Medical Billing / Coding Representative - University Cancer Specialists University Physicians' Association, Inc.Medical 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.
NewCoding Quality Review Specialist Sterling Inspired Staffing.Coding Quality Review SpecialistNashville, TennesseeLead and coordinate all functions of coding quality reviews (routine, pre-bill, policy-driven, and incentive plan-driven) for inpatient and outpatient coding across multiple HSCs. Extensive experience auditing MS-DRG inpatient coding: 3+ years of hands-on MS-DRG auditing in a hospital setting.
Charge Coding Coordinator - Summit Medical Group Summit Medical GroupCharge Coding Coordinator - Summit Medical GroupKnoxville, TNSummit Medical Group is recruiting for a Charge Coding Coordinator which ensures that charges are entered accurately, errors are addressed in a timely manner. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
Charge Coding Coordinator - Summit Medical Group SUMMIT MEDICAL GROUP OPERATIONS LLCCharge Coding Coordinator - Summit Medical GroupKnoxville, TNPart timeSummit Medical Group is recruiting for a Charge Coding Coordinator which ensures that charges are entered accurately, errors are addressed in a timely manner. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
NewCoding Client Success Specialist WellSky CorpCoding Client Success SpecialistTNRemoteWork with internal teams to support quality plans and assist with providing the appropriate tools and resources to internal coding teams and global partners. The Coding Client Success Specialist is responsible for serving as a trusted partner for clients by providing training and addressing issues related to medical coding.
Coding Quality Reviewer RightWorksCoding Quality ReviewerNashville, TennesseeYou will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs.
Medicare Risk Adjustment Coding Specialist- Remote American Health PlansMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteFull timeReview medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. • Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment to include the review of regulatory announcements via educational sessions provided by regulatory entities and educational opportunities within the industry.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorTNHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
NewSenior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsTN$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
NewCoding Quality Reviewer Team Lead HCA HealthcareCoding Quality Reviewer Team LeadNashville, TNOur services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. Assists the Coding Quality Review Manager with monitoring overall review completion to established daily, weekly and monthly goals, identifying barriers and implementing appropriate resolutions.
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.
Strategic Projects Lead, Coding HandshakeStrategic Projects Lead, CodingIndia, TNYou'll coordinate hundreds to thousands of highly skilled SWE Fellows, design and own technical evaluation and annotation workflows, and be accountable for delivery, margins, quality and customer relationships. India-based teammates will work hand-in-hand with US-based teams to scope, execute, and deliver critical human data projects to Frontier Labs and other customers.
Senior Coding Specialist (Gastroenterology Procedure Coding Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist (Gastroenterology Procedure Coding Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Senior Coding Specialist (Gastroenterology Procedure Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Gastroenterology Procedure Coding exp required) - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
NewCentral Coding Unit Operations Manager HCA HealthcareCentral Coding Unit Operations ManagerBrentwood, TNThe Operations Manager is responsible for supporting the development and evolution of the overall strategy for Parallon’s HIM, Coding and Abstraction Services Centralized Coding Unit (CCU). Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Intermediate Applications Access & Revenue Analyst (Health Information Management, Coding) Baptist Memorial Health CareIntermediate Applications Access & Revenue Analyst (Health Information Management, Coding)Memphis, TNAnalyzes problems, recommends improvement and develops appropriate action plans utilizing Baptist Management System Tools to promote transformation and ensure successful implementation. Perform workflow assessments, capture business needs and analyze internal business system to determine functional requirements for optimal utilization.
Coding Specialist (Cardiology E/M Coding Exp Required) - Remote Vanderbilt HealthCoding Specialist (Cardiology E/M Coding Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). 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 individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist, PRN (Inpatient Coding Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist, PRN (Inpatient Coding Exp Required) - RemoteNashville, TNRemoteDiscover 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 individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
Coding Specialist (Cardiology E/M Coding exp required) - REMOTE Vanderbilt University Medical CenterCoding Specialist (Cardiology E/M Coding exp required) - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). 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 individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist (Ortho Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Ortho Coding exp required) - REMOTENashville, TNPosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Senior Coding Specialist, PRN (Inpatient Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist, PRN (Inpatient Coding exp required) - REMOTENashville, TennesseeRemoteDiscover 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 individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
Manager of Coding Operations Quorum Health CorporateManager of Coding OperationsBrentwood, TennesseeRemoteDemonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
Internal and Family Medicine - Certified Coding Specialist - Full Time Murfreesboro Medical Clinic PAInternal and Family Medicine - Certified Coding Specialist - Full TimeMurfreesboro, TNThis role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff. The Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.
Manager of Coding Operations 2822-QHC ARM Shared ServicesManager of Coding OperationsBrentwood, TNRemotePart timeDemonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
WVUH - Professional Coding Auditor-Educator West Virginia University MedicineWVUH - Professional Coding Auditor-EducatorTNEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Supervisor-Coding Baptist Memorial Health CareSupervisor-CodingMemphis, TNMinimum Required Experience Minimum of three years leadership or supervisory and coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD and CPT experience in an acute care facility. Job Summary The Supervisor-Coding I is responsible for leading a team of professional coders to ensure timely, accurate, and compliant coding of medical records for billing and reporting purposes.
Profee Coding Auditor HCA HealthcareProfee Coding AuditorBrentwood, TNOur services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
NewAssociate Director of Inpatient Coding (CCS, RHIT, or RHIA cert required) - REMOTE Vanderbilt University Medical CenterAssociate Director of Inpatient Coding (CCS, RHIT, or RHIA cert required) - REMOTENashville, TennesseeRemoteThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. 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 individuals who come to work each day with the simple aim of changing the world.
NewAssociate Director Of Inpatient Coding (Ccs, Rhit, Or Rhia Cert Required) - Remote Vanderbilt HealthAssociate Director Of Inpatient Coding (Ccs, Rhit, Or Rhia Cert Required) - RemoteNashville, TNRemoteThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. 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 individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist (Plastic Surgery Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist (Plastic Surgery Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Hospital Coding Specialist III West Tennessee Healthcare System LLCHospital Coding Specialist IIITNMakes data entry in the coding software for Clinical Documentation Improvement (CDI) reviews to effectively communicate with CDI Specialists regarding differences in DRG assignment, Mortality reviews and Quality reviews including Patient Safety Indicators (PSI's) and Hospital Acquired Conditions (HAC's). Essential Job Functions: Strongly knowledgeable of the ICD-10 Official Guidelines for Coding and Reporting provided by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS) and the American Medical Association (AMA) CPT Coding Guidelines.
NewVendor Resource Management Coding Manager HCA HealthcareVendor Resource Management Coding ManagerNashville, TNThe VRM Pro-Fee Manager ensures Vendor inventory is monitored daily; ensures queue concerns or resource changes are communicated to CCU as needed; ensures coder productivity and daily/weekly/monthly completion volumes are tracked and monitored. The VRM Pro-Fee Manager plans, assigns and directs the coding workflow between Vendors and CCU; actively monitors employee and vendor performance; addresses complaints and resolves problems; and actively monitors production and quality control efforts.
Associate Director of Inpatient Coding Vanderbilt University Medical CenterAssociate Director of Inpatient CodingNashville, TNThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. 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 individuals who come to work each day with the simple aim of changing the world.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationTN$121,680–$182,520 / yearThe Director, Client Coding Integrations serves as a strategic leader responsible for driving successful onboarding, integration, and ongoing optimization of coding operations across assigned client partnerships. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Senior Compliance Coding Auditor Wellpath IncSenior Compliance Coding AuditorFranklin, TNTuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans. Demonstrated experience performing complex E/M, primary care, chronic disease management, behavioral health, and/or medication-assisted treatment (MAT) audits using AMA CPT, ICD-10-CM, HCPCS, and CMS guidance.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorMemphis, TennesseeRemoteThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Inpatient Hospital Reimbursement & Coding Specialist Iii, Remote Erlanger HealthInpatient 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.
Auditor-Internal Coding Senior Baptist Memorial Health CareAuditor-Internal Coding SeniorMemphis, TNMinimum: Three years coding or related experience demonstrating skill and proficiency in IP and OP coding with at least five years’ experience in an acute care facility. Performs independent and objective assurance and consulting activities designed to add value and improve revenue cycle BMHCC operations.
NewSenior Coding Specialist, Neurology E&M - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist, Neurology E&M - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Managed Services - Revenue Cycle Coding - Senior Manager PwCManaged Services - Revenue Cycle Coding - Senior ManagerNashville, TN$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Program Facilitator - Computer Coding CoreCivic IncProgram Facilitator - Computer CodingTNPlan, conduct or facilitate workshops, and group activities specific to programs by facilitating group discussions, lecturing, demonstrating, and using audio and/or visual aids and other material to supplement program curriculum. The Program Facilitator conducts various programs in a group setting to inmates/residents assigned to residential and non-residential programs.
Director of Codes Engineering Amrize LtdDirector of Codes EngineeringNashville, TNEstablish and nurture strong working relationships with key departments across Elevate including R&D, Product Management, Field Technical Services, Marketing and Sales, as well as within Amrize BE, external test laboratories, and prominent industry associations. Reporting to the Senior Vice President of Technology, this position partners with other key departments throughout Elevate and Amrize BE to drive timely, sales-driven, and cost-effective execution; ensuring alignment with the organization's overarching strategic vision.
Quality/ASME Code Engineer MAT Holdings IncQuality/ASME Code EngineerJackson, TNWorld class domestic manufacturing facilities allow MAT Industries to offer high quality air compressors, air tools, and accessories to retailers under brands such as Powermate, Industrial Air, Industrial Air Contractor, and Sanborn as well as private label. Ability to multi-task, prioritize and work with a large variety of individuals, including production personnel, maintenance personnel, manufacturing engineers, management and outside contactors.
Remote Medical Biller SYDIERA Healthcare StaffingRemote Medical BillerNashville, TennesseeRemoteThis role supports healthcare providers by helping manage insurance claims, patient billing, coding processes, and revenue cycle operations. Previous medical billing, medical coding, healthcare administration, or customer service experience is a plus but not required.
Patient Financial Services Rep I - (Hospital Billing) West Tennessee Healthcare System LLCPatient Financial Services Rep I - (Hospital Billing)Jackson, TNDemonstrate proficiency in at least one or more of the following: Billing processes of at least one specific payer's billing and collection practices; Account Follow-Up processes of at least one specific payer's billing and collection practices including credit balance resolution; Denials management processes to include denial/claim research, filing appeals, and resolution of denied patient accounts; Payment Posting and Cash Reconciliation processes; Self-Pay Processing / Customer Service including qualifying accounts for charity care, bad debt, and credit balance resolution. ESSENTIAL JOB FUNCTIONS: Reviews institutional and professional claims for appropriate use of procedure, modifiers and diagnostic codes to ensure maximum reimbursement using electronic billing systems and in-house computer systems to edit, modify, or change information on the UB04 and CMS-1500 claim forms for Medicare, Medicare Advantage, Medicaid/TennCare, BCBS, Commercial, and/or other third-party payers.
NewDRG Validator/Reviewer (REMOTE) EnableComp LLCDRG Validator/Reviewer (REMOTE)Franklin, TNRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management.
NewPatient Services Rep, Blount Medical Park-Joule St, Full-Time, Days Prisma HealthPatient Services Rep, Blount Medical Park-Joule St, 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.
NewBilling Integrity Analyst RN HCA Healthcare IncBilling Integrity Analyst RNBrentwood, TNCoordinates updates (activate, inactivate, modification) with Ancillary Departments as necessaryPerforms assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities. Submit your application for the opportunity below: Billing Integrity Analyst RN Job Summary and Qualifications The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation.
Oral Maxillofacial Surgery Profee Coder HCA HealthcareOral Maxillofacial Surgery Profee CoderBrentwood, TNYou 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. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Trauma Surgical Profee Coder HCA HealthcareTrauma Surgical Profee CoderBrentwood, TNYou 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. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.