in our mission. If you are someone who wants to change the lives of patients, drive success for our partners and be part of a team driven to improve care, we may have your next opportunity. POSITION SUMMARY: Assign diagnosis and procedure codes using the appropriate...

Our Opportunity: Chewy is seeking a Regulatory Compliance Auditor, Health Care Security, to join our organization and support the safe and secure handling of medications within our retail, compounding, and veterinary care operations! This role will focus their efforts on ensuring compliance with federal, state, local regulations and internal Chewy procedures. Additionally, they will coordinate the development and management of the health care security auditing program. They will use Chewy's permitting requirements, related to the secure handling, storage, and distribution of medications, as its core foundation. The Regulatory Compliance Auditor will implement and coordinate recurring audit protocols, ensuring that Chewy exceeds regulatory standards and applies standard processes in medication security across all Chewy operations. What you'll do: Conduct regular audits of Chewy's retail, compounding, and vet care operations to ensure compliance with jurisdictional...

JOB TITLE : Biller GENERAL SUMMARY OF DUTIES : Performs all billing for primary and secondary insurances for all practice locations. Interacts with business office staff and facility staff as needed to obtain information necessary to submit a clean claim to insurance carriers. EDUCATION/EXPERIENCE : Two or more years experience in billing and collections in a medical setting preferred or comparable education High School, with 1-2 years experience in healthcare insurance billing and verification, collections and/or authorizations Knowledge of medical terminology and Knowledge of CPT/ICD-10 QUALIFICATIONS : Strong interpersonal and organizational skills