Coding Auditor - University Health Network University Physicians Association IncCoding Auditor - University Health NetworkKnoxville, TNRemoteUHN Auditor provides superior customer experience by educating internally and externally of errors and opportunities for improvement discovered during routine auditing. Performs routine internal audits for the UHN Coding team utilizing the UHN Audit tool to assign accuracy rates.
Coding Educator, Clinical Document Integrity Covenant HealthCoding Educator, Clinical Document IntegrityKnoxville, TNWith 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. Reviews and studies all information published by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance.
Medical Billing / Coding Representative - University Cancer Specialists University Physicians Association IncMedical Billing / Coding Representative - University Cancer SpecialistsAlcoa, TNUniversity Physicians' Association is looking for a full-time Medical Billing / Coding Representative for University Cancer Specialists located in Alcoa, TN. REQUIRED EDUCATION & TRAINING: Requires High School education or equivalency, medical billing courses or college preferred.
CODING AUDITOR-EDU-CLINIC Covenant HealthCODING AUDITOR-EDU-CLINICKnoxville, TennesseeFull timeWith 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. Reviews and studies all information published by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance.
CODING SPEC-CLINIC Covenant HealthCODING SPEC-CLINICKnoxville, TennesseeFull timeOther job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration.
Senior Quantitative Scientist, Commercial-Facing Verana Health IncSenior Quantitative Scientist, Commercial-FacingKnoxville, TNRemote$141,441–$212,161 / yearBuilt on the values of continuous learning, cross-functional collaboration, and rigorous scientific research, the Data & Science team strives to improve patient care by innovating at the intersection of real world data, clinical context, and methodology with our partners to ensure all available data is being used to in the most efficient, data-driven way possible. Verana Health, a digital health company that delivers quality drug lifecycle and medical practice insights from an exclusive real-world data network, recently secured a $150 million Series E led by Johnson & Johnson Innovation - JJDC, Inc. (JJDC) and Novo Growth, the growth-stage investment arm of Novo Holdings.
Provider Success Manager - Knoxville, Tennessee Clover Health Investments CorpProvider Success Manager - Knoxville, TennesseeKnoxville, TNRemote$129,000–$150,000 / yearSupport Provider Recruitment Activities as Product SME: Partner with CA GTM team to execute a provider onboarding and training best practices, with a focus on devising strong in-office workflows and working closely with practices (including clinical + non-clinical staff) to drive effective adoption of the platform. You have a Proven ability to build collaborative relationships with clinicians and staff to drive operational change, and to translate operational data into actionable performance metrics and scorecards that help primary care physicians achieve improved clinical and financial outcomes.
Health Information Manager (HIM) Knoxville Center for Behavioral MedicineHealth Information Manager (HIM)Knoxville, TNFull timeThe Knoxville Center for Behavioral Medicine provides a comprehensive continuum of care for adults and geriatric patients with psychiatric, emotional, and addictive disorders We are pleased to partner with National Health Corporation (NHC), Tennova Healthcare, and The University of Tennessee Medical Center. Our center will provide acute behavioral health care and outpatient treatment to adults and geriatric adults who are in crisis from severe symptoms related to behavioral health and/or substance use disorder.
Compliance Auditor SR Covenant HealthCompliance Auditor SRKnoxville, TNCovenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Advises, educates and acts as clinical/billing liaison between system-wide facility leaders, department managers and billing staff as designated by manager in relation to audit findings and process improvement initiatives.
CORP CDI AUDITOR-EDU Covenant HealthCORP CDI AUDITOR-EDUKnoxville, TennesseeFull timeCovenant Health is the region’s top-performing healthcare network with 10 hospitals , outpatient and specialty services , and Covenant Medical Group , our area’s fastest-growing physician practice division. 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.
COMPLIANCE AUDITOR SR Covenant HealthCOMPLIANCE AUDITOR SRKnoxville, TennesseeFull timeAdvises, educates and acts as clinical/billing liaison between system-wide facility leaders, department managers and billing staff as designated by manager in relation to audit findings and process improvement initiatives. Covenant Health is the region’s top-performing healthcare network with 10 hospitals , outpatient and specialty services , and Covenant Medical Group , our area’s fastest-growing physician practice division.
Remote MSDRG Auditor CGI IncRemote MSDRG AuditorKnoxville, TNRemote$58,000–$114,900 / yearThe DRG Validation Auditor is charged with rendering appropriate, well-supported, and thoroughly-documented decisions which may result in the identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Position Description: The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including Commercial and Government Clients.
NewSupervisor, Health Information Management Covenant HealthSupervisor, Health Information ManagementKnoxville, TNMinimum Education: RHIT preferred; will accept any combination of formal education and/or possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED with appropriate, relevant work experience. Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division.
NewSUPV HEALTH INFO MGMT Covenant HealthSUPV HEALTH INFO MGMTKnoxville, TennesseeFull timeRHIT preferred; will accept any combination of formal education and/or possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED with appropriate, relevant work experience. Covenant Health is the region’s top-performing healthcare network with 10 hospitals , outpatient and specialty services , and Covenant Medical Group , our area’s fastest-growing physician practice division.
Supervisor, Clinical Document Integrity (CDI) Covenant HealthSupervisor, Clinical Document Integrity (CDI)Knoxville, TNUnder the direction of the CDI Manager, directs the day-to-day activities in the centralized medical coding operation to service the various business entities of Covenant Health, which includes the planning and maintenance of daily activities and special projects as necessary to achieve and maintain business objectives. 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.
CDI SPECIALIST CLINICAL Covenant HealthCDI SPECIALIST CLINICALKnoxville, TennesseeFull timeTo assure appropriate DRG assignment and the validity and reliability of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the severity of the patient’s condition, and the resources used in the diagnosis and treatment of the patient. Monitors inpatient admissions for Length of Stay (LOS) related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment.
Clinical Documentation Integrity Specialist Covenant HealthClinical Documentation Integrity SpecialistKnoxville, TNTo assure appropriate DRG assignment and the validity and reliability of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the severity of the patient's condition, and the resources used in the diagnosis and treatment of the patient. Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division.
SUPV PHYS OFF CDI Covenant HealthSUPV PHYS OFF CDIKnoxville, TennesseeFull timeResponsibilities: Under the direction of the CDI Manager, directs the day-to-day activities in the centralized medical coding operation to service the various business entities of Covenant Health, which includes the planning and maintenance of daily activities and special projects as necessary to achieve and maintain business objectives. 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.
PreVisit Planning Coder - Summit Medical Group SUMMIT MEDICAL GROUP OPERATIONS LLCPreVisit Planning Coder - Summit Medical GroupKnoxville, TNPart timeWith 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. Continuous use and awareness of ethical coding, the official coding rules, regulations, and coding conventions of the American Hospital Association (Coding Clinic), ICD-9/ICD-10-CM, Centers for Medicare, and Medicaid Services (CMS), and organizational/institutional coding guidelines.
NewPatient Services Representative, BMPG Psychiatric -Ellis Ave, Blount, Full-Time, Days Prisma HealthPatient Services Representative, BMPG Psychiatric -Ellis Ave, Blount, Full-Time, DaysMaryville, TNAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Rep, BMPG Urology Maryville, Full-Time, Day Prisma HealthPatient Services Rep, BMPG Urology Maryville, Full-Time, DayMaryville, TNAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
Patient Services Representative, BMPG Cardiology, Blount, Full-Time, Days Prisma HealthPatient Services Representative, BMPG Cardiology, Blount, Full-Time, DaysMaryville, TNAs representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.