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 SR - FT - BPS Primary Care Peerless Vitruvian HealthProfessional/Physician Medical Coder SR - FT - BPS Primary Care PeerlessCleveland, TennesseeThe individual must have the ability to examine the chart and verify documentation needed for accurate code assignment and be able to clearly communicate medical coding information to providers, other qualified healthcare professionals, and clinical staff when appropriate. The associate must possess knowledge of coding concepts and principles, understanding of medical coding and billing systems, and knowledge of legal, regulatory, and policy compliance matters related to medical coding, documentation and billing.
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.
NewDocumentation 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.
Cash Posting Rep CommonSpirit HealthCash Posting RepChattanooga, TNIdentifies and researches unusual, complex or escalated issues as assigned; applies problem-solving and critical thinking skills as necessary to resolve issues within the scope of position authority or to escalate following established procedures. Reviews Explanation of Benefits (EOBs)/ Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts and contracting system, insurance benefits, and all account comments; applies knowledge of payer contracts and experience with insurance reviews to gather additional information as necessary.
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.
NewPatient 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.
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.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorChattanooga, TNUpperline 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.
MDS Coordinator The Health Care Center At Standifer PlaceMDS CoordinatorChattanooga, 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).
Front Desk Lead CommonSpirit HealthFront Desk LeadRinggold, GACommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. As a Front Desk Lead at CommonSpirit Medical Group - Family Medicine - Ringgold, you will be the welcoming face and voice of our clinic, overseeing front desk operations and ensuring a smooth, positive patient experience.
NewMDS 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).
Nurse Practitioner Hospice PRN Amedisys, Inc.Nurse Practitioner Hospice PRNKimball, TennesseePer diemMust meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys. Order and review appropriate lab, x-rays, EKG's and other diagnostic procedures for palliation and treatment of the terminal disease as dictated by the patient's condition and documents the treatment plan accordingly and reviews results with collaborating physician.
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.
Regional Manager - Urology - Full-Time Erlanger HealthRegional Manager - Urology - Full-TimeChattanooga, TNThis position will promote teamwork and facilitate a smooth flow of daily operations of the practice and ensures superior customer service daily by interacting with all internal and external customers in a professional and courteous manner. Administrative responsibilities include tracking monthly clinical and financial statistics, monitoring billing and collection functions, maximizing patient flow and optimizing the work environment to facilitate open communications and professional excellence.
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.