Post job

Erlanger Health System Remote jobs - 25 jobs

  • HR - Benefits Analyst - Full Time - Hybrid

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    This job administers employee benefit programs included, but not limited to, medical, dental, vision, life, and retirement. Performs system processing including enrollment, event processing, and data audits. Education: Required: Bachelor's degree in business administration, human resources, or related field. High school diploma with an additional four years of benefits administration experience accepted in lieu of bachelor's degree. Preferred: N/A Experience: Required: 3 - 5 years of comprehensive experience in benefits administration and processing. Preferred: * Experience working in a hospital or healthcare environment. * Working knowledge of PeopleSoft software. Knowledge, Skills, and Abilities: * Sound knowledge of benefit regulations, including but not limited to ERISA, COBRA, IRS, ACA, etc. * Self-motivated, detail oriented, and ability to manage multiple competing priorities simultaneously. * Aptitude for troubleshooting system integrations, reporting and benefit event processing. * Strong analytical skills and proficiency in data analysis. * Strong collaboration skills to work effectively in a team-based environment. * Proficiency in Microsoft Office Suite including advanced proficiency in Excel. * Ability to research, interpret, and resolve complex benefits issues. * Excellent written and verbal communication skills, with the ability to interact effectively with varying levels of individuals within the organization and external vendors. * High level of integrity with the ability to maintain a high level of confidentiality. Position Requirement(s): License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: Supports the day-to-day administration and compliance of Erlanger's health and welfare and retirement programs. Manages benefit enrollment process and events for new hires, qualified life events, and annual enrollment. Ensures benefit programs and administration maintain compliance with Plan documents, policies, and regulations. Identifies and recommends process optimization and opportunities to streamline and enhance efficiency. '277117
    $51k-63k yearly est. 29d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Outpatient Hospital Reimbursement & Coding Specialist III, Remote

    Erlanger 4.5company rating

    Tennessee jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY 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. Inpatient Coding - Must code all types of adult and pediatric Inpatient cases including long length of stays, mortality, trauma, L&D, NICU, and normal newborns. Outpatient Coding - Must code all types of outpatient cases includes, ED, outpatient, OBS, Same Day Surgery. Detailed responsibilities: 1. 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. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and on inpatient cases present on admission (POA) indicators. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: - Adherence to Health Information Management (HIM) Coding policies. - Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures. OP coding validates reason for visit and IP validates admit diagnosis. - Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. - Responsibility for maintaining coding certification and knowledge referencing diagnosis and procedural coding classification system coding guidelines and regulatory changes. - Contacts the appropriate department or physician for assistance in obtaining physician clarification of Diagnoses and procedures. - Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD 10 PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. 6. Knowledge of clinical content standards. Education: Required: - Validation of coding certification, i.e., specialty focus such as ICD-10-CM coding, ICD-10-PCS, CPT coding, and billing practices from an accredited program. Preferred: - BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: - Must demonstrate knowledge of coding to support this position. - Ability to follow standard practices in coding and reimbursement. - Demonstrate the knowledge of optimization of coding for reimbursement. - Computer literate in a windows environment, also basic word processing skills, knowledge of MS Office and a basic graphics package. - Possess excellent communication skills both written and oral. - Demonstration of sound judgment and organizational ability. - Ability and knowledge to maintain a quality and quantity standard in coding. - Must have 4 years of coding experience in an acute care hospital. Preferred\: - Level 1 Academic medical center experience Position Requirement(s)\: License/Certification/Registration Required: - RHIT, RHIA, CCS, CPC, or CPC-H Preferred: - N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient encounters or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to accomplish assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned.
    $51k-64k yearly est. Auto-Apply 60d+ ago
  • Behavioral Health Associate

    Spectra Health 4.6company rating

    Grand Forks, ND jobs

    JOB TITLE: Behavioral Health Associate Fair Labor Standards Act (FLSA) Status: Non-Exempt Reports to: Integrated Care Director JOB SUMMARY: The Behavioral Health Associate provides administrative support and customer service to promote a welcoming and safe environment for patients receiving substance use disorder treatment or behavioral health services at Spectra Health. The BHA is responsible for assisting with day-to-day operations of the BH and SUD teams. Key duties include patient scheduling and registration, ensuring patient information in electronic medical records is accurate, follow-up phone calls to patients requesting appointments, and assisting with accurate and timely completion of required documents. The BHA will be available during group sessions, to assist with patient needs as they arise. ORGANIZATIONAL PHILOSOPHY: Privacy & confidentiality: Maintain strict adherence to privacy and confidentiality protocols, ensuring the protection of both patient and employee information in accordance with Spectra Health's policies. Champion organizational values: Promote and embody Spectra Health's core values of Compassion, Trust, Respect, Equity, and Inclusivity in all interactions and decision-making processes. Culture of safety: Foster a culture of safety; proactively addressing hazards, incidents, and security concerns while contributing to a positive and safe work environment for employees and patients. Teamwork & collaboration: Approach teamwork with a positive and collaborative mindset, building strong relationships across departments and sharing knowledge and experiences to enhance overall organizational effectiveness. Be part of the solution: Actively support organizational change, offering solutions, participating in leadership initiatives, and championing efforts that align with Spectra Health's evolving mission and goals. Patient-centered decision making: Prioritize the best interests of Spectra Health's patients, ensuring quality care and positive outcomes. Training & meetings: Complete mandatory training requirements and attend at least 80% of departmental meetings to stay informed and aligned with organizational goals and policies. Policy adherence & compliance champion: Strictly adhere to all Spectra Health policies and procedures, and act as a departmental advocate for Spectra Health's Compliance Program activities. ESSENTIAL JOB FUNCTIONS: Collaborates with all behavioral health providers to coordinate care for patients. Attends integrated care team meetings Engages in team-based communication within and between departments to support integrated care. Complete screening tools such as the PRAPARE Accurately documents patient contacts in the EMR. Engages in verbal de-escalation as needed. Is accessible and visibly present to members of the care team during clinic hours. Greet all patients, visitors, and co-workers in a professional, friendly, and respectful manner. Answer incoming phone calls and communicate courteously and effectively on the phone. Transfer calls appropriately and record accurate messages as needed. Available to assist team as needed to ensure smooth workflow and efficiency of patient appointments. Schedule patient appointments. Facilitate patient registration and the patient appointment process from check-in through check-out, including group visits. Verify and update patient demographics at the time of patient visits. Verify current insurance and co-pay information, collecting copayments, nominal fees, and balances due as applicable. Keep complete and accurate records of patient information in the appropriate medical records system. Is accessible and able to assist care team during groups visits as needed. Ensure patient completion of required paperwork and screening instruments prior to appointments. Facilitates incoming referrals and patient requests for appointments with LAC/BHC. Communicate effectively with external community partners. Assist with the distribution of courier mail and faxes to appropriate people. Make reminder calls to patients for upcoming appointments. Resolve registration issues in the medical records system as needed. Contribute to organizational improvement activities by maintaining satisfactory performance on Departmental key performance indicators (KPIs). Perform other duties as assigned. JOB QUALIFICATIONS: Required: High school diploma or the equivalent Basic knowledge of Windows and Office Applications Experience with verbal crisis de-escalation Previous experience in a behavioral health and/or healthcare setting Preferred: Associate degree or higher in psychology, human services or related field Strong crisis intervention skills PHYSICAL REQUIREMENTS: The Behavioral Health Associate is primarily a desk job that requires the ability to sit for long periods of time (up to 8 hours) at a desk or workstation. Periodically, the position requires lifting or carrying items that would be appropriate in an office environment, not more than 50 pounds. REMOTE WORK: The Behavioral Health Associate position is not eligible for full-time or hybrid remote work. For more information about remote work, please see HR Policy 1.28 - Remote Work. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Spectra Health provides job opportunities, salaries and benefits, training, promotions, facilities, and other conditions of employment without discrimination based on race, color, national origin, religion, sex, age, disability, genetic information, or any other characteristic protected by federal or state laws. Spectra Health does not retaliate against applicants, employees, or former employees for filing a charge or complaint of discrimination, participating in a discrimination investigation or lawsuit, or opposing discrimination. Job Posted by ApplicantPro
    $38k-42k yearly est. 21d ago
  • Open House Job Fair! January 29th 10am-3pm

    Emerson Hospital 4.4company rating

    Concord, MA jobs

    2026 is here! Your future employer, Emerson Health, is looking to recruit new members. We are looking to fill a variety of positions from Nursing, Allied Heath and Service areas! Full Time, Part Time and Per Diem opportunities available. Please come visit the Talent Acquisition Specialists and hiring managers on Thursday, January 29th during our open-house job fair and start your 2026 with a new opportunity! Let today be the start of something new. Location: 133 Old Road to Nine Acre Corner, Concord, MA Cheney A Conference Room January 29th, 10am-3pm
    $32k-37k yearly est. 7d ago
  • Revenue Integrity Supervisor, Physician Billing - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY The revenue integrity supervisor is a critical role responsible for optimizing professional services revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Through a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identifying meaningful opportunities to improve and work closely with physician leadership and partnering with compliance to provide education and training. This position will also provide ongoing communication through reports & regular presentations as well as handling intake of requests and potential improvement opportunities. Supervises the revenue integrity team to ensure complete, compliant, and timely professional services charge description master updates for the health system. Leads and supervises the revenue integrity projects related to integration of new specialties or changes in workflow that impact multiple departments. Plans, coordinates, monitors, and manages the workflows ensuring effective and efficient daily operations of the Revenue Integrity team. Provides training and education to employed and contract billable providers regarding charge selection/entry and documentation requirements. Ensures billable charges are captured and oversees data analytics and management reporting. General Duties: * Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings, provide education to both providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue Cycle IT teams. Reports on potential compliance issues for further analysis and follow-up to the compliance department. * CDM Optimization: Works to ensure a compliant CDM. Works with existing tools to evaluate CDM requests with focus on regulatory coding, compliance, and adherence to Erlanger internal guidelines regarding CDM maintenance, standard naming conventions and pricing integrity. * Department Education: In collaboration with the compliance department and coding department, provides education to clinical department staff, physicians, APP s, and coder regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliant use. * Project Management: Leads projects to improve revenue capture, increase inefficiencies in the charge capture process, and reduce provider burden with the charging process. * Financial Analysis: Performs basic financial analysis to report the impact of charge capture practice changes and corrections to current practice. * Issue resolution: Through the combination of EPIC WQ s, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions. * Plans, coordinates, monitors, and manages the workflows for Revenue Integrity. * Investigate trends and education to employed and contract billable providers regarding charge capture, charge reconciliation, and billing/coding guidelines. * Assist clinical departments with the deployment and continuous performance improvement efforts, for accurate and compliant charge capture and revenue reporting and analysis and reduce revenue leakage. * Identifies relevant regulatory and contractual terms and maintains standardization among CDM and charge capture processes through the Health System. Knowledge, Skills & Abilities: * Proficient in hospital and professional revenue cycle operations. * Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. Ability to analyze revenue data and identify trends and opportunities and the ability to present such data to a variety of audiences. * Adopts a philosophy consistent with Erlanger Health's Mission, Vision, and Values, and models these standards. * Strong interpersonal skills facilitate seamless communication with the clinical staff, and faculty. * Solid understanding of coding conventions and current third-party payer rules and regulations. * Current knowledge of third-party payer rules and regulations. * Knowledge of management and supervision and the ability to organize staff work. * Knowledge and understanding of computers to confidently monitor and obtain information from electronic medical records and database systems. * Ability to work independently and demonstrate problem-solving skills. * Ability to apply critical thinking skills to complex issues and situations. * Knowledge and understanding of the requirements for complete medical records per Erlanger Health Bylaws, rules and regulations, DNV, Federal, State, and regulatory body regulations. * Demonstrates command of written and telephone communication skills. * Ability to maintain confidentiality and adhere to federal, state, HIPAA, and hospital policy in regard to privacy of patient health information. * Organizational skills to effectively demonstrate ability to prioritize during job performance. * Knowledge of window operating systems, Microsoft Office products, Electronic Health Record System, Document Imaging System and office equipment. Education: Required: * High school graduate or equivalent. * CPI Annual/Biannual training if applicable. * Must have working-level knowledge of the English language, including reading, writing, and speaking English. Preferred: * Associates or Bachelor's degree in business administration, Finance, or related field Experience: Required: * 5 years experience in management of clinical billing or healthcare experience required with extensive knowledge of ICD-10-CM and CPT coding principles. * Good organizational, written, and verbal communication skills. Preferred: * N/A Position Requirement(s): License/Certification/Registration Required: * Certified Professional Coder (CPC), or Certified Outpatient Coder (COC), or Certified Coding Specialist, or Registered Health Information Technician (RHIT), or Registered Health Information Administrator. Preferred: * Certified Revenue Integrity/Cycle as RCMS, or CHRI, or CRCS. '274096
    $54k-68k yearly est. 60d+ ago
  • Revenue Integrity Analyst, Physician Billing - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for the professional services team by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. This position is responsible for uncovering root causes and developing a correct action plan. Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes. General Duties: Charge Master * Evaluates current charging processes to diagnose the root cause of any charge inefficiencies and ensures standard charge practices are implemented. * Analyzes changes to coding and billing rules and regulations and using independent decision making to ensure appropriate updates to CDM and charge processes are implemented. * Prepare and present quarterly and annual CPT/HCPCS changes, annual pricing updates and provide education material and presentation. * Conduct thorough research to ensure the Charge Description Master (CDM) is maintained regularly. * Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of the charge master. Operational Improvement * Collaborates with stakeholders in revenue enhancement projects as needed. * Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives. * Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems. Responsible for problem solving and resolution of complex claim edits. * Stay up to date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team. * Perform Quality Assurance on team members, as needed. * Trending and analysis of key data to identify areas for additional education. Charge Capture * Serves as subject matter expert (SME) of charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff. * Diagnoses root cause issues of charge problems and provide education for best practice recommendations for improvement. * Conduct root cause analysis on late charge reporting and provide education for timely charge capture. * Ensure effective monitoring and internal control processes in place to improve revenue capture. * Identify operational performance and revenue opportunities through detailed data review. * Ensure effective monitoring and reporting control processes in place to improve performance. * Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans. Knowledge, Skills & Abilities: * Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success. * Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. * Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently. * Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly. * Adopts a philosophy consistent with Erlanger Health's Mission, Vision, and Values, and models these standards. * Strong interpersonal skills facilitate seamless communication with the clinical staff, and faculty. * Solid understanding of coding conventions and current third-party payer rules and regulations. * Current knowledge of third-party payer rules and regulations. * Knowledge of management and supervision and the ability to organize staff's work. * Knowledge and understanding of computers to confidently monitor and obtain information from electronic medical records and database system. * Ability to work independently and demonstrate problem-solving skills. * Ability to apply critical thinking skills to complex issues and situations. * Knowledge and understanding of the requirements for complete medical records per Erlanger Health Bylaws, rules and regulations, DNV, Federal, State, and regulatory body regulations. * Demonstrates command of written and telephone communication skills. * Ability to maintain confidentiality and adhere to federal, state, HIPAA, and hospital policy in regards to privacy of patient health information. * Organizational skills to effectively demonstrate ability to prioritize during job performance. * Knowledge of windows operating system, Microsoft Office products, Electronic Health Record System, Document Imaging System and office equipment. Education: Required: * High school graduate or equivalent. * CPI Annual/Biannual training if applicable. * Must have working-level knowledge of the English language, including reading, writing, and speaking English. Preferred: * Associates or Bachelor's Degree in Business Administration, Finance, or related field Experience: Required: * 3-5 years related experience required with extensive knowledge of ICD-10-CM and CPT coding principles. * Good organizational, written, and verbal communication skills. Preferred: * N/A Position Requirement(s): License/Certification/Registration Required: * Certified Professional Coder (CPC), or Certified Outpatient Coder (COC), or Certified Coding Specialist, or Registered Health Information Technician (RHIT), or Registered Health Information Administrator. Preferred: * Certified Revenue Cycle Specialist, RCMS, or CHRI, or CRCS Department Position Summary: The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for the professional services team by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. This position is responsible for uncovering root causes and developing a correct action plan. Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes. '274076
    $61k-92k yearly est. 60d+ ago
  • Certified Medical Assistant/CMA - Alliance Women's Healthcare Clinic - Full-Time, Days

    Texas Health Resources 4.4company rating

    Remote

    Certified Medical Assistant/CMA - Alliance Women's Healthcare Clinic - Full-Time, Days - (26000246) Description Certified Medical Assistant/CMA - Alliance Women's Healthcare Clinic - Full-Time, DaysBring your passion to Texas Health so we are Better + Together**Sign-On for Eligible New Hires** Work location: 10600 North Riverside Drive, Alliance, TX 76244Work hours: Full-time, 40 hours weekly, Monday thru Friday, 8:00am - 5:00pm Alliance Women's Healthcare Clinic Highlights:If you have strong leadership and time management skills, this is the job for you!Our team has strong teamwork & collaboration Our clinic thrives in quickly learning new tasks and information Compassion and empathy to our patients and the team Qualifications Here's What You NeedHigh School Diploma or equivalent (required) CMA - Current Medical Assistant Certification Upon Hire (required) Medical Assistant experience (strongly preferred) OB/GYN experience (strongly preferred) ACLS or BCLS (preferred) NCT - Non-Certified Radiologic Technician training may be required upon hire (preferred) Ability to perform EKGs, draw blood and administer injections Basic computer skills using medical management application systems Effectively communicate with staff and patients Thorough knowledge of the meaning and use of medical terminology and abbreviations Demonstrate sound judgement in emergency situations Take appropriate action in urgent circumstances Maintain a positive, customer-focused attitude toward staff and patients Possess a strong work ethic and always display a high level of professionalism What You Will DoDelivers care to patients utilizing the Certified Medical Assistant ProcessPerforms general patient care by following established standards and procedures. Greets and prepares patients for the health care provider. Obtains and records vital signs including, but not limited to: blood pressure, temperature, pulse, respiration, height, weight, drug allergies, and current medications and presenting problem. Administers ordered medications and/or vaccines via oral, injection, topical, rectal, ophthalmic, and/or inhalant administration. May be required to draw and collect blood samples from patients and prepare specimens for laboratory analysis as well as perform routine tests such as EKG. Schedules patients for diagnostic testing and follows up to ensure completion of testing. Documents patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Communicates with patient regarding test results and plan of care by phone or mail as directed by physician. Prepares, cleans, and sterilizes instruments and maintains equipment, disposing of contaminated items according to protocol. Keeps patient exam rooms stocked, clean and orderly. Escalates non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). Ensures safety checklists/quality controls are completed as required. Provides for patient safety and protection of patient privacy rights. May work in the front office as needed, as well as perform other duties as assigned by practice manager, more senior staff, or as requested by healthcare provider(s). Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. Learn more about our culture, benefits, and recent awards. Entity Highlights:Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex. THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together!Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth. org. #LI-CT1 Primary Location: AllianceOther Locations: Pecan Acres, Southlake, Dish, Coppell, Fairview, Double Oak, Krum, Newark, Copper Canyon, Rhome, Justin, Trophy Club, Watauga, North Richland Hills, New Fairview, Keller, Lake Dallas, Northlake, Azle, Highland Village, Lewisville, Argyle, Haslet, Ponder, Saginaw, Blue Mound, Denton, Corral City, Flower Mound, Grapevine, Roanoke, Bartonville, Westlake, Eagle MountainJob: Certified Medical AssistantOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Job Posting: Jan 20, 2026, 1:00:36 AMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time
    $28k-34k yearly est. Auto-Apply 1d ago
  • Athletic Trainer - Sports Medicine - PRN, Rotating Schedule

    Texas Health Resources 4.4company rating

    Remote

    Athletic Trainer - Sports Medicine - PRN, Rotating Schedule - (25013394) Description Athletic Trainer - Sports Medicine - PRN, Rotating Schedule Bring your passion to Texas Health so we are Better + Together Work environment: Rotating to Various Community Locations Work hours: PRN; Rotating Schedule, including Nights and Weekends Sports Medicine Department Highlights: Flexible Schedule Annual Success Sharing Bonus 401K match for PRN employees Qualifications Here's What You Need Bachelor's Degree (required) LAT - Licensed Athletic Trainer Upon Hire (required) BCLS Upon Hire and maintained Quarterly (required) Six months' Athletic Trainer Experience (preferred) Good communication skills, self-directed What You Will Do Prevent and treat injuries using appropriate medical protocols; assist in developing and monitoring rehabilitation and conditioning programs, using physical therapy modalities. Apply preventative and protective devices: customize and fabricate preventative and devices for specialized needs. Work with companies to supply necessary care established in contractual agreements. Establish preliminary care plan: complete injury evaluation for referral to appropriate health care provider. Assists department with program development, training new hires, timely monthly reports; Coordination of MD/NP for onsite lectures/visits. Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. Learn more about our culture, benefits, and recent awards. Entity Highlights: Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex. THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together! Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org. #LI-CT1 Primary Location: DallasOther Locations: Hurst, Pecan Acres, McKinney, Talty, Double Oak, Hebron, Lucas, Hawk Cove, Allen, Paradise, Boyd, Van Alstyne, North Richland Hills, Dennis, Caddo Mills, Edgecliff Village, Azle, Highland Village, Willow Park, Red Oak, Ponder, University Park, The Colony, Briaroaks, McLendon Chisholm, Pelican Bay, Aledo, Millsap, Richland Hills, Chico, Farmers Branch, Josephine, Rowlett, Everman, Hutchins, Midlothian, Watauga, Burleson, Cedar Hill, Mansfield, Combine, Celina, Nevada, Saginaw, Weston, Reno, Quinlan, West Tawakoni, Sherman, Fate, Keene, Mobile City, Sunnyvale, White Settlement, Alvarado, Cooper, Krum, Newark, Corinth, River Oaks, Rhome, Westover Hills, Forest Hill, Knollwood, New Fairview, Alliance, Fort Worth, Godley, Lake Dallas, Northlake, Duncanville, Argyle, Crandall, Corral City, Flower Mound, Glen Rose, Rosser, Plano, Wolfe City, Anna, Sanctuary, Aurora, Gun Barrel City, Lavon, Frisco, Oak Ridge, Lakewood Village, Oak Leaf, Sachse, Stephenville, Granbury, Cross Roads, Grays Prairie, Keller, Decatur, Haltom City, Lincoln Park, Cleburne, Lewisville, Shady Shores, Blue Mound, Bardwell, Grapevine, Crowley, Palmer, Scurry, Briar, Dish, Heath, Terrell, Pecan Hill, Mesquite, Blue Ridge, Irving, DeCordova, Lowry Crossing, Arlington, Springtown, Parker, Pilot Point, Melissa, Weatherford, Union Valley, Prosper, Ennis, Hudson Oaks, Richardson, Highland Park, Maypearl, Addison, Bridgeport, Eagle Mountain, Celeste, Fairview, Providence Village, Mineral Wells, Waxahachie, Rockwall, Venus, Benbrook, Campbell, Italy, Royse City, Post Oak Bend City, Milford, Kemp, Carrollton, Rendon, Murphy, Commerce, Ferris, Farmersville, Joshua, Sanger, Westlake, Colleyville, Cockrell Hill, Krugerville, Coppell, New Hope, Alvord, Copper Canyon, Garrett, DeSoto, Cool, Trophy Club, Kennedale, Westworth Village, Rio Vista, Alma, Wylie, Runaway Bay, Annetta, Lakeside, Euless, Oak Grove, Neylandville, Wilmer, Kaufman, Roanoke, Cottonwood, Glenn Heights, Lake Bridgeport, Cross Timber, Southlake, Greenville, Forney, Lancaster, Expedited, Balch Springs, Aubrey, Garland, Justin, Cresson, Grandview, Saint Paul, Oak Point, Bedford, Lake Worth, Seagoville, Pantego, Haslet, Grand Prairie, Little Elm, Denton, Leonard, Sansom Park, Ovilla, Bartonville, Hickory Creek, Dalworthington Gardens, Mabank, HackberryJob: Allied HealthOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Travel: NoJob Posting: Dec 26, 2025, 6:25:00 PMShift: RotatingEmployee Status: RegularJob Type: StandardSchedule: Per Diem
    $39k-48k yearly est. Auto-Apply 1d ago
  • Senior Compensation Analyst - Full Time - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    As a Human Resources Professional, the Senior Compensation Analyst works independently, managing multiple timelines and priorities. Provide salary recommendations to Recruiters and Leaders throughout organization. Conducts job and market analyses to determine pay range and Fair Labor Standards Act status of positions. Participate in salary surveys, conduct research and analysis on market competitiveness, pay equity, and compensation trends. Create pay grades when necessary relative to indented ranges. Investigate and resolve employee compensation related problems. Conduct wage and hour audits to ensure compliance with DOL Fair Labor Standards Act Regulations. Assures adherence to compensation policies, procedures and practices within organization. Create new job codes or reactivate former job codes and set-up new cost centers in HR PeopleSoft system; also update Tree Manager, and update managers in KRONOS System in absence of the Compensation Analyst. Supervise activities of the Compensation Analyst. Education: Required: Bachelor's Degree in related field. Preferred: N/A Experience: Required: Three years in Compensation or Human Resources field. Proficiency in research and data analysis. Strong problem-solving skills. Must possess excellent verbal, written, and presentation skills. Must have ability to work well under pressure, meet tight deadlines, and work independently with little or no supervision. Ability to use good judgment, have professional, tactful, and timely conflict-resolution skills. Exemplify good organizational skills with focus on details and appropriately prioritizes work. Proficiency with software applications, such as Microsoft Excel and Microsoft Word. Knowledge of PeopleSoft and Kronos Systems preferred. Preferred: Knowledge of the United States Department of Labor (DOL) Fair Labor Standards Act Regulations. Position Requirement(s): License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: The Senior Compensation Analyst conducts job and market analyses to determine pay range and Fair Labor Standards Act status of positions. Provide salary recommendations to Recruiters and Leaders throughout organization. Consult with new and existing leaders to address specific compensation related issues. Review and approve Associate Change Notifications (ACNs) when necessary. Provide resolution of salary and payroll issues. Assists Leaders across the organization with preparation of annual operating budgets. Assures adherence to compensation policies, procedures and practices within EHS departments. Work closely with TMD in preparation of across-the-board annual raises, compensation-related issues, and report writing. Create specialized reports for internal and external customers, upon request. Update and maintain various PeopleSoft Tables. Conduct wage and hour audits to ensure compliance with the Department of Labor (DOL) Fair Labor Standards Act Regulations relative to exemption status (exempt vs. non-exempt). Actively involved in the decision-making process for the Compensation Division. Exemplify good organizational skills, with focus on details and appropriately prioritizes work. Must have the ability to maintain a positive attitude and professional demeanor when confronted with adversity. The Compensation Analyst will handle confidential information in a professional manner and have a strong teamwork attitude. In absence of Compensation Analyst will: 1.) create new job codes or reactivate former job codes in HR PeopleSoft System, 2.) set-up new cost centers in HR PeopleSoft system, 3.) update PeopleSoft Tree Manager, and 4.) update KRONOS Manager in PeopleSoft system. Add new or updated s to HR's S-Drive and Taleo upon receipt from manager, and after reviewing for accuracy. Occasionally will need to create new s in manager's absence before adding to HR's S-Drive and Taleo. Supervises activities of the Compensation Analyst. Create and updates job description for compensation section. Responsible for interviewing/hiring of Compensation Analyst. #remote '272576
    $61k-78k yearly est. 60d+ ago
  • Physician Billing Coder I, Hybrid

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include office visits that may include basic injections, diagnostic tests, physical/occupational/speech therapy, hospital rounding visits. Responsibilities Include: * Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. * Provide various components of coding services to support our providers. * Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment. * Recognize critical care cases by patient acuity. * Apply ICD-10-CM diagnosis codes to the highest level of specificity available. * Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS * Interpret coding guidelines for accurate code assignment * Maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, MUE s, and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers * Identify the importance of documentation on code assignment and the subsequent reimbursement impact. * Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program. * Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to improve upon any areas of risk * Continually improve coding quality and accuracy. * Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM, CPT and/or HCPCS coding guidelines and regulatory changes. * Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses, CPT, and/or HCPCS. * Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record. * Provides ongoing feedback to physicians and other providers during charge review * Review and correct EPIC coder claim edits and eValuator edits as needed * Resolves payer denials and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. * Remain current on 3rd party payor reimbursement issues, Comply with all internal policies and procedures. * Actively participate in Company provided training and education. * Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information * This position must consistently meet or exceed productivity and quality standards as defined by department Leadership Education: Required: High School Diploma or equivalent. Preferred: Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program. Experience: Required: Must demonstrate knowledge of coding to support this position. Must be able to work well with people. Ability to follow standard practices in coding and reimbursement. Requires high level of concentration for extended periods of time. Data entry proficiency required. Software/computer experience and/or training. Strong PC experience utilizing Excel, MS Word and Adobe. Preferred: 1-year professional coding experience in a physician office or facility. Position Requirement(s): License/Certification/Registration Required: None, but ability to achieve a coding credential within 1 year of accepting position. Training will be provided. Preferred: RHIT, RHIA, CCA, CCS, CPC, or CPC-H CBCS is grandfathered in for staff currently working for Erlanger. Department Position Summary: The employee must demonstrate the knowledge and skills necessary to optimally code professional office, inpatient and outpatient facility encounters, as well as resolution of billing issues related to accurate coding. The employee must demonstrate knowledge of insurance reimbursement requirements. Must demonstrate the ability to work in a team by taking and giving direction and sharing in the responsibility of meeting team goals. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The associate will perform any other tasks as assigned. '249757
    $31k-37k yearly est. 60d+ ago
  • Physician Coder II - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include all visit types for a coder 1, plus office procedures, bedside procedures, and procedures using conscious sedation. Responsibilities include: * Provide various components of coding services to support our providers. * Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. * Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment. * Recognize critical care cases by patient acuity. * Apply ICD-10-CM diagnosis codes to the highest level of specificity available. * Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS * Interpret coding guidelines for accurate code assignment * Responsibility to maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, and MUE s. * Responsibility to maintain understanding and apply Medicare Teaching Physician Guidelines. * Applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers * Review and correct EPIC coder claim edits and eValuator edits as needed * Identify the importance of documentation on code assignment and the subsequent reimbursement impact. * Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program. * Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to minimize risk. * Continually improve coding quality and accuracy. * Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM and CPT coding guidelines and regulatory changes. * Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses CPT and/or HCPCS. * Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record. * Resolves payer denials and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. * Provides ongoing feedback to physicians and other providers during charge review * Comply with all internal policies and procedures. * Actively participate in Company provided training and education. * Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information * This position must consistently meet or exceed productivity and quality standards as defined by department Leadership The Associate must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes, CPT and/or HCPCS to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. Education: Required: * Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program Preferred: * BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program or possess a 4-year bachelor's degree from an accredited college Experience: Required: * Experience in a physician office or hospital HIM department minimum - 2 years actual coding experience in either environment. * Data entry and keyboard proficiency required. * Software/computer experience utilizing Excel, MS Word, and Adobe. Preferred: * Experience in E&M and/or surgical coding and physician office experience extremely helpful. * One year of EPIC systems experience. * Ability to Audit E/M Levels for correct assignment. Position Requirement(s): License/Certification/Registration Required: * Current registration as an CPC (CBCS is grandfathered in for staff currently working for Erlanger) Preferred: * Specialty coding certification Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code profession physician accounts including E/M Levels and Surgical CPT Code assignment as well as the ability to resolve all issues including charge and claim edits. The individual must demonstrate knowledge of the various payment / insurance reimbursement schemes for professional physician encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. '278498
    $184k-383k yearly est. 5d ago
  • Licensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, Days

    Texas Health Resources 4.4company rating

    Remote

    Licensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, Days - (25011364) Description Licensed Vocational Nurse/LVN - Heart & Vascular Specialists Clinic - Full-Time, DaysBring your passion to Texas Health so we are Better + Together Work location: Alliance - 10840 Texas Health Trail, Alliance/Keller, TX 76244Work hours: Full-time, 40 hours weekly, Monday thru Friday, 8:00am - 5:00pmTravel: 25% to surrounding clinics as needed (mileage reimbursement provided) Heart & Vascular Specialists Clinic Highlights:Strong teamwork and collaboration Fast-paced, high volume inbound/outbound calls Compassion and empathy to our patients and the TeamJoin an innovative team working towards making healthcare more accessible, integrated, and reliable Qualifications Here's What You NeedLVN - Licensed Vocational Nurse Upon Hire (required) Accredited School of Practical Nursing Program (required)6 months LVN experience (strongly preferred)1 year LVN experience (preferred) Proficient IV insertion and ECG rhythms experience (strongly preferred) ACLS or BCLS (required upon hire) Knowledge of basic nursing processes and understanding of healthcare technology, equipment, and supplies Knowledge of state law on nursing care, nurse practice guidelines, and clinic policies and procedures Ability to effectively communicate to staff and patients Demonstrate sound judgment and composure Ability to take appropriate action in questionable or emergency situations Maintain a positive, caring attitude towards staff and patients Possess a strong work ethic and a high level of professionalism Efficient time management skills What You Will DoDelivers care to patients utilizing the LVN ProcessPerforms basic nursing care for patients by following established standards and procedures. May perform specific nursing care as it relates to specialty of the practice. Collects patient data such as vital signs, notes how the patient looks and acts or responds to stimuli and reports this information accordingly. Prepares and administers injections, performs routine tests, treats wounds and changes bandages. 10%Prepares patient records and files using established medical record forms/automated systems and documentation practices. Administers certain prescribed medications and monitors and documents treatment progress and patient response. Participates in the implementation and evaluation of patient care based on practice guidelines, standards of care, and federal/state laws and regulations. Monitors and documents treatment progress and patient response. Conveys information to patients and families about health status, health maintenance, and management of acute and chronic conditions. Participates in teams to improve patient care processes and outcomes. Performs other duties as assigned. Additional perks of being a Texas Health employee Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice. Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. Learn more about our culture, benefits, and recent awards. Entity Highlights:Texas Health Physicians Group includes more than 1,000 physicians, nurse practitioners and physician assistants dedicated to providing quality, patient-safe care at more than 240 offices located throughout the DFW Metroplex. THPG members are active in group governance and serve on multiple committees and councils. Ongoing Texas Health initiatives, like the Diversity Action Council and Living the Promise, have helped to create an inclusive, supportive, people-first, excellence-driven culture and workplace, making THPG a great place to work. If you're ready to join us in our mission to improve the health of our community, then let's show the world how we're even better together! Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth. org. #LI-CT1 Primary Location: AllianceOther Locations: Pecan Acres, Southlake, Dish, Krum, Newark, Copper Canyon, Rhome, Justin, Trophy Club, Boyd, Watauga, Springtown, North Richland Hills, Keller, Fort Worth, Decatur, Lake Dallas, Northlake, Azle, Highland Village, Lewisville, Argyle, Haslet, Ponder, Saginaw, Blue Mound, Denton, Corral City, Flower Mound, Grapevine, Sansom Park, Roanoke, Westlake, Eagle MountainJob: LVNOrganization: Texas Health Physicians Group 9250 Amberton Parkway TX 75243Travel: Yes, 25 % of the TimeJob Posting: Jan 13, 2026, 1:15:47 AMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time
    $39k-53k yearly est. Auto-Apply 1d ago
  • Behavioral Health Associate

    Spectra Health 4.6company rating

    Grand Forks, ND jobs

    JOB TITLE: Behavioral Health Associate Fair Labor Standards Act (FLSA) Status: Non-Exempt Reports to: Integrated Care Director JOB SUMMARY: The Behavioral Health Associate provides administrative support and customer service to promote a welcoming and safe environment for patients receiving substance use disorder treatment or behavioral health services at Spectra Health. The BHA is responsible for assisting with day-to-day operations of the BH and SUD teams. Key duties include patient scheduling and registration, ensuring patient information in electronic medical records is accurate, follow-up phone calls to patients requesting appointments, and assisting with accurate and timely completion of required documents. The BHA will be available during group sessions, to assist with patient needs as they arise. ORGANIZATIONAL PHILOSOPHY: Privacy & confidentiality: Maintain strict adherence to privacy and confidentiality protocols, ensuring the protection of both patient and employee information in accordance with Spectra Health's policies. Champion organizational values: Promote and embody Spectra Health's core values of Compassion, Trust, Respect, Equity, and Inclusivity in all interactions and decision-making processes. Culture of safety: Foster a culture of safety; proactively addressing hazards, incidents, and security concerns while contributing to a positive and safe work environment for employees and patients. Teamwork & collaboration: Approach teamwork with a positive and collaborative mindset, building strong relationships across departments and sharing knowledge and experiences to enhance overall organizational effectiveness. Be part of the solution: Actively support organizational change, offering solutions, participating in leadership initiatives, and championing efforts that align with Spectra Health's evolving mission and goals. Patient-centered decision making: Prioritize the best interests of Spectra Health's patients, ensuring quality care and positive outcomes. Training & meetings: Complete mandatory training requirements and attend at least 80% of departmental meetings to stay informed and aligned with organizational goals and policies. Policy adherence & compliance champion: Strictly adhere to all Spectra Health policies and procedures, and act as a departmental advocate for Spectra Health's Compliance Program activities. ESSENTIAL JOB FUNCTIONS: Collaborates with all behavioral health providers to coordinate care for patients. Attends integrated care team meetings Engages in team-based communication within and between departments to support integrated care. Complete screening tools such as the PRAPARE Accurately documents patient contacts in the EMR. Engages in verbal de-escalation as needed. Is accessible and visibly present to members of the care team during clinic hours. Greet all patients, visitors, and co-workers in a professional, friendly, and respectful manner. Answer incoming phone calls and communicate courteously and effectively on the phone. Transfer calls appropriately and record accurate messages as needed. Available to assist team as needed to ensure smooth workflow and efficiency of patient appointments. Schedule patient appointments. Facilitate patient registration and the patient appointment process from check-in through check-out, including group visits. Verify and update patient demographics at the time of patient visits. Verify current insurance and co-pay information, collecting copayments, nominal fees, and balances due as applicable. Keep complete and accurate records of patient information in the appropriate medical records system. Is accessible and able to assist care team during groups visits as needed. Ensure patient completion of required paperwork and screening instruments prior to appointments. Facilitates incoming referrals and patient requests for appointments with LAC/BHC. Communicate effectively with external community partners. Assist with the distribution of courier mail and faxes to appropriate people. Make reminder calls to patients for upcoming appointments. Resolve registration issues in the medical records system as needed. Contribute to organizational improvement activities by maintaining satisfactory performance on Departmental key performance indicators (KPIs). Perform other duties as assigned. JOB QUALIFICATIONS: Required: High school diploma or the equivalent Basic knowledge of Windows and Office Applications Experience with verbal crisis de-escalation Previous experience in a behavioral health and/or healthcare setting Preferred: Associate degree or higher in psychology, human services or related field Strong crisis intervention skills PHYSICAL REQUIREMENTS: The Behavioral Health Associate is primarily a desk job that requires the ability to sit for long periods of time (up to 8 hours) at a desk or workstation. Periodically, the position requires lifting or carrying items that would be appropriate in an office environment, not more than 50 pounds. REMOTE WORK: The Behavioral Health Associate position is not eligible for full-time or hybrid remote work. For more information about remote work, please see HR Policy 1.28 - Remote Work. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Spectra Health provides job opportunities, salaries and benefits, training, promotions, facilities, and other conditions of employment without discrimination based on race, color, national origin, religion, sex, age, disability, genetic information, or any other characteristic protected by federal or state laws. Spectra Health does not retaliate against applicants, employees, or former employees for filing a charge or complaint of discrimination, participating in a discrimination investigation or lawsuit, or opposing discrimination.
    $38k-42k yearly est. 21d ago
  • Benefits Analyst - Remote - Temporary

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    with a possible duration of 12-18 months This job administers employee benefit programs included, but not limited to, medical, dental, vision, life, and retirement. Performs system processing including enrollment, event processing, and data audits. Education: Required: Bachelor's degree in business administration, human resources, or related field. High school diploma with an additional four years of benefits administration experience accepted in lieu of bachelor's degree. Preferred: N/A Experience: Required: 3 - 5 years of comprehensive experience in benefits administration and processing. Preferred: * Experience working in a hospital or healthcare environment. * Working knowledge of PeopleSoft software. Knowledge, Skills, and Abilities: * Sound knowledge of benefit regulations, including but not limited to ERISA, COBRA, IRS, ACA, etc. * Self-motivated, detail oriented, and ability to manage multiple competing priorities simultaneously. * Aptitude for troubleshooting system integrations, reporting and benefit event processing. * Strong analytical skills and proficiency in data analysis. * Strong collaboration skills to work effectively in a team-based environment. * Proficiency in Microsoft Office Suite including advanced proficiency in Excel. * Ability to research, interpret, and resolve complex benefits issues. * Excellent written and verbal communication skills, with the ability to interact effectively with varying levels of individuals within the organization and external vendors. * High level of integrity with the ability to maintain a high level of confidentiality. Position Requirement(s): License/Certification/Registration Required: N/A Preferred: N/A Department Position Summary: Supports the day-to-day administration and compliance of Erlanger's health and welfare and retirement programs. Manages benefit enrollment process and events for new hires, qualified life events, and annual enrollment. Ensures benefit programs and administration maintain compliance with Plan documents, policies, and regulations. Identifies and recommends process optimization and opportunities to streamline and enhance efficiency. '277116
    $46k-55k yearly est. 29d ago
  • Inpatient Hospital Reimbursement & Coding Spec II - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY 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. * Inpatient coders are responsible for coding adult (lower acuity), pediatric inpatient cases, L&D, NICU, minor trauma and normal newborns. * Outpatient coders are responsible for coding outpatient diagnostic, emergency room visits, recurring accounts and low level same day surgery. Detailed responsibilities: 1. Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) on inpatient cases or Ambulatory Payment Classification (APCs) on outpatient cases for appropriate code assignment. 2. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts admission type, point of origin, discharge disposition, physicians, procedure dates and present on admission (POA) indicators on inpatient cases. 3. Reviews appropriate coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. 4. When documentation or valid order is incomplete, vague, or ambiguous, it is the responsibility of coder to work in conjunction with Leadership to utilize the appropriate physician clarification process to obtain additional information that provides a codeable diagnosis, procedure and/or physician order. 5. Outpatient coders are responsible for following charge verification processes and routing accounts based on missing, incomplete, or inaccurate charging. Other responsibilities include: * Adherence to Health Information Management (HIM) Coding policies. * Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures OP coding validates reason for visit and IP validates admit diagnosis. * Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy. * Responsibility for maintaining coding certification and knowledge referencing current diagnosis and procedural coding classification system coding guidelines and regulatory changes. * Contacts the appropriate department or physician for assistance in obtaining physician clarification of diagnoses and procedures. * Participates in performance improvement initiatives as assigned. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The coder must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM and ICD-10-PCS or CPT/HCPCS codes. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Accurate translation of written procedure descriptions to accurately assign ICD-10-PCS procedure codes for inpatient and CPT/HCPCs codes for outpatient accounts. 5. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges 6. Knowledge of clinical content standards. Education: Required: * Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program. Preferred: * BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program or possess a 4-year bachelor's degree from an accredited college Experience: Required: * Must demonstrate knowledge of coding to support this position * Ability to follow standard practices in coding and reimbursement * Demonstrate the knowledge of optimization of coding for reimbursement * Computer literate in a windows environment, also basic word-processing skills, knowledge of MS Office and a basic graphics package. * Possess excellent communication skills both written and oral. * Demonstration of sound judgment and organizational ability. Ability and knowledge to maintain a quality and quantity standard in coding. * Minimum experience in coding profession of two (2) years. Preferred: * Level 1 Trauma academic medical center experience License/Certification/Registration Required: * Current registration as an RHIT, RHIA, CCA, CCS, or CPC, CPC- H Preferred: * N/A Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code inpatient or outpatient encounters (based on team assigned). The individual must demonstrate knowledge of the various payment schemes for inpatient or outpatient encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. The associate must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. The associate will perform any other tasks as assigned. '278616
    $34k-41k yearly est. 3d ago
  • HR - Benefits Analyst - Full Time - Hybrid

    Erlanger 4.5company rating

    Tennessee jobs

    This job administers employee benefit programs included, but not limited to, medical, dental, vision, life, and retirement. Performs system processing including enrollment, event processing, and data audits. Education: Required\: Bachelor's degree in business administration, human resources, or related field. High school diploma with an additional four years of benefits administration experience accepted in lieu of bachelor's degree. Preferred\: N/A Experience: Required\: 3 - 5 years of comprehensive experience in benefits administration and processing. Preferred: -Experience working in a hospital or healthcare environment. -Working knowledge of PeopleSoft software. Knowledge, Skills, and Abilities: -Sound knowledge of benefit regulations, including but not limited to ERISA, COBRA, IRS, ACA, etc. -Self-motivated, detail oriented, and ability to manage multiple competing priorities simultaneously. -Aptitude for troubleshooting system integrations, reporting and benefit event processing. -Strong analytical skills and proficiency in data analysis. -Strong collaboration skills to work effectively in a team-based environment. -Proficiency in Microsoft Office Suite including advanced proficiency in Excel. -Ability to research, interpret, and resolve complex benefits issues. -Excellent written and verbal communication skills, with the ability to interact effectively with varying levels of individuals within the organization and external vendors. -High level of integrity with the ability to maintain a high level of confidentiality. Position Requirement(s)\: License/Certification/Registration Required\: N/A Preferred\: N/A Department Position Summary: Supports the day-to-day administration and compliance of Erlanger's health and welfare and retirement programs. Manages benefit enrollment process and events for new hires, qualified life events, and annual enrollment. Ensures benefit programs and administration maintain compliance with Plan documents, policies, and regulations. Identifies and recommends process optimization and opportunities to streamline and enhance efficiency.
    $51k-63k yearly est. Auto-Apply 29d ago
  • Coder III (Inpatient) - Days - Remote

    Texas Health Resources 4.4company rating

    Arlington, TX jobs

    Coder III (Inpatient) _Are you looking for a rewarding career with a top-notch healthcare company? We are looking for a qualified_ Coder III _like you to join our Texas Health Family_ **Work hours:** Flexible hours **HIMS Coding Department Highlights:** * 100% remote work * Flexible hours/scheduling * Terrific work/life balance **Here's What You Need** Education H.S. Diploma or Equivalent REQUIRED and Other Completion or training in ICD-10-CM/PCS coding program REQUIRED Associate's Degree Health Information Management, Nursing or other healthcare related field preferred or Bachelor's Degree Health Information Management, Nursing or other healthcare related field preferred Experience 3 Years Inpatient coding experience in a large, complex acute healthcare setting REQUIRED or Licenses and Certifications CCS - Certified Coding Specialist Upon Hire REQUIRED or Other CIC - Certifed Inpatient Coder Upon Hire REQUIRED or RHIT - Registered Health Information Technician Upon Hire REQUIRED or RHIA - Registered Health Information Administrator Upon Hire REQUIRED Skills Ability to analyze and validate documentation that supports accurate code assignment for complex inpatient cases utilizing available coding technology appropriately. Advanced knowledge and utilization of encoder software with usage of computer-assisted-coding software. Ability to apply definition of principal diagnosis to arrive at correct code, MS-DRG and POA assignment. Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines. Expertise in the application of coding convention guidelines in all levels of inpatient coding from complex to simple. Strong oral and written communication skills with the ability to initiate clear and concise queries to physicians. Advanced MS Office suite skills and encoder software. Moderate skills in computer-assisted-coding functions. Acts as a resource/mentor to less experienced coders with the ability to assess coding accuracy and provide feedback. Demonstrated strong decision making, problem solving and advanced critical thinking skills by applying coding concepts. **What You Will Do** * Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records. * Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines. * Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance. * Demonstrates and maintains adequate productivity and quality metrics as outlined in job description. * Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic. Additional perks of being a Texas Heath Coder * Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. * A supportive, team environment with outstanding opportunities for growth. * Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we've won and more. * **_Do you still have questions or concerns?_** Feel free to email your questions to recruitment@texashealth.org . _Do you still have questions or concerns?_ Feel free to email your questions to recruitment@texashealth.org . \#LI-JT1 Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities. We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
    $43k-52k yearly est. 14d ago
  • Physician Coder III, Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY REMOTE The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include all visit types for a coder I and coder II and includes coding of surgical cases. Responsibilities Include: * Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas * Provide various components of coding services to support our providers. * Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment. * Recognize critical care cases by patient acuity. * Apply ICD-10-CM diagnosis codes to the highest level of specificity available. * Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS * Interpret coding guidelines for accurate code assignment * Responsibility to maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, and MUE s. * Responsibility to maintain understanding and apply Medicare Teaching Physician Guidelines. * Applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers. * Identify the importance of documentation on code assignment and the subsequent reimbursement impact. * Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program. * Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to minimize risk. * Continually improve coding quality and accuracy. * Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM, CPT and/or HCPCS coding guidelines and regulatory changes. * Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses, CPT, and/or HCPCS. * Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record. * Provides ongoing feedback to physicians and other providers during charge review * Resolves payer denials and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. * Comply with all internal policies and procedures. * Actively participate in Company provided training and education. * Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information * This position must consistently meet or exceed productivity and quality standards as defined by department Leadership The Associate must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes, CPT and/or HCPCS to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. Education: Required: * Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program. Preferred: * BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program. Experience: Required: * Experience in a physician office or hospital HIM department with a minimum of 4 years actual coding experience in either environment including E/M level code assignment or surgical CPT coding experience in multiple specialties. * Data entry and keyboard proficiency required. * Software/computer experience utilizing Excel, MS Word, and Adobe. * Demonstrates effective written and oral communication skills, ability to handle multiple tasks, and work with and train other employees Preferred: * Experience in both E&M and/or surgical coding and physician office experience. * One year of EPIC systems experience. * Ability to Audit E/M Levels for correct assignment. Position Requirement(s): License/Certification/Registration Required: * Current registration as an CPC (CBCS is grandfathered for staff already employed by Erlanger) Preferred: * Primary specialty certification Department Position Summary: The Physician Coder III demonstrates the knowledge and skills necessary to optimally code profession physician accounts including E/M Levels and Surgical CPT Code assignment as well as the ability to resolve all issues including charge and claim edits. The employee must demonstrate knowledge of the various payment / insurance reimbursement schemes for professional physician encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded, as well as the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. The associate will perform any other tasks as assigned. '252676
    $184k-383k yearly est. 60d+ ago
  • Benefits Analyst - Remote - Temporary

    Erlanger 4.5company rating

    Tennessee jobs

    with a possible duration of 12-18 months This job administers employee benefit programs included, but not limited to, medical, dental, vision, life, and retirement. Performs system processing including enrollment, event processing, and data audits. Education: Required\: Bachelor's degree in business administration, human resources, or related field. High school diploma with an additional four years of benefits administration experience accepted in lieu of bachelor's degree. Preferred\: N/A Experience: Required\: 3 - 5 years of comprehensive experience in benefits administration and processing. Preferred: -Experience working in a hospital or healthcare environment. -Working knowledge of PeopleSoft software. Knowledge, Skills, and Abilities: -Sound knowledge of benefit regulations, including but not limited to ERISA, COBRA, IRS, ACA, etc. -Self-motivated, detail oriented, and ability to manage multiple competing priorities simultaneously. -Aptitude for troubleshooting system integrations, reporting and benefit event processing. -Strong analytical skills and proficiency in data analysis. -Strong collaboration skills to work effectively in a team-based environment. -Proficiency in Microsoft Office Suite including advanced proficiency in Excel. -Ability to research, interpret, and resolve complex benefits issues. -Excellent written and verbal communication skills, with the ability to interact effectively with varying levels of individuals within the organization and external vendors. -High level of integrity with the ability to maintain a high level of confidentiality. Position Requirement(s)\: License/Certification/Registration Required\: N/A Preferred\: N/A Department Position Summary: Supports the day-to-day administration and compliance of Erlanger's health and welfare and retirement programs. Manages benefit enrollment process and events for new hires, qualified life events, and annual enrollment. Ensures benefit programs and administration maintain compliance with Plan documents, policies, and regulations. Identifies and recommends process optimization and opportunities to streamline and enhance efficiency.
    $46k-55k yearly est. Auto-Apply 29d ago
  • Physician Coder II - Remote

    Erlanger Health 4.5company rating

    Chattanooga, TN jobs

    Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED, or a variety of other specialties. Services can include all visit types for a coder 1, plus office procedures, bedside procedures, and procedures using conscious sedation. Responsibilities include: * Provide various components of coding services to support our providers. * Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. * Calculate ProFee and/or Facility E/M levels by following the AMA guidelines for E/M assignment. * Recognize critical care cases by patient acuity. * Apply ICD-10-CM diagnosis codes to the highest level of specificity available. * Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, CPT , and HCPCS * Interpret coding guidelines for accurate code assignment * Responsibility to maintain an understanding of National Correct Coding Initiatives, Local Coverage Documents, and MUE s. * Responsibility to maintain understanding and apply Medicare Teaching Physician Guidelines. * Applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers * Review and correct EPIC coder claim edits and eValuator edits as needed * Identify the importance of documentation on code assignment and the subsequent reimbursement impact. * Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program. * Adherence to Det Norske Veritas (DNV) and other third-party documentation guidelines in an effort to minimize risk. * Continually improve coding quality and accuracy. * Responsibility for maintaining coding certification and knowledge referencing current ICD-10-CM and CPT coding guidelines and regulatory changes. * Contacts the appropriate department or physician office for assistance in obtaining physician clarification of diagnoses CPT and/or HCPCS. * Communicates with physician and non-physician providers to resolve conflicting provider documentation to further specify coding of diagnoses, surgeries and procedures documented in the medical record. * Resolves payer denials and responds to inquiries from revenue cycle teams, and processing of charge corrections as appropriate. * Provides ongoing feedback to physicians and other providers during charge review * Comply with all internal policies and procedures. * Actively participate in Company provided training and education. * Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information * This position must consistently meet or exceed productivity and quality standards as defined by department Leadership The Associate must have: 1. Knowledge of Anatomy and Physiology, Disease Pathology, and Medical Terminology. 2. Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM coding. 3. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes, CPT and/or HCPCS to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers. 4. Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges. Education: Required: * Validation of coding certification, i.e., specialty focus such as ICD-10 coding, ICD-10 PCS, CPT coding, and billing practices from an accredited program Preferred: * BS or AS degree in Health Information Management Administration or Health Information Technician from an accredited program or possess a 4-year bachelor's degree from an accredited college Experience: Required: * Experience in a physician office or hospital HIM department minimum - 2 years actual coding experience in either environment. * Data entry and keyboard proficiency required. * Software/computer experience utilizing Excel, MS Word, and Adobe. Preferred: * Experience in E&M and/or surgical coding and physician office experience extremely helpful. * One year of EPIC systems experience. * Ability to Audit E/M Levels for correct assignment. Position Requirement(s): License/Certification/Registration Required: * Current registration as an CPC (CBCS is grandfathered in for staff currently working for Erlanger) Preferred: * Specialty coding certification Department Position Summary: The employee must be able to demonstrate the knowledge and skills necessary to optimally code profession physician accounts including E/M Levels and Surgical CPT Code assignment as well as the ability to resolve all issues including charge and claim edits. The individual must demonstrate knowledge of the various payment / insurance reimbursement schemes for professional physician encounters. The individual must demonstrate the ability to be flexible as to the type of encounter to be coded. The associate must demonstrate the ability to work in a self-directed team by taking and giving direction and sharing in the responsibility of the team. Must have strong communication, critical thinking and decision-making skills. The employee must display the ability to be self-motivated, be able to evaluate the scope of each day's work, and display time management skills to assigned work. Must be able to work effectively in a remote work capacity. The associate must provide management with annual/biannual proof of certification and complete annual/biannual required continuing education. This position must consistently meet or exceed productivity and quality standards as defined by department Leadership. '272278
    $184k-383k yearly est. 60d+ ago

Learn more about Erlanger Health System jobs