Help Others, Make a Difference, Save a Life.
Do you want to make a difference in people's lives every day? Or help people navigate the tough spots in their life? And do it all while working where your hard work is appreciated?
You have a lot of choices in where you work...make the decision to work where you are valued!
Join the McNabb Center Team as the Reimbursement Specialist program today!
The Reimbursement Specialist
JOB SUMMARY
The purpose of the Reimbursement Insurance Verification Specialist is to obtain and verify a client's commercial insurance coverage and to ensure procedures are covered by an individual's insurance.
Specialist will be responsible for entering data in an accurate manner and updating client benefit information in the organization's billing system and verifying that existing information is accurate.
The Specialist will perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions.
Will be required to work regular office hours at the designated facility.
This is not intended to be all-inclusive; and employee will also perform other reasonably related job responsibilities as assigned by immediate supervisor and other management as required.
This organization reserves the right to revise or change job duties as the need arises.
Moreover, management reserves the right to change s, job duties, or working schedules based on their duty to accommodate individuals with disabilities.
This does not constitute a written or implied contract of employment.
JOB DESCRIPTION
Employees in this job complete and oversee a variety of professional assignments to evaluate, review, enter, monitor, and update client insurance and billing information.
JOB DUTIES
NOTE: The job duties listed are typical duties of the work performed. Not all duties assigned to every position are included, nor is it expected that all positions will be assigned to every duty.
Analyzes designated eligibility reports on a daily basis.
Communicates with and advises Insurance Verification Team Leader of all questions problems related to insurance verification.
Adheres to all policies and procedures related to compliance with all federal and state billing regulations.
Communicates with billing representatives regarding any insurance issues that may arise.
Maintains a positive and professional attitude.
Reads all emails and responds accordingly in a timely manner.
Listens to all voicemails and respond accordingly in a timely manner.
Works with members of various teams and/or departments on identifying process improvements.
Possess flexibility to work overtime as dictated by department/organization needs.
Assists in determining proper courses of action for resolution to insurance issues.
Possesses problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Possesses strong ability to think outside the box.
Has the ability to work in a high stress/demanding environment.
Performs additional duties as requested by Team Leads or Management Team.
JOB QUALIFICATIONS
Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application).
Knowledge of Centricity is a strong plus.
Knowledge of insurance guidelines including HMO/PPO, Commercial, Medicare, Medicare Advantage, TN Care's, Medicaid and Private Pay.
Ability to work well in a team environment and alone. Being able to triage priorities, delegate tasks if needed, handle conflict in a reasonable fashion and analyze and resolve claims issues and related problems.
Strong written and verbal communication skills.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Knowledge of the center's Policies and Procedures.
Ability to maintain records and prepare reports and correspondence related to the position.
Ability to work directly with upper leadership regarding claims issues and resolutions.
Possesses effective communication skills for phone contacts with insurance payers to resolve issues and to communicate effectively with others.
JOB EXPECTATION
All employees must be clean and well-groomed. Styles dictated by religion and ethnicity aren't restricted.
Business casual dress code required.
Employees can use their phones during breaks or at lunch hour.
Employee must observe and be respectful of co-workers and should never use obscene, discriminatory, offensive, prejudicial or defamatory language in any way.
The use of cameras on cell phones during work time is prohibited to protect the privacy of the clients as well as fellow employees, unless permission is granted by fellow employees or managers.
Employees are permitted two 15-minute breaks and one hour lunch.
Employees must work the agreed upon work schedule.
Enter hours worked daily.
Request leave in advance to your supervisor for approval.
COMPENSATION:
Starting salary for this position is approximately $18.98 /hr based on relevant experience and education.
Schedule:
Monday - Friday 8am - 5pm
Travel:
N/A
Equipment/Technology:
Basic computer skills are required for email, timekeeping, scanning, and fax machine.
Advance use of computer system, software, Excel, Outlook and Microsoft (word processing and spreadsheet application).
QUALIFICATIONS - Reimbursement Specialist
Education:
High school diploma or equivalent required.
Experience / Knowledge:
Extensive knowledge of insurance in relation to proper billing, follow-up and verification duties.
Location:
Knoxville, Tennessee
Apply today to work where we care about you as an employee and where your hard work makes a difference!
Helen Ross McNabb Center is an Equal Opportunity Employer. The Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.
Helen Ross McNabb Center conducts background checks, driver's license record, degree verification, and drug screens at hire. Employment is contingent upon clean drug screen, background check, and driving record. Additionally, certain programs are subject to TB Screening and/or testing. Bilingual applicants are encouraged to apply.
PI968da201298a-37***********6
$19 hourly 4d ago
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Coder- Surgery Center
Tennessee Orthopaedic Alliance, East Tn 4.1
Medical coder job in Knoxville, TN
The Surgical Coder in an Ambulatory Surgery Center (ASC) is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical and procedural services based on thorough review of patient medical records. This role ensures coding compliance with current healthcare regulations and supports timely, accurate billing and data reporting. The ideal candidate has strong knowledge of surgical procedures, anatomy, and medical terminology, and is comfortable collaborating with clinical and administrative teams. This is a non-exempt position.
Key Responsibilities:
Assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS) in accordance with documentation and regulatory requirements
Analyze patient medical records, operative reports, and other clinical documentation to ensure completeness and accuracy in coding.
Work closely with surgeons, nurses, and billing staff to clarify documentation and resolve coding discrepancies.
Follow official coding guidelines, payer policies, HIPAA regulations, and facility-specific coding and billing protocols.
Extract essential data elements from clinical documentation to support accurate billing and reporting.
Participate in internal and external audits, monitor coding productivity and accuracy, and review bill hold reports as needed.
Stay current with changes in coding rules, payer guidelines, and industry standards through ongoing education and training.
Respond to inquiries related to coding and billing from internal departments and external stakeholders.
Requirements
Education:
High school diploma or GED required. Associate's or Bachelor's degree in Health Information Management or related field preferred.
Certification:
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Experience:
Minimum of 2 years of surgical coding experience in an ASC or outpatient setting preferred.
Skills:
Strong understanding of medical terminology, anatomy, and surgical procedures
Excellent attention to detail and accuracy
Familiarity with EHR systems and coding software
Effective written and verbal communication skills
Ability to work independently and manage time effectively
$38k-53k yearly est. 60d+ ago
CODER ANALYST
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coding Analyst, Centralized Coding Inpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Business Office in timely billing of patient information.
Recruiter: Suzie Mcguinn | *****************
Responsibilities
* Reviews medical records to determine the ICD-10 CM, ICD-10 PCS and CPT codes to be utilized, in accordance with coding and reimbursement guidelines.
* Verifies data in the medical record abstract and accurately abstracts and enters clinical information from the medical records, to ensure the integrity of the database.
* Appropriately utilizes current UHDDS standards in the proper selection and assignment of the principal diagnosis, principal procedure, complications and cormorbid conditions.
* Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are coded in a timely manner.
* Reviews case mix reports on a weekly basis and follow-up on any record requiring re-review.
* Participates in coding and abstracting quality reviews as required.
* Assists physicians and clarifies coding versus clinical issues.
* Assists other coders with coding questions to ascertain the most appropriate codes for billing and statistical information; refers coding questions to the Unit Leader, as necessary.
* Contacts physicians for clarification when necessary.
* Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
* Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
* Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate's degree. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
None
Licensure Requirement:
None
$43k-58k yearly est. Auto-Apply 33d ago
EMR Helpdesk Specialist
DCI Donor Services 3.6
Medical coder job in Knoxville, TN
Job Description
DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! DCIDS is currently seeking an EMR Helpdesk Specialist who will be responsible for facilitating and managing Electronic Medical Record (EMR) system access to support organ and tissue donation activities. This role involves coordinating with hospitals, DCIDS staff, and managers to ensure smooth access to various hospital EMR systems, troubleshooting access issues, and maintaining accurate records of access statuses.
A key component of this role is building and maintaining strong relationships with hospital IT departments and administrative personnel. The EMR Helpdesk Specialist will serve as the primary liaison for EMR access, ensuring clear communication and ongoing collaboration with key hospital contacts. This is an onsite role.
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.
With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
Key responsibilities this position will perform include:
EMR Access Coordination & Maintenance
Assist OPO employees in obtaining and maintaining secure access to hospital EMR systems.
Track and manage access requests, renewals, and expirations across multiple hospital systems.
Maintain up-to-date records of employee access credentials, permissions, and compliance requirements.
Ensure adherence to hospital-specific access policies and procedures.
Facilitate timely communication regarding employee terminations to ensure prompt deactivation of hospital EMR access.
Assist in periodic user access audits to ensure proper security controls and compliance with hospital policies.
Relationship Management & Communication
Establish and maintain strong working relationships with hospital IT and administrative personnel.
Serve as the primary point of contact between Clinical Services, Tissue Recovery Services, Bridge 2 Life Center, Quality, IT and Hospital Development regarding EMR access.
Document and maintain records of key hospital IT and administrative contacts, policies, and procedures.
Regularly engage with hospital stakeholders to stay informed of changes in EMR access requirements and system updates.
Communicate effectively with employees and managers about access requirements, status updates, and troubleshooting steps.
Training, Process Improvement & Documentation
Identify opportunities to streamline access management processes and implement improvements.
Develop and maintain instructional documentation for employees on accessing and troubleshooting EMR systems.
Provide basic training on essential EMR functions such as locating patient charts, printing documents, and navigating key system features, in alignment with hospital-specific workflows.
Establish best practices for tracking and managing EMR access efficiently.
Troubleshooting & Technical Support
Resolve access issues related to EMR systems, VPNs, and virtual machines.
Provide guidance and support to employees experiencing login difficulties or system errors.
Work with hospital IT departments to escalate and resolve complex access problems.
Escalate and coordinate with DCIDS IT helpdesk and HIM Program Manager where appropriate
Performs other related duties as assigned.
The ideal candidate will have:
Associate's or bachelor's degree in health information management, information technology, or a related field preferred.
Experience working with hospital EMRs (e.g., Epic, Cerner, Meditech) is highly desirable.
Prior experience in healthcare IT, medical records management, or a similar administrative role is a plus.
Experience working in an OPO, hospital, or healthcare IT environment and familiarity with HIPAA regulations and security protocols related to EMR access is desirable.
Strong organizational and attention-to-detail skills to track and manage multiple access requests.
Excellent communication and interpersonal skills to collaborate with internal and external stakeholders.
Ability to develop and maintain relationships with hospital IT and administrative personnel.
Problem-solving skills to troubleshoot EMR access issues effectively.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Proficiency in Microsoft Office Suite (Excel, Word, Outlook)
We offer a competitive compensation package including:
Up to 184 hours of PTO your first year
Up to 72 hours of Sick Time your first year
Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
403(b) plan with matching contribution
Company provided term life, AD&D, and long-term disability insurance
Wellness Program
Supplemental insurance benefits such as accident coverage and short-term disability
Discounts on home/auto/renter/pet insurance
Cell phone discounts through Verizon
**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**
You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position.
DCIDS is an EOE/AA employer - M/F/Vet/Disability.
$25k-31k yearly est. 15d ago
PGA Certified STUDIO Performance Specialist
PGA Tour Superstore 4.3
Medical coder job in Knoxville, TN
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
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.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
$32k-42k yearly est. Auto-Apply 24d ago
Cancer Registrar II
Sutter Health 4.8
Medical coder job in Knoxville, TN
We are so glad you are interested in joining Sutter Health! Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors' offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients' needs first-all to achieve the highest levels of quality, access and affordability.
Assures complete and accurate data are collected and maintained for all reportable malignancies, including reportable benign tumors. Review any applicable data from the patient's medical record, including imaging, pathology, treatment summaries, physician's office notes, in- and out-patient visits. Stay abreast of industry changes by regulatory organizations, learn from constructive feedback, work independently, and make decisions with limited information. Uses knowledge of cancer disease processes, tumor nomenclature, medical terminology, medical procedures, anatomy, and physiology.
Additional Requirements:
EDUCATION:
* Associate's: Associate of Arts degree in a health-related field.
* Completion of accredited Cancer Registrar training program.
CERTIFICATION & LICENSURE:
* ODS-Oncology Data Specialist.
TYPICAL EXPERIENCE:
* 1-year recent relevant experience.
SKILLS AND KNOWLEDGE:
* Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), CNExT cancer data collection, electronic health records (EHR), and EPIC.
* Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's protected health information (PHI).
* Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
Pay range (CA, NJ, WA): $35.28-$44.09 / hr.
Pay range (CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA): $32.08-$40.09 / hr.
Pay range (AZ, AR, ID, LA, MO, MT, SC, TN, UT): $29.40-$36.75 / hr.
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.28 to $44.09 / hour. CA, NJ, WA Pay Range is $35.28 to $44.09 / hour. CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA Pay Range is $32.08 to $40.09 / hour. AZ, AR, ID, LA, MO, MT, SC, TN, UT Pay Range is $29.40 to $36.75 / hour.
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
$35.3-44.1 hourly 28d ago
Central Characterization Program (CCP) Records Analyst I/II/III at ORNL
Salado Isolation Mining Contractors
Medical coder job in Oak Ridge, TN
Central Characterization Program (CCP) Records Analyst I/II/III at ORNL (155) Requisition ID **155** - Posted - **BI-RE Records Program Support** - **Oak Ridge, TN, US - ORNL** - **Administrative** **Be part of the nation's only repository for the disposal of nuclear waste known as Transuranic (TRU) waste.**
Salado Isolation Mining Contractors, LLC (SIMCO), managing and operating contractor of the Waste Isolation Pilot Plant (WIPP) is currently seeking a qualified individual to serve as a **_Central Characterization Progam (CCP) Records Analyst I/II/III_** and join our team located in Oak Ridge (ORNL), Tennessee.
**Responsibilities**
This position will report to the WIPP Records Program Manager and support implementation of federal, Department of Energy (DOE), state, and WIPP's Records Management Organization (WRMO) requirements regarding the creation, receipt, approval, processing, distribution, use, configuration control, storage, retrieval, retention, and disposition of electronic and hard copy sensitive unclassified documents and records. Will manage the incoming and outgoing communication documents and records for all WIPP departments and organizational managers in the active stage of their lifecycle. Upload documents into the Electronic Documents and Records Management System (EDRMS) and establish electronic relationships in support of configuration control. Will participate in and/or lead efforts associated with WRMO tools migrations, enhancements, or implementation of electronic records management program.
The successful candidate will have wide-ranging experience, and use professional concepts and WIPP objectives to resolve complex issues in creative and effective ways. Will develop resolutions to complex problems that require the frequent use of creativity and where analysis of situations or data requires an in-depth evaluation of variable factors. Work is accomplished without considerable direction. May exert significant latitude in determining objectives of assignment, and determine the methods and procedures needed for new assignments.
Role Expectations:
+ Self-motivated with strong attention to detail.
+ Wide range of computer skills to include implementation of requirements or enhancements for Records Management-related applications.
+ Ability to solve issues or problems based on experience, professional concepts, and organizational objectives.
+ Ability to deliver clear and concise communications to employees, managers of all levels.
+ Knowledge using Documentum and other Records Management tools.
+ Work in a configuration management environment.
+ Work in records management required to satisfy DOE regulatory, legal, and contractual requirements, RCRA and NMED requirements/activities directing program team to furnish complete historical records of project operations.
+ Advanced knowledge of document control work processes with CCP project and generator site Team.
+ Support of all CCP Document Control/Records Management (DC/RM) Program activities and personnel.
**Job Duties**
+ Safety and security are a primary responsibility for all WIPP employees. Maintains required safety and security training, assures safety and security compliance, and makes safety and security an integral part of every task, including taking the necessary steps to stop work if continuing the job is unsafe or compromises security.
+ Provide guidance and recommendations to customer organizations on procedures and processes.
+ Identify and implement process improvement initiatives.
+ Resolve issues or challenges associated with managing information in sensitive and unclassified environment.
+ Foster a mutually respectful and inclusive work environment that is free from discrimination and harassment.
+ Demonstrate understanding of Records Management regulations and drivers and methods to ensure compliance to ensure compliance in the processing records in an compliant Electronic Content Management System.
+ Develop positive customer relationships and provide exceptional customer service.
+ Coordinate work activities and processes effectively with project team members.
+ Demonstrate knowledge in records management requirements to manage records pertaining to the Resource Conservation and Recovery Act and the New Mexico Environment Department.
+ Perform configuration management requirements as they relate to document control and records management.
**Minimum Requirements**
_These requirements must be met to be considered for this posting. Uploaded resumes and completed applications are the means of determination._
- Associate's degree with two (2) years of office/clerical experience, or
- High School Diploma or Equivalency with four (4) years of office/clerical experience is required.
_Must be at least 18 years of age; U.S. citizenship is required except in limited circumstances. See DOE Order 472.2 for additional information._
**Preferred Requirements**
- WIPP or DOE-related experience.
**What We Offer**
+ Medical, dental and vision insurance:
+ Coverage on date of hire
+ Surgical concierge service
+ EAP services including wellness plans, estate planning, financial counseling and more
+ Modern work arrangements to include 4-day workweeks (four 10-hour days)*
+ Relocation assistance*
+ Shuttle commuter service from the local areas
+ Paid time off (PTO) and paid holidays
+ Tuition reimbursement program
+ On-site fitness center and other wellness support including some public gym membership reductions
+ Company paid short term disability
+ Company paid life insurance (1x annual salary)
+ Pension plan that provides monthly annuity after retirement and 401(k) with .50 matching up to 6%
+ Voluntary benefits of:
+ Accident, Critical Illness, and Hospital Indemnity
+ Long-term disability program
+ Health and Flexible savings accounts
+ Life and accidental death and dismemberment insurance
_*These benefits vary by position._
Non-exempt grade level(s) 24-27. Minimum salary $53,509 per year of a larger salary range --the specific salary offered to a candidate will be influenced by a variety of factors, particularly the candidate's relevant experience and education.
**Equal Opportunity**
_Equal employment opportunity, including veterans and individuals with disabilities._
_If you are an applicant with a disability who requires a reasonable accommodation to complete any part of the application process or are limited in the ability-or unable to use-the online application system and need an alternative method for applying, you may contact ************** or email *************************** for assistance. Upon receipt of this information, we will respond to you promptly to obtain more information about your request._
_Reviews, and tests for the absence of any illegal drug as defined in 10 CFR 707.4, will be conducted by SIMCO and a background investigation by the Federal government may be required to obtain an access authorization prior to employment, and subsequent reinvestigations may be required._
_Posting Duration: This posting will be open for application submissions for a minimum of seven (7) calendar days, including the posting date. SIMCO reserves the right to extend the posting date at any time._
EOE including Disability/Protected Veterans. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
$53.5k yearly 48d ago
Medical Records Clerk
University of Tennessee Medical Center 4.4
Medical coder job in Knoxville, TN
Assists customers with record/information requests by phone and fax in a timely fashion. Scans documents into electronic medical record for hosptial and physcian offices. Ensures record is released appropriately according to state and federal laws. Acts as coverage for any other area for the department as needed.
Position Qualification:
High School diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
$24k-31k yearly est. 60d+ ago
OREM Records Specialist
Management Solutions 3.7
Medical coder job in Oak Ridge, TN
Job Title: OREM Records Specialist Employment Type: Full-Time
Management Solutions is a national award-winning management consulting firm that specializes in delivering project management solutions for projects vital to our national security. We specialize in project strategy and execution, energy technical support services, predictive project management systems, environmental services, and advanced data analytics. We deliver simple, innovative solutions to complex problems facing our federal customers. Founded in 2002, MSLLC has been named Small Business of the Year by the U.S. Small Business Administration, the Department of Energy and the Oak Ridge National Laboratory. MSLLC has also been recognized as one of the Top Employers in the Greater Knoxville area.
Essential Duties and Responsibilities:
The Records Specialist will be responsible for the following:
Migrate internal documents to shared drives.
Process all correspondence (hardcopy and electronic), which includes scanning, inputting into a data system, delivering correspondence via email and/or hand delivery, as required.
Determine if incoming correspondence requires an action and enter action tracking system.
Records Disposition -disposal or retirement to the National Archives and Records Administration (NARA).
Provide central reproduction services including operating reproduction machines.
Receives documents, deliveries, and visitors via front desk coverage.
Must be able to safely walk approximately 0.5 miles for document delivery as required.
Required Qualifications:
Proficient user of Microsoft Office applications (Word, Excel, PowerPoint, Outlook)
Familiarity with Microsoft SharePoint applications and Microsoft TEAMS, preferred
Demonstrated ability to work collaboratively in a team environment
Demonstrated written and verbal communication skills
Degree
High School diploma required
Associate degree preferred
Year of experience
2-5 years of administrative support work experience
Work Authorization: U.S. citizenship is required due to federal contract requirements.
Working Conditions: This position primarily requires the use of a computer and other office equipment for extended periods. The individual must be able to sit or stand for prolonged periods, operate standard office equipment, lift up to 25 pounds as needed, and perform repetitive tasks such as scanning and data entry.
What We Offer:
Management Solutions offers a comprehensive benefits package including: Medical, Rx, Dental and Vision Insurance, company paid short-term disability and life insurance, 401k plan with up to a 5% match with immediate vesting, Flexible Spending Accounts, PTO, paid holidays, and more!
Management Solutions is an Affirmative Action/Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other status protected by federal, state, or local law.
Disclaimer:
This job description is intended to convey information essential to understanding the scope of the position and is not a complete list of skills, efforts, duties, responsibilities or working conditions associated with it.
Management Solutions LLC is an Equal Employment Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
$28k-37k yearly est. Auto-Apply 3d ago
Surgical Coordinator
University Physicians' Association, Inc. 3.4
Medical coder job in Knoxville, TN
The Surgical Coordinator will play a key role in supporting our Vascular Surgery team by facilitating a seamless experience for patients, surgeons, and APPs. This position requires strong organizational skills, excellent communication, and the ability to work collaboratively in a fast-paced clinical environment. We are seeking a dependable team player who is committed to high-quality patient care and operational efficiency.
Key Responsibilities:
Coordinate and schedule all surgical procedures for the Vascular Surgeons and APPs.
Manage imaging appointments and ensure all required studies are scheduled appropriately and timely.
Complete insurance verification and obtain all necessary pre-authorizations for procedures and imaging.
Communicate closely with providers, clinical staff, and patients to ensure accurate, up-to-date information & smooth workflow.
Maintain documentation and follow-up processes related to surgery scheduling, clearances, and insurance requirements.
Serve as a liaison between patients, surgeons, and other departments to support coordination of care.
Provide exceptional customer service to patients and collaborate effectively with the entire care team.
Requirements
Qualifications:
Minimum of 3 years of experience in surgery scheduling, imaging coordination, insurance verification, and insurance pre-authorizations.
Experience in a specialty or surgical practice preferred; vascular surgery experience is a plus.
Strong communication, problem-solving, and organizational skills.
Ability to work independently while being a supportive and engaged team player.
Proficiency with electronic health records (EHR) and scheduling systems.
Preferred Candidate Traits:
Highly organized and detail-oriented
Strong sense of teamwork and professionalism
Ability to multitask and manage competing priorities
Patient-centered approach to work
Reliable, positive attitude, and proactive mindset
$25k-33k yearly est. 33d ago
Coding Spec-Clinic
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coding Specialist, Centralized Coding, Intpatient Coder
Full Time, 80 Hours Per Pay Period, Day Shift
inpatient
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines.
Recruiter: Suzie McGuinn || *****************
Responsibilities
Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.
Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
Educates and assists physicians and clarifies coding versus clinical issues.
Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.
Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.
Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.
Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.
Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
Increases awareness of compliance as it relates to coding and documentation.
Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.
Increases understanding of APCs, DRGs, case mix, and denials.
Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.
Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.
Reviews records to verify if the correct code has been assigned.
Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.
Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.
Keeps current on local, state, and federal regulations to ensure compliance.
Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.
Analyzes denials and coordinates appeals.
Ensures corrective action is taken to prevent denials from reoccurring.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Five or more (5+) years coding experience.
Licensure Requirement:
RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.
$43k-58k yearly est. Auto-Apply 57d ago
Surgical Recovery Coordinator - Knoxville
Dci Donor Services 3.6
Medical coder job in Knoxville, TN
Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Knoxville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs.
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.
We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
Key responsibilities this position will perform include:
Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards.
Performs extensive on-call responsibilities to assist with the activities related to the donor recovery.
Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards.
Coordinates and assists with fly outs and fly backs.
Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards.
The ideal candidate will have:
High school diploma or equivalent. Bachelor's degree in a related field preferred.
One to two years OPO or health care experience required, operating room experience preferred.
Health-related certification and ISOP Level 1 by completion of the first year.
Working knowledge of computers and Microsoft Office applications and basic data entry skills required.
We offer a competitive compensation package including:
Up to 184 hours of PTO your first year
Up to 72 hours of Sick Time your first year
Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
403(b) plan with matching contribution
Company provided term life, AD&D, and long-term disability insurance
Wellness Program
Supplemental insurance benefits such as accident coverage and short-term disability
Discounts on home/auto/renter/pet insurance
Cell phone discounts through Verizon
Meal Per Diems when actively on cases
**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**
You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position.
DCIDS is an EOE/AA employer - M/F/Vet/Disability.
$24k-30k yearly est. Auto-Apply 60d+ ago
Coder Analyst
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coding Analyst, Centralized Coding Inpatient
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Business Office in timely billing of patient information.
Recruiter: Suzie Mcguinn | *****************
Responsibilities
Reviews medical records to determine the ICD-10 CM, ICD-10 PCS and CPT codes to be utilized, in accordance with coding and reimbursement guidelines.
Verifies data in the medical record abstract and accurately abstracts and enters clinical information from the medical records, to ensure the integrity of the database.
Appropriately utilizes current UHDDS standards in the proper selection and assignment of the principal diagnosis, principal procedure, complications and cormorbid conditions.
Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are coded in a timely manner.
Reviews case mix reports on a weekly basis and follow-up on any record requiring re-review.
Participates in coding and abstracting quality reviews as required.
Assists physicians and clarifies coding versus clinical issues.
Assists other coders with coding questions to ascertain the most appropriate codes for billing and statistical information; refers coding questions to the Unit Leader, as necessary.
Contacts physicians for clarification when necessary.
Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate's degree. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
None
Licensure Requirement:
None
$43k-58k yearly est. Auto-Apply 33d ago
Surgical Recovery Coordinator - Knoxville
DCI Donor Services 3.6
Medical coder job in Knoxville, TN
Job Description
Tennessee Donor Services (TDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! Tennessee Donor Services is seeking a Preservation Coordinator in Knoxville to save and enhance lives through the surgical removal, preservation, packaging, and distribution of organs.
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.
We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
Key responsibilities this position will perform include:
Assumes primary responsibility for the renal preservation process including pumping and pump transport, in accordance with policies and standards.
Performs extensive on-call responsibilities to assist with the activities related to the donor recovery.
Coordinates and assists in the surgical recovery, preservation, and packaging of organs and specimens in conjunction with transplant surgeons and/or organ recovery coordinators in accordance with policies and standards.
Coordinates and assists with fly outs and fly backs.
Coordinates and assists with organ allocation, including kidney and liver placement, distribution, and transportation of organs for transplantation and/or research in accordance with policies and standards.
The ideal candidate will have:
High school diploma or equivalent. Bachelor's degree in a related field preferred.
One to two years OPO or health care experience required, operating room experience preferred.
Health-related certification and ISOP Level 1 by completion of the first year.
Working knowledge of computers and Microsoft Office applications and basic data entry skills required.
We offer a competitive compensation package including:
Up to 184 hours of PTO your first year
Up to 72 hours of Sick Time your first year
Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
403(b) plan with matching contribution
Company provided term life, AD&D, and long-term disability insurance
Wellness Program
Supplemental insurance benefits such as accident coverage and short-term disability
Discounts on home/auto/renter/pet insurance
Cell phone discounts through Verizon
Meal Per Diems when actively on cases
**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**
You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position.
DCIDS is an EOE/AA employer - M/F/Vet/Disability.
$24k-30k yearly est. 15d ago
Coder Analyst Spec-Clnic
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coder Analyst Specialist, Clinical Document Integrity
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.
Position Summary:
Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Billing Department in timely billing and rebilling of patient information.
Recruiter: Brittany Smithson || *****************
Responsibilities
Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities.
Verifies data in the medical record and accurately abstracts pertinent information for charge entry.
Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis.
Edits unbilled claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing.
Participates in quality coding and audit reviews for each provider.
Assists provider with coding questions for all services rendered.
Assists other coders with coding questions to determine the most appropriate codes used for billing compliance and refers coding questions to the Operations Manager when additional research is needed.
Contacts physicians for clarification and medical necessity.
Reviews all encounters for accurate documentation and coding of services rendered.
Communicates pending items and questions with office manager, CDI supervisor, and manager.
Demonstrates ability to meet or exceed practice quality and quantity standards.
Liaison between practice specialty and insurance company for benefit determination and claim rejections.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Professional coding experience is preferred.
Minimum Experience:
Three (3) years of extensive diagnosis and procedural coding experience required.
Licensure Requirement:
Must have and maintain a CPC coding certification through the American Academy of Professional Coders, or be registered as a Health Information Technician (RHIT) through the American Health Information Management Association.
$43k-58k yearly est. Auto-Apply 60d+ ago
CODING SPEC-CLINIC
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coding Specialist, Centralized Coding, Outpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines.
Recruiter: Suzie McGuinn || *****************
Responsibilities
* Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.
* Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
* Educates and assists physicians and clarifies coding versus clinical issues.
* Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.
* Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.
* Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.
* Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.
* Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
* Increases awareness of compliance as it relates to coding and documentation.
* Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.
* Increases understanding of APCs, DRGs, case mix, and denials.
* Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.
* Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.
* Reviews records to verify if the correct code has been assigned.
* Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.
* Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.
* Keeps current on local, state, and federal regulations to ensure compliance.
* Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
* Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
* Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.
* Analyzes denials and coordinates appeals.
* Ensures corrective action is taken to prevent denials from reoccurring.
* Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
* Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Five or more (5+) years coding experience.
Licensure Requirement:
RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.
$43k-58k yearly est. Auto-Apply 60d+ ago
Cdi Specialist Certified
Covenant Health 4.4
Medical coder job in Knoxville, TN
Clinical Documentation Integrity Specialist Certified
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's largest employer with over 11,000 employees.
Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.
Position Summary:
The CDI Specialist Certified serves as liaison between the physicians and hospital departments to promote consistency and efficiency in documentation and to facilitate data quality and compliance in hospital services. CDI is responsible for facilitating concurrent documentation reviews in the setting of an acute care facility. Concurrent reviews assure the completeness of medical record, the accuracy of documentation, and the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups involved in the care and discharge planning of patients. To assure appropriate DRG assignment and the validity and reliability of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the severity of the patient's condition, and the resources used in the diagnosis and treatment of the patient. The validation of the clinical diagnoses is an additional focus and responsibility.
Recruiter: Suzie McGuinn|| *****************
Responsibilities
Initiates and performs concurrent documentation reviews to assign initial DRGs and GLMOS for physician and case management to follow.
Collaborates extensively with individual physicians and other medical and clinical staff departments to facilitate complete and accurate documentation of the inpatient record.
Monitors inpatient admissions for Length of Stay (LOS) related to initial DRGs and updates to working DRGs and SOI/ROM for final coding and DRG assignment.
Prepares reports for any assigned facilities. Assists with the collection and maintenance of data that reflects the productivity and effectiveness of all CDI actions related to individual chart reviews, queries, response to queries, and communication and education with physicians.
Understands HACs, PSI and POA issues as it relates to quality measures.
Serves as a resource for physicians to help link ICD-10-CM and ICD-10-PCS coding guidelines and medical terminology to improve accuracy of final Code assignment.
Works in a collaborative fashion with Health Information Management, Coding Departments to assure that initial and final DRGs are correct.
Assigns concurrent queries when required to assure that documentation is consistent and that diagnoses meet clinical definitions.
Assists the HIM department with post discharge queries as needed.
Assesses documentation to assure that risk measures accurately reflect the severity and risk involved in patient's care.
Educates and assists physicians and clarifies coding versus clinical issues.
Identifies opportunities for intradepartmental and interdepartmental operational improvements.
Is informed about annual changes pertinent to ICD-10-CM/PCS and follows through with educating appropriate parties and applies information to concurrent reviews as needed.
Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
Monitors activities and findings with regards to audits and denials and subsequently adjusts to potential trends when reported.
Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
Increases awareness of compliance as it relates to coding and documentation.
Applies knowledge related to proper documentation necessary to support MS-DRGs/APR DRGs/Medical Necessity/ROM/SOI assignment.
Reconciles discharge and coded records to assure that queries have been answered and results are correctly assigned.
Keeps current on local, state and federal regulations to ensure compliance.
Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
Insures corrective action is taken to prevent denials from reoccurring.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Graduate from an accredited HIM program preferred.
Minimum Experience:
Two (2) years coding experience or relevant work with health systems either in acute care or outpatient settings. Effective interpersonal skills in order to interact effectively with all levels of hospital personnel. Organization and prioritization skills. Effective written and verbal communications skills. Analytical skills. Proficient computer skills.
Licensure Requirement:
RHIT with CDI certification or RHIA with CDI certification required.
$50k-63k yearly est. Auto-Apply 60d+ ago
SUPV HIM
Covenant Health 4.4
Medical coder job in Knoxville, TN
Supervisor, HIM Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
The HIM Supervisor will assist the Manager in the overall responsibility of managing the Covenant Medical HIM Department that services the various business entities of Covenant Health. The HIM Supervisor will assist the Manager in having accountability of the accuracy and timeliness of all transcribed reports. The HIM Supervisor will assist in overseeing the planning and maintenance of day-to-day activities and special projects in regards to operations and personnel as necessary to achieve and maintain business objectives. This includes interviewing, hiring and training new employees; developing a consistently reliable medical transcription service that adheres to quality, budget, and timeliness. Assists in establishing and monitoring individual transcriptionist's quality and quantity standards assuring these standards are consistently met. Will assist in the development, communication and enforcement of policies, procedures, and training manuals for the Covenant HIM Department. Assist with establishing, implementing, and enforcing standards for transcription quality and timeliness based on customer's needs and in accordance with the Joint Commission, HIPAA, CMS and other related State and Federal guidelines.
*****************
Responsibilities
* Assist in managing the Covenant Medical HIM Department to service the various business entities of Covenant Health, which includes the oversight, planning, and maintenance of daily activities and special projects as necessary to achieve and maintain business objectives. Operates dictation and transcription equipment as necessary to troubleshoot problems and/or assist staff; may listen to dictation and offer staff editorial guidance or other support by applying knowledge of medical terminology, style and practices.
* Assist in establishing a team-oriented, efficient and effective work environment by providing appropriate orientation and job training to staff and establishing and maintaining performance expectations and standards; promotes and facilitates individual participation toward group efforts and decisions; promotes and provides opportunities for professional development and continuing education.
* Acts as a communication link between medical transcriptionists and facilities creating a path for two-way feedback; communicates effectively both orally and in writing with administrators, physicians, co-workers and other healthcare personnel when providing information and/or services. Identifies and appropriately resolves conflicts, handles difficult and sensitive situations, tactfully and responsibly. Works with facility departments and physicians to implement new services. Works with physicians to develop their unique standard templates. Works with physician to determine work flow, including printing and copies.
* Assist in recruiting, supervising, and evaluating staff and also handles disciplinary/termination actions and proceedings as appropriate.
* Assist in setting system goals and standards for transcription productivity levels, cost per line, turn-around-time (TAT), etc; communicates standards to staff and monitors productivity statistics for each employee; sets employee work schedules and distributes work to staff based on work volumes and productivity to ensure timely and accurate completion of transcribed reports. Identifies, plans, develops, implements, and enforces professional practice standards and assigns work accordingly
* Assist in preparing and analyzing department statistics as required. Develops tools to audit transcription accuracy and productivity, and identifies and administers procedures for correction of transcribed medical documents. Assist in determining report standards for transcription, and works with facility representatives to assure that the standards are approved and communicated as appropriate; maintains established policies and procedures, objectives, quality improvement programs and safety standards.
* Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops; remains informed about new developments in medical transcription technology, processes, styles and practices; implements appropriate technology solutions and other resources as needed to maximize staff efficiency, effectiveness, and safety of the equipment and environment.
* Assist in developing, implementing, and managing a budget according to institutional policies and procedures; researches and identifies necessary dictation and transcription equipment, educational products, and reference materials and makes recommendations for purchase. Identifies the need for, and negotiates appropriate content of, contracts with independent contractors and/or medical transcription services, complying with local, state and federal employment laws regarding independent contractors. Assist in developing short and long range financial strategies in concert with the institutional mission, vision and values, particularly related to productivity statistics.
* Assist in developing, implementing, and maintaining policies and procedures to ensure compliance with applicable standards for transcription department established by the Joint Commission, HIPAA, CMS and other regulatory agencies as well as with local, state, and federal laws regarding the healthcare record; ensures compliance with system confidentiality and release of information policies and procedures. Identifies potential risk management situations and reports to appropriate authority.
* Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
* Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Requires five (5) or more years of medical records and/or transcription experience which included some supervisory/managerial-level responsibilities. Must have thorough knowledge of medical terminology and medical documentation practices and procedures. Must be able to perform difficult editing.
Licensure Requirement:
None.
$103k-141k yearly est. Auto-Apply 4d ago
Supv Him
Covenant Health 4.4
Medical coder job in Knoxville, TN
Supervisor, HIM
Full Time, 80 Hours Per Pay Period, Day Shifts
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position Summary:
The HIM Supervisor will assist the Manager in the overall responsibility of managing the Covenant Medical HIM Department that services the various business entities of Covenant Health. The HIM Supervisor will assist the Manager in having accountability of the accuracy and timeliness of all transcribed reports. The HIM Supervisor will assist in overseeing the planning and maintenance of day-to-day activities and special projects in regards to operations and personnel as necessary to achieve and maintain business objectives. This includes interviewing, hiring and training new employees; developing a consistently reliable medical transcription service that adheres to quality, budget, and timeliness. Assists in establishing and monitoring individual transcriptionist's quality and quantity standards assuring these standards are consistently met. Will assist in the development, communication and enforcement of policies, procedures, and training manuals for the Covenant HIM Department. Assist with establishing, implementing, and enforcing standards for transcription quality and timeliness based on customer's needs and in accordance with the Joint Commission, HIPAA, CMS and other related State and Federal guidelines.
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Responsibilities
Assist in managing the Covenant Medical HIM Department to service the various business entities of Covenant Health, which includes the oversight, planning, and maintenance of daily activities and special projects as necessary to achieve and maintain business objectives. Operates dictation and transcription equipment as necessary to troubleshoot problems and/or assist staff; may listen to dictation and offer staff editorial guidance or other support by applying knowledge of medical terminology, style and practices.
Assist in establishing a team-oriented, efficient and effective work environment by providing appropriate orientation and job training to staff and establishing and maintaining performance expectations and standards; promotes and facilitates individual participation toward group efforts and decisions; promotes and provides opportunities for professional development and continuing education.
Acts as a communication link between medical transcriptionists and facilities creating a path for two-way feedback; communicates effectively both orally and in writing with administrators, physicians, co-workers and other healthcare personnel when providing information and/or services. Identifies and appropriately resolves conflicts, handles difficult and sensitive situations, tactfully and responsibly. Works with facility departments and physicians to implement new services. Works with physicians to develop their unique standard templates. Works with physician to determine work flow, including printing and copies.
Assist in recruiting, supervising, and evaluating staff and also handles disciplinary/termination actions and proceedings as appropriate.
Assist in setting system goals and standards for transcription productivity levels, cost per line, turn-around-time (TAT), etc; communicates standards to staff and monitors productivity statistics for each employee; sets employee work schedules and distributes work to staff based on work volumes and productivity to ensure timely and accurate completion of transcribed reports. Identifies, plans, develops, implements, and enforces professional practice standards and assigns work accordingly
Assist in preparing and analyzing department statistics as required. Develops tools to audit transcription accuracy and productivity, and identifies and administers procedures for correction of transcribed medical documents. Assist in determining report standards for transcription, and works with facility representatives to assure that the standards are approved and communicated as appropriate; maintains established policies and procedures, objectives, quality improvement programs and safety standards.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops; remains informed about new developments in medical transcription technology, processes, styles and practices; implements appropriate technology solutions and other resources as needed to maximize staff efficiency, effectiveness, and safety of the equipment and environment.
Assist in developing, implementing, and managing a budget according to institutional policies and procedures; researches and identifies necessary dictation and transcription equipment, educational products, and reference materials and makes recommendations for purchase. Identifies the need for, and negotiates appropriate content of, contracts with independent contractors and/or medical transcription services, complying with local, state and federal employment laws regarding independent contractors. Assist in developing short and long range financial strategies in concert with the institutional mission, vision and values, particularly related to productivity statistics.
Assist in developing, implementing, and maintaining policies and procedures to ensure compliance with applicable standards for transcription department established by the Joint Commission, HIPAA, CMS and other regulatory agencies as well as with local, state, and federal laws regarding the healthcare record; ensures compliance with system confidentiality and release of information policies and procedures. Identifies potential risk management situations and reports to appropriate authority.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience:
Requires five (5) or more years of medical records and/or transcription experience which included some supervisory/managerial-level responsibilities. Must have thorough knowledge of medical terminology and medical documentation practices and procedures. Must be able to perform difficult editing.
Licensure Requirement:
None.
$103k-141k yearly est. Auto-Apply 3d ago
COORD INFORMATION RELEASE
Covenant Health 4.4
Medical coder job in Knoxville, TN
Coordinator Information Release, Health Information Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
Will act as the primary contact and processor of Release of Health Information to the public, attorneys, insurance carriers, law enforcement, Medicare, oversight agencies and the Social Security Administration. Will fulfill release requests in accordance with all guidelines, Covenant Health policies, State law and Federal HIPAA regulations governing this process. Serve as an additional HIPAA resource by answering questions, mentoring and educating. Incumbent will be required to have the ability to recognize valid Subpoenas and prepare certified medical records for court. Additional responsibility includes reviewing all Medicare Additional Documentation Requests (ADRs) and CERTS to assure completeness. Incumbent will be required to acquire State of Tennessee Notary Public license. Will prepare and mail invoices to various organizations to obtain reimbursement of copying charges, as specified by State Regulations. Incumbent will prepare reports on Release of Information operations and present to HIM Director. Will process checks and cash payments to ensure timely financial deposits. A database will be maintained for tracking all health information releases.
Recruiter: Suzie Mcguinn || *****************
Responsibilities
* Assists with supervising and evaluating HIM Associates.
* Serves as initial contact between ancillary departments and HIM/Privacy officer in identifying and troubleshooting Release of Information issues and questions.
* Will maintain confidentiality on all patient health information.
* Serves as primary trainer for HIPAA for HIM associates.
* Assesses subpoenas and court orders upon receipt and responds appropriately and timely.
* Will be required to compare billing data with outgoing charts to assure that all elements of Medicare Additional Documentation Requests (ADR's), CERTS and PRO requests have been met and documents reach CMS contractors timely.
* Must obtain, and remain eligible to hold, a State of Tennessee Notary Public
* Processes invoices for copying charges in a timely manner.
* Must handle cash and checks and do reconciliations of transactions.
* Assesses supply needs and places orders for same.
* Maintains and updates applicable databases, tracks all release of information, produces reports of same.
* Monitors and trends revenue and expenses and assists in projecting future revenue estimates. Plays an integral role in strategic planning and in budgeting for the ROI service.
* Performs other related duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing an Associate's degree in a directly-related field from an accredited college or university.
Minimum Experience:
Some college inclusive of HIPAA courses or a minimum of five (5) years experience in the release of information role. Must be able to type 25 net words per minute. Experience in medical records preferred.
* Must possess a desire to provide excellent customer service and have strong interpersonal skills.
* Maintains thorough knowledge of Covenant Health HIPAA policies as well as all State and Federal guidelines regulating release of personal health information.
* Must possess good decision-making skills and be able to work independently.
* Must be detail oriented and highly organized.
Licensure Requirement:
Registered Health Information Technician preferred.
How much does a medical coder earn in Knoxville, TN?
The average medical coder in Knoxville, TN earns between $30,000 and $56,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Knoxville, TN
$41,000
What are the biggest employers of Medical Coders in Knoxville, TN?
The biggest employers of Medical Coders in Knoxville, TN are: