Outpatient Hospital Reimbursement & Coding Specialist Iii, Remote Erlanger HealthOutpatient Hospital Reimbursement & Coding Specialist Iii, RemoteChattanooga, TNRemoteJob Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation.
Outpatient Coding/Abstracting Specialist Vitruvian HealthOutpatient Coding/Abstracting SpecialistDalton, GeorgiaCodes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day.
Professional/Physician Medical Coder I Vitruvian HealthProfessional/Physician Medical Coder IDalton, GeorgiaWith 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. Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously.
Payment Integrity Analyst Health One AlliancePayment Integrity AnalystDalton, GeorgiaA Payment Integrity Analyst reviews healthcare claims, payments, and billing to find errors, fraud, waste, or abuse, ensuring compliance with rules (like CMS) and policies, using strong data analysis, medical coding (CPT/ICD-10), and auditing skills to prevent financial loss and improve accuracy, often working with vendors and internal teams. Key duties include auditing claims, investigating anomalies, analyzing data for trends, collaborating on billing edits, and preparing reports to support cost containment for health plans.
Claims Processor II Health One AllianceClaims Processor IIDalton, GeorgiaThe Claims Processor II will accurately interpret benefit and policy provisions applicable to fully-insured plan members and review claims to determine coverage based on contract, provider status, and claims processing guidelines. JOB PURPOSE The Claims Processor II is responsible for accurate and timely processing of both professional and institutional medical claims pended for manual adjudication in assigned Workflow roles.
Documentation Specialist - Temporary Position National Seating & MobilityDocumentation Specialist - Temporary PositionChattanooga, Tennessee1. Coordinates directly with medical providers to gather all necessary documentation—including progress notes, prescriptions, face-to-face examinations, letters of medical necessity, and Assistive Technology Professional (ATP) evaluations—strictly adhering to specific payer guidelines and timelines. Operating with minimal supervision, the Documentation Specialist maintains consistent communication with physicians, therapists, and clients to resolve outstanding funding requests and ensure audit-ready compliance.
NewField Reimbursement Manager, Dermatology - Chattanooga, TN Johnson & JohnsonField Reimbursement Manager, Dermatology - Chattanooga, TNChattanooga, TennesseeAccount Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies.
NewField Reimbursement Manager, Dermatology - Chattanooga, TN 6077-Johnson & Johnson HCS Legal EntityField Reimbursement Manager, Dermatology - Chattanooga, TNChattanooga, TennesseeAccount Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies.
Configuration Analyst I Health One AllianceConfiguration Analyst IDalton, GeorgiaThe Configuration Analyst I support activities to maintain data within the core claims processing system using the medical classification system to design the benefit packages with proper code sets, including ICD-10, CPT-4, HCPCS for configuration. Three or more years of working around claims implementation and analysis and/or claims configuration experience in any one of these areas: Provider/Provider Contracting, Clinical Benefits, Enrollment and Billing.
Patient Care Coordinator Upperline Health IncPatient Care CoordinatorFort Oglethorpe, GAUpperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorChattanooga, TennesseeUpperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.â¯â¯. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Practice Mgr Ii-Operations - Health Center - Full Time Erlanger HealthPractice Mgr Ii-Operations - Health Center - Full TimeChattanooga, TNExperience: Required: Three years related experience in business management, with strong financial and systems background, and strong marketing experience, to reflect working knowledge of physician office practices, managed care operations and insurance industry structure and products. Job Summary: The Practice Manager - Operations II reports to the Chief Operating Officer and is responsible for the day to day operations of one or more medical practices, with a total of five or more physicians generating in excess of 2.5 million in total charges per year.
Revenue Integrity Specialist LifePoint HospitalsRevenue Integrity SpecialistEtowah, TNJob Summary: The Revenue Integrity Specialist coordinates, evaluates and measures revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders and improvements by service line, payer and provider. Works directly with clinical operating departments, Managed Care & Reimbursement, Supply Chain and business office personnel to ensure the hospital receives all reimbursement to which it is entitled through appropriate charging and coding of patient claims.
Outpatient Care Coordinator Vitruvian HealthOutpatient Care CoordinatorDalton, GeorgiaThis position requires complex assistant skills, clinical knowledge, and sensitivity to patients’ needs including assessment of needs for referral to other care team members such as social worker, clergy, dietician, physical/occupational therapy, American Cancer Society, other outside agencies and Medical Practices. The Outpatient Care Coordinator collaborates with the Central Business Office to ensure correct charges are filed with insurance providers and works to correct and resolve denied claims, which may include the transcription of clinical notes or Letter of Medical Necessity.
MDS Coordinator- RN Health Center at Standifer PlaceMDS Coordinator- RNChattanooga, TennesseeResponsible for keeping the administrator and director of nursing informed of errors, defaults and deficits in the center’s documentation and assessment system which would impact MDS accuracy or completion. QUALIFICATIONS: Registered Nurse – graduate of an accredited school of nursing and currently licensed to practice nursing in the state (AANAC Certification preferred).
MDS Coordinator- RN The Health Care Center At Standifer PlaceMDS Coordinator- RNChattanooga, TN$90,000–$100,000 / yearResponsible for keeping the administrator and director of nursing informed of errors, defaults and deficits in the center's documentation and assessment system which would impact MDS accuracy or completion. QUALIFICATIONS: Registered Nurse - graduate of an accredited school of nursing and currently licensed to practice nursing in the state (AANAC Certification preferred).
Clinical Documentation Integrity Manager Erlanger HealthClinical Documentation Integrity ManagerChattanooga, TNTechnical skills include Clinical Documentation and/or Inpatient coding experience with report writing expertise, comprehensive knowledge and proficiency in ICD9-CM, ICD-10 CM/PCS, CPT and HCPCS coding, knowledge of the medical record documentation requirements for ICD-9CM and ICD-10 CM/PCS principles, advanced proficiency in use of Microsoft Office Suite of products including MS Word, Excel and PowerPoint Advanced and Adobe to document and manage audit data. Department Position Summary: The manager/educator is responsible for the ongoing management of the clinical documentation program and the assigned staff of specialists, the continuing communication with the medical staff to improve the quality and clarity of documentation of patients' condition in the medical record, the reduction of physician's workload through assistance with regulatory guides through clinical review and the support of documentation of appropriate legitimate diagnoses, MCCs and ccs.
Practice Manager II, Pediatric GI Erlanger HealthPractice Manager II, Pediatric GIChattanooga, TNJob Summary: The Practice Manager Operations II reports to a Director of Practice Operations and is responsible for the day-to-day operations of one or more medical practices, with a total of five or more physicians generating in excess of 2.5 million in total charges per year. Department Position Summary: The Practice Manager Operations II is responsible for daily operations of one or more physician practices to include registration, cash collection, charge preparation, medical record documentation, referral/authorizations, related insurance and coding process.
Practice Manager II, Children's Behavioral Health Erlanger HealthPractice Manager II, Children's Behavioral HealthChattanooga, TNJob Summary: The Practice Manager II reports to a Director of Practice Operations and is responsible for the day-to-day operations of one or more medical practices, with a total of five or more physicians generating in excess of 2.5 million in total charges per year. Department Position Summary: The Practice Manager Operations II is responsible for daily operations of one or more physician practices to include registration, cash collection, charge preparation, medical record documentation, referral/authorizations, related insurance and coding process.
Practice Manager - Signal Mountain, Full-Time Erlanger HealthPractice Manager - Signal Mountain, Full-TimeChattanooga, TNJob Summary: The Practice Manager - Operations I reports to a Director of Practice Operations and is responsible for the day to day operations of one or more medical practices, with a total of less than five physicians generating less than 2.5 million in total charges per year. Department Position Summary: The Practice Manager Operations I is responsible for daily operations of one or more physician practices to include registration, cash collection, charge preparation, medical record documentation, referral/authorizations, related insurance and coding process.