Clinical Reimbursement Specialist
Medical coder job in Knoxville, TN
The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Registered nurse with an active state license and MDS and RAI experience.
Specific Job Requirements
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
Coder
Medical coder job in Murfreesboro, TN
Definition:
Remote Clinical Coder and Quality Review for the Home Care division.
Line of Authority:
Director of Coding Education and Compliance, Home Care; Director of Home Care Services
Qualifications:
One to Two years of experience in Home care required
Certification and formal training and education in ICD-10-CM diagnosis coding required as well as OASIS Certification
Licensed Clinician-RN, LPN, PT, PTA, OT, COTA, or ST.
Performance Requirements:
Microsoft Excel experience
Typing and data entry proficiency
Web-based application experience
OASIS review and instruction
ICD-10-CM introduction and education preferred
Lifting and transferring of tools of the trade and travel supplies as needed
Able to carry out fine motor skills with manual dexterity
Able to sit for extended periods of time
Able to see and hear adequately in order to respond to auditory and visual requests
Able to speak in clear, concise voice in order to communicate adequately
Able to read, write, and follow written orders
Must have reliable personal transportation and the ability to travel as needed
Specific Responsibilities:
Responsible for participating in the pre-lock abstraction of relevant medical information for the assignment and sequencing of diagnosis codes by remote review of home health agency records and provided other clinical historical records.
Responsible to assure alerts and omissions of the OASIS are identified and corrected according to policy/procedure.
Accurately interprets and applies Home Care policy and procedure, as well as regulatory rules and guidelines pertaining to diagnosis coding and sequencing.
Accurately assigns, sequences, data enters, diagnoses codes with a minimum of 95% accuracy within the required completion time frame.
Is required to maintain an average daily quota as assigned.
Guides Home Care staff in following Home Care policy and procedure, Official Coding Guidelines and related M items.
Reports any discovered medical diagnoses coding errors or noncompliance with stated policy, rules, guidelines and other NHC coding processes to Director of Coding Education and Compliance or other appropriate Regional or Corporate clinical support staff.
Accurately maintains electronic files and logs of all completed Diagnoses and Coding Forms, as well as accurately maintains original records of all received supporting documentation for the indicated time frame.
Effectively communicates all requests for additional or clarification of information to the appropriate agency.
Seeks opportunities to increase knowledge base and broaden expertise and keeps professional credentials current.
Supports and assists other Home Care Administrative or Regional personnel as needed.
Performs other duties as assigned by Director of Coding Education and Compliance and/or Director of Home Care Services/ Vice President of Home Care.
LOP Specialty Certified Coder
Medical coder job in Nashville, TN
JOB TITLE: LOP Specialty/ Certified Coder - (Hybrid Role) This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday. GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.
SUPERVISION RECEIVED: Billing & Coding Supervisor
EDUCATION/EXPERIENCE:
1. Certified Professional Coding Certificate.
2. Associate's degree preferred or 5 years medical coding experience.
3. Must have functional knowledge of medical terminology, anatomy, and physiology.
4. Prior experience coding with ICD-10-CM.
KNOWLEDGE:
1. Knowledge of clinic policies and procedures.
2. Knowledge of computer systems, programs, and spreadsheet applications.
3. Knowledge of medical terminology.
4. Knowledge of collection practices.
5. Knowledge of governmental, legal, and regulatory provisions related to collection activity.
ESSENTIAL FUNCTIONS:
1. Analyzes accurately outpatient charts, records all deficiencies, and assigns appropriate responsibility for completion.
2. Develops a system for and performs regular quality control reviews for accuracy.
3. Tracks problems, related to record completion, and reports these to the Supervisor.
4. Assures that records are available when requested. Controls record completion for medical staff.
5. Assures coding is completed on all patients within two working days of discharge, and that it is consistent with ICD-9-CM and CPT-4 coding procedures as applicable.
6. Completes data entry, claim, and report generation.
7. Demonstrates a functional knowledge of all departmental operations and relates them to the company's overall objectives.
8. Communicates with the Billing & Coding Supervisor and peers regarding input into more effective and efficient departmental operations and explores, suggests, and pursues professional enhancement opportunities for self.
9. Maintains a professional work atmosphere by interacting and communicating in a positive manner with customers, patients, families, payors, physicians, and their office personnel, co-workers, and supervisors.
10. Performs other related duties as required necessary for this position, or as may be required to meet emergency situations.
11. Assures CPC certification is current.
12. Stays abreast of any changes in guidelines.
13. All other duties as assigned.
SKILLS:
1. Skills in gathering and reporting claim information.
2. Skills in solving utilization problems.
3. Skills in written and verbal communication, as well as customer relations.
4. Skills in working with Windows based software systems.
PERFORMANCE EXPECTATIONS:
1. Ability to code medical records with ICD-10-CM.
2. Well developed organizational and communication skills (both written and verbal).
3. Highly professional, confident, conscientious, and cooperative attitude.
4. Must be able to recognize and apply priorities, as well as exhibit attention to detail.
5. Excellent communication skills with various internal and external entities.
PHYSICAL/MENTAL DEMANDS: Requires sitting and standing associated with a
normal office environment.
ENVIRONMENTAL/WORKING CONDITIONS: Normal, busy office environment with much telephone work and occasional evening or weekend work. This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities, knowledge, skills, abilities, and working conditions may
change as needs evolve
Benefits:
* Comprehensive health, dental, and vision insurance
* Health Savings Account with an employer contribution
* Life Insurance
* PTO
* 401(k) retirement plan with a company match
* And more!
ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
* If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
* No Recruiters Please
Medical Coder
Medical coder job in Newnan, GA
Job Description
A Medical Coder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers.
Responsibilities • Coding for our Urgent Care Centers using our internal software
• Knowledge of ICD-10 Coding and compliance
• Experience using an encoder
• Setting up insurance plans within our software
• Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow
• Interfacing with clinic staff on billing & coding issues.
• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits and coding reviews to ensure all documentation is accurate and precise
• Assign and sequence all codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures
• Adhere to productivity standards
Minimum Qualifications
• 3+ years of experience in medical billing
• Epic experience required
• Urgent Care and Occupational Health Billing experience is a plus
• High School diploma or equivalent
Required Skills
• Active CPC, RHIT, CCS or COC Certification
• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims
• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment
• Ability to work within a team environment and maintain a positive attitude
• Excellent documentation, verbal and written communication skills
• Extremely organized with a strong attention to detail
• Motivated, dependable and flexible with the ability to handle periods of stress and pressure
• All other duties as assigned.
WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day.
INDmisc
Outpatient Coding/Abstracting Specialist - FT (73986)
Medical coder job in Dalton, GA
Codes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. Identifies documents of poor quality. Ensures all scanned documents are positioned correctly. Identifies the documents that are incorrect. Ensures each document is indexed to the correct patient/encounter. Refers identified issues to appropriate scanning/QC staff for correction.
The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and ability to work with physicians and other healthcare providers with cooperation and flexibility. The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality. This position serves as a resource for other members of the organization in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work queue(s) daily and ensure timely processing of assignments in each queue.
Qualifications
JOB QUALIFICATIONS
Education: Graduate of AHIMA accredited HIA or HIT program with completion of basic coding courses, required.
Licensure: AHIMA or AAPC approved credential(s)- RHIA, RHIT, CCS, CPC, CCA or equivalent.
Experience: Minimum of one year experience coding ICD-10-CM & CPT-4 in an acute care hospital.
Skills:
* Knowledge of Medical Record content for emergency room, outpatient surgery and observation visits.
* Knowledge of medical terminology, anatomy & physiology, APC assignment, and ICD10-CM & CPT-4 coding systems
* Ability to examine the chart and verify documentation needed for accurate code assignment
* Good decision-making
* Organized with attention to detail and quality
* Ability to prioritize workload and strong recall and recognition skills
* Ability to perform computer functions in Microsoft Windows
* Good verbal, written and computer communication skills
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Works in a typical office setting. Frequent sitting, and long periods of reviewing records from a computer screen. Prolonged sitting and eye strain with concentrated effort over detail work. Requires a moderate amount of working with computers. Requires walking up and down stairs. Requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift sitting. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, codes, report types, as well as hand dexterity to enter data.
* Work assignments require consistent periods of sitting.
* Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously.
* Ability to flex neck for reviewing documents on dual monitors.
* Ability to communicate clearly and understandably on the telephone and in person.
* Ability to understand the spoken word on the telephone and in person.
WORKING CONDITIONS
This position must practice good organization skills due to interruptions and interactions with other team members. Position must be able to work in a team environment and be self-directed enough to work alone when necessary, with the opportunity to work remotely. Must remain calm under stress and must be able to appropriately handle an irate person when the occasion arises (i.e., physician, hospital employee, patient).
Full-Time Benefits
* 403(b) Matching (Retirement)
* Dental insurance
* Employee assistance program (EAP)
* Employee wellness program
* Employer paid Life and AD&D insurance
* Employer paid Short and Long-Term Disability
* Flexible Spending Accounts
* ICHRA for health insurance
* Paid Annual Leave (Time off)
* Vision insurance
D104 - Adult MH Crisis - Certified Peer Specialist
Medical coder job in Macon, GA
Certified Peer Specialist At River Edge Behavioral Health in Macon, GA, employees are expected to develop meaningful relationships with patients, establishing trust and making a difference in the lives of clients and their families. We believe in supporting our team as well as our clients with our comprehensive benefits package and a supportive work culture, including health, dental, and vision benefits, paid vacation, retirement plans, and more.
Position Overview:
River Edge Behavioral Health is seeking a Certified Peer Specialist to join our dedicated team in providing recovery-oriented support to individuals in our Adult and Child & Adolescent Units. This role is ideal for someone with lived experience of mental illness or co-occurring disorders, who is passionate about helping others on their path to recovery.
Location/Schedule: - 3575 Fulton Mill Road, Macon, GA - 36- hours 3-12-hour shifts Sunday-Saturday and Every Other Weekend 7pm-7am.
Key Responsibilities:
* Deliver a wide range of paraprofessional social services to individuals and families.
* Actively participate in treatment team planning and deliver crisis intervention support as needed.
* Provide supportive counseling and serve as a liaison between clients and social services.
Qualifications:
* Must have a primary diagnosis of mental illness, or a dual diagnosis of mental illness and substance use disorder.
* Must identify as a person with lived experience (current or former consumer of mental health services).
* Hold a valid Certified Peer Specialist Certificate.
* Possess a high school diploma or GED.
Additional Benefits:
* Flexible spending accounts
* Short and long-term disability coverage
* 11 Paid holidays
* Voluntary Life Insurance
Medical Coding and Billing Specialist
Medical coder job in Birmingham, AL
Right at Home is a Home Health company that provides Nursing and Therapy services in the homes of patients throughout Alabama. Right at Home is a Preferred Provider of BlueCross BlueShield of Alabama. Billing Specialist duties and responsibilities Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include:
Maintaining the billing and medical coding for BlueCross BlueShield of Alabama
Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors
Creating invoices and billing materials to be sent directly to a customer or patient
Inputting payment history, upcoming payment information or other financial data into an individual account
Finding financial solutions for patients or customers who may need payment assistance
Informing patients or customers of any missed or upcoming payment deadlines
Calculating and tracking various company financial statements
Translating medical code if working in a medical setting
A Billing Specialist uses soft skills, technical abilities and industry-specific knowledge to manage their organization's accounts, including:
Strong communication, including writing, speaking and active listening
Great customer service skills, including interpersonal conversation, patience and empathy
Good problem-solving and critical thinking skills
In-depth knowledge of industry best practices
Basic math, bookkeeping and accounting skills
Organization, time management and prioritization abilities
Ability to be discreet and maintain the security of patient or customer information
Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner
Understanding of industry-specific policies, such as HIPAA regulations for health care
Compensation: $18.00 per hour
Right at Home's mission is simple...to improve the quality of life for those we serve. We accomplish this by providing the Right Care, and we deliver this brand promise each and every day around the world. However, we couldn't do it without having the Right People. Our care teams are passionate about serving our clients and are committed to providing the personal care and attention of a friend, whenever and wherever it is needed.
That's where you come in. At Right at Home, we help ordinary people who have a passion to serve others become extraordinary care team members. We seek to find people who are compassionate, empathetic, reliable, determined and are focused on improving the quality of life for others.
To our care team members, we commit to deliver the following experiences when you partner with Right at Home:
We promise to help you become the best you can be. We will equip you as a professional by providing best in class training and investing in your professional development.
We promise to coach you to success. We're always available to support you and offer you tips to be the best at delivering care to clients.
We promise to keep the lines of communication open. We will listen to your ideas and suggestions as you are critical to our success in providing the best possible care to clients. We will provide you timely information and feedback about the care you provide to clients.
We promise to celebrate your success. We will appreciate the work you do, recognize above and beyond efforts, and reward you with competitive pay.
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.
Auto-ApplyCoder
Medical coder job in Paris, TN
Job Details West TN Healthcare Henry County - Paris, TN FT 80 Certification Days Health CareDescription
The Health Informatics Specialist / Coder will be responsible for assisting with all mandatory reporting services, information technology upgrades, and reviewing all un-coded encounters in the respective queue for completeness by the provider, ensuring that the correct charges have been entered, and by utilizing the 3M software code the diagnosis and procedures accurately. It is our goal to have all encounters coded and dropped for billing by the 5
th
working day following the encounter.
Qualifications
EDUCATION & TRAINING:
Minimum of two years of formal healthcare training in a certified health information or equivalent field. Associate Degree or higher is preferred.
-A credential in a health related field, i.e., RHIA, RHIT, CCA, CCS, CCS-P, and CPC-H is preferred.
-Within two (2) years of employment at Henry County Medical Center a credential of CCA, CCS, CCS-P, or CPC-H is required.
-Continuing education to maintain the coding credential is imperative.
EXPERIENCE:
Minimum of one year of experience in a healthcare related setting with additional experience in quality control / federal or state regulations / analysis of healthcare data or similar position / 3M software
Strong attention to detail, problem-solving skills, and organizational skills
Demonstrated high competency in balancing multiple projects
Strong verbal and written skills
Excellent time management skills
Experience in process analysis and documentation
Outstanding communication skills
High proficiency in Microsoft Office programs, i.e. Word, Excel, Access, and Outlook
LICENSES & CERTIFICATION:
RHIA, RHIT, CCA, CCS, CCS-P , CPC-H is preferred
Medical Coding Auditor
Medical coder job in Kentucky
Job Description
.
We are seeking a detail-oriented and motivated Auditor to join our dynamic team. In this vital role, you will be responsible for reviewing and analyzing medical records, billing practices, and coding accuracy to ensure compliance with industry standards and regulations. Your expertise will help maintain the integrity of healthcare data, improve billing processes, and support the overall quality of healthcare services. This position offers an exciting opportunity to contribute to the efficiency and accuracy of medical documentation and reimbursement processes while working in a collaborative and fast-paced environment.
Duties:
Conduct thorough audits of medical records to verify completeness, accuracy, and compliance with established guidelines. Review coding practices including DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to ensure proper classification of diagnoses and procedures.
Analyze medical billing submissions for correctness and adherence to payer requirements.
Identify discrepancies or errors in medical documentation, coding, or billing, and communicate findings clearly to relevant departments for correction.
Collaborate with healthcare providers, billing specialists, and management to implement process improvements based on audit findings.
Maintain detailed records of audit activities, findings, and corrective actions taken.
Stay current with industry standards, regulatory changes, and updates related to medical coding systems and billing practices.
Assist in training staff on proper documentation and coding procedures to reduce errors and enhance compliance.
Utilize Electronic Medical Record (EMR) systems and Electronic Health Record (EHR) systems efficiently for data review and documentation audits.
Ensure all medical records are properly organized, secured, and accessible for review purposes.
RequirementsSkills:
Strong knowledge of medical terminology, anatomy, and physiology is essential for accurate record review. Proficiency in medical coding systems including DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards.
Experience with medical billing processes and medical collection procedures.
Familiarity with EMR systems and EHR systems used in healthcare settings.
Excellent analytical skills with keen attention to detail for identifying discrepancies or errors in complex data sets.
Ability to interpret healthcare regulations and compliance standards effectively.
Strong communication skills for documenting findings clearly and collaborating across teams.
Prior experience in medical office environments or healthcare administration is preferred. Join us as an Auditor to ensure the highest standards of accuracy in healthcare documentation while supporting the integrity of our organization's financial health. Your expertise will directly impact patient care quality by promoting precise record keeping and compliance!
Future Openings - Certified Specialists (School Psychologist, SLP, ELL)
Medical coder job in Clarksville, TN
PLEASE READ: This is a posting for qualified candidates who wish to be considered for future openings for all certified teacher positions. Applicants can identify their preferred roles, grade levels, and subject areas by completing this application. When a relevant position becomes available, the hiring supervisor will contact candidates with the appropriate qualifications who have expressed interest in the open position or a similar one. This application is for certified teachers.
You can view the full here.
Position Matrix
Job Type
Certified, Full-time
Job Title
Certified - All Grades
Location
Dependent on Position
Contract Duration
200 days
10 months
Some positions may have different durations
Compensation
Pay is dependent on the highest degree earned and the number of years of relevant experience
Minimum Requirements
Valid, active Tennessee certification for the specialization with the appropriate endorsement(s), certification(s), and/or licensure(s)
Preferred
Other Requirements
Pass a background check
Meet all state and federal requirements for the position
Why Work in Houston County, Tennessee
Houston County, TN, is a small school district with approximately 1,250 students attending four campuses, resulting in a low student-to-staff ratio. A county population of roughly 8,400 and one high school generates the sense of community that is part of Americana and American lore. Join us and teach where smaller classes, tighter teams, opportunities for advancement, and a safe, spirited campus culture come standard, so you can focus on what matters most: helping every student succeed.
About Houston County, Tennessee
Tucked amid the Highland Rim's rolling hills, Houston County is a rural county of 8,283 residents, offering small-town warmth and elbow room in equal measure. The county seat of Erin bursts with Irish pride each March during the annual Irish Day Celebration that fills Main Street with parades, live music, and more than 150 vendors. Kentucky Lake and the Land Between the Lakes National Recreation Area are just minutes away, offering opportunities for boating, fishing, hiking, and camping. Despite a wealth of recreation, the cost of living here sits comfortably below the U.S. average. Residents enjoy quick access to big-city amenities, too - Nashville is only about 54 miles away, with its international airport, professional sports, and world-class arts. Families appreciate Houston County School District's small classes and community-focused culture. As part of the Tennessee Department of Education's Mid-Cumberland CORE Region, HCSD staff benefit from robust regional professional learning networks.
In Houston County, you can trade traffic for tranquility without giving up opportunity--a place where porch sunsets, supportive neighbors, and career growth come standard.
You can view the full job description here.
The Houston County School District (HCSD) invites interested candidates to apply for future vacancies at Erin Elementary School, Tennessee Ridge Elementary School, Houston County Middle School, and Houston County High School. This pool will be used when openings arise and allows qualified applicants to be considered when public postings are made. The most preferred candidates will hold an active Tennessee license or certification as required, have completed all required coursework and any mandatory internship hours, and will have a demonstrated history of excellence in education. All candidates are expected to demonstrate a passion for rigorous, student-centered instruction and embrace collaboration, coaching, and family engagement.
Certified Peer Specialist
Medical coder job in Marietta, GA
This position of moderate difficulty is responsible for providing a variety of case management and outreach interventions to consumers in their natural environment. Individual serves as advocate in assisting consumers in accessing community resources, teaching and modeling self-help and coping skills. Must be able to develop WRAP Plans.
Minimum Training & Experience:
A Certified Peer Specialist certificate, or certificate eligible within six months.
Preferred Qualifications:
Preference will be given to applicants who, in addition to meeting the minimum qualifications, possess one or more years in recovery.
Problem Solving / Decision Making Skills:
Must have excellent assessment and crisis management skills. Candidate will work closely with metro area hospitals, city/county jails and courts. Must be able to negotiate system boundaries.
TRAIME BEHAVIORAL HEALTH INC is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company
Otolaryngology - Certified Coding Specialist - Full Time
Medical coder job in Murfreesboro, TN
Policy Name Certified Professional Coder and Responsibilities Department Effective Date Last Revision June 2025 Policy Owner Clinic Manager Policy Description and Purpose: Managing patient care involves a team of clinical and nonclinical staff interacting with patients and working to achieve patient-centered care. s and responsibilities of the care team emphasize a team-based approach to patient care and promote training of team members to meet the highest level of function allowed by state law.
Procedure: The and responsibilities are defined for Certified Professional Coder in the Gastroenterology department at Murfreesboro Medical Clinic below:
Job Title
Certified Professional Coder (CPC)
Job Description
The CPC researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD-10 (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner.
Working Conditions
Work is performed in an office setting and possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting, stooping, and sitting for extended periods of time will occur. Also, occasional stress from multiple responsibilities. Overtime hours may be required as needed.
Job Responsibilities
Represent MMC in a courteous and professional manner
Responsible for accurate and complete coding according to Compliance Guidelines, and for assigning ICD-10 and CPT codes from doctors/providers documentation.
Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
Works A/R queues to resolve denials or errors in a timely manner.
Provide ongoing feedback and targeted training to doctors/providers and other providers regarding coding guidelines and requirements.
Stay up to date with changes in CMS guidelines.
Research and stay current with health insurance billing requirements.
Must meet month end requirement.
Works with medical staff and patient accounting staff to resolve coding issues and associated problems.
Reviews reimbursement from third-party payers to ensure payment through proper use of codes.
Be proactive and participate in educational activities such as webinars, AAPC education opportunities and conferences.
Be at your workstation on time and prepared to start the day
Email communication is utilized in this department for important messages and updates. Staff members are expected to read emails frequently.
Be flexible when asked to stay past your scheduled work time (as needed) to accommodate the needs of patients
Meet or exceed patient, doctor, and staff expectations through a cooperative, teamwork approach
Keep your work area and the clinic clean.
Be knowledgeable of and adhere to all HIPAA and OSHA guidelines.
Be knowledgeable of and adhere to all MMC policies and procedures.
With instruction, perform other duties as required or assigned
Required Skills
Excellent customer service skills
Strong skills in communicating effectively with co-workers, providers, and patients
Ability to conduct daily functions in an appropriate, professional, and compassionate manner
Ability to manage/prioritize multiple tasks in an efficient and timely manner
Teamwork attitude
Flexibility to respond to changing demands
Ability to react calmly and competently in stressful situations
Effectively utilize computer systems and programs that are necessary to complete daily tasks
Education/Experience Requirements
* High school diploma or GED
* Coding Certification (Certified Professional Coder CPC) Required
MMC Vision, Mission, and Values
Our vision is to be a leading contributor to community health through participation in programs that promote wellness, facilitate diagnosis, and enhance treatment of disease.
Our mission is to foster continuous improvement in community health through the delivery of quality, accessible medical and surgical care in a cost-effective manner to the residents of Middle Tennessee.
Our values guide our actions as we strive to carry out our mission.
A progressive approach to advances in medicine and changes in the health care delivery system
Responsive to patient and community needs
Collaborative with other physicians, hospitals, allied health providers and the community in improving health care
Professional, ethical and socially responsible
Team-oriented management and leadership
A positive, open and responsive work setting
Certified Peer Specialist - Full-Time
Medical coder job in Knoxville, TN
At Project Transition, it's our mission to enable individual persons who have serious mental illness, co-occurring substance use disorder and/or a dual diagnoses of SMI and IDD live a life that is meaningful to her or him in the community on terms she/he defines.
Title: Certified Peer/Recovery Specialist
Supervisor: Program Director
Summary of Job Description:
The Certified Peer/Recovery Specialist (CPS/CRS) supports individuals within the program by partnering around challenges that can come with symptoms of a Mental Health and/or substance use disorder diagnosis. Through utilization of the WRAP plan and a Person-Centered approach, the CPS/CRS will help empower the member to identify and work towards their Blue-Sky goals. By providing unconditional and nonjudgmental listening while also supporting the utilization of skills needed for the member to begin creating a higher quality of life, the CPS/CRS serves as a mentor to those they serve. The CPS/CRS provides opportunities for individuals to direct their own recovery plan and support, build self-worth, wellness, empowerment, and self-advocacy. The CPS/CRS will promote and contribute to the development of a culture of recovery and hope within the program and agency.
Specific Responsibilities:
Conducts regularly scheduled meetings with members and appropriately engages them to identify interests, strengths, goals, dreams, and aspirations while offering encouragement and empowerment through shared experience.
To enhance strengths and capabilities for members.
Meet with members, in collaboration with the treatment team, to develop individualized treatment plan goals.
Meet with members to collaborate on the development and utilization of their Wellness Recovery Action Plan (WRAP plan).
Provide support and follow up on treatment interventions per treatment team.
Facilitate groups based on RPS specific skills, passions, and member needs.
Co-Facilitate skills groups and other groups as requested.
Attend and participate in treatment team meetings, providing feedback regarding members and offering unique perspectives.
Supports members in planning for and attending 12 Step Meetings, finding a Sponsor, doing Step Work when appropriate.
Support Member use of DBT skills as taught by Team (training will be provided)
Serve as an advocate for members while continually supporting, teaching, and encouraging self-advocacy skills.
Support with welcoming newly admitted members to the Project Transition/ PCS Mental Health community. Assist in orientation to the program by sharing information on program structure and opportunities, tour and introductions to community and staff.
Promoting community integration through the connection of resources by linking to supports, mutual-help groups, social clubs, volunteer and pay job opportunities.
Serve as a role model with a willingness to appropriately share personal experience with members, families, and staff by demonstrating that recovery is possible.
Support members in the development and implementation of their transition goals and plans.
Provide timely documentation in electronic health record (EHR) regarding member progress, goals, struggles and utilization of skills and support.
Timely documentation of any/all meaningful activities with Members, including groups, outside meetings, community outings, etc.
Participation in agency internal workgroups, trainings, and meetings.
Attend continuing education requirements as required.
Maintain CPS/CRS Certification
Additional Performance Expectations:
Participate in multidisciplinary treatment team and will support and implement interventions and directives as directed by the Team.
Always demonstrate compassion and concern when supporting a Member through embracing Project Transition/PCS Mental Health's Mission and Core Values.
Approach Member engagement from a non-judgmental stance understanding that a Member's behavior is driven by experience, which may include trauma.
Treat and speak to Members with supportive kindness even when a Member demonstrates intense behavioral or emotional actions. Staff will show Members dignity and respect for their values and lifestyles.
Seek out appropriate support, consultation with Clinician or Psychiatrist (if applicable), in conjunction with the Program Director or obtain supervision, when they are uncertain about how to respond or support a Member effectively.
Report back to the Treatment Team any observations of Member behavior that suggests Member may need additional treatment interventions and/or support.
Engage with all external parties/ individuals with professionalism and with a positive customer service approach, understanding that they are always representing the organization.
An understanding of an agreement to value the concepts of a Trauma Informed workplace.
For all Full-Time Employees our benefit package includes:
Paid Time Off
Health Insurance available within 60 days of hire
Company Paid Life Insurance
STD/LTD
Dental Insurance
Vision Insurance
Health Spending Accounts
Able to participate in company 401K after 6 months of hire
Company 401K match up to 3%
Pet insurance
All Employees have access to our Employee Assistance Program
Qualifications:
The CPS/CRS will have at least a high school diploma or equivalent (required); bachelor's degree (preferred)
At minimum, an individual must meet the CPS/CRS training qualifications and is able to provide documentation of completing the CPS or RPS training in entirety.
CPS/CRS must maintain certification throughout tenure of employment in this capacity.
Skilled in Microsoft Office.
High energy individual with strong work ethic and ability to multi-task
Must be able to have fun in the workplace.
Must be a self-motivator.
Ability to maintain confidentiality.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Auto-ApplyCoder Inpatient, Marshall Medical Center South, HIM, Full Time, Days
Medical coder job in Boaz, AL
The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.
An inpatient coder is responsible for utilizing coding policies and procedures in evaluating the diagnostic and procedural information within the medical record for determination of accurate DRG or APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database.
An inpatient coder functions under the direct authority and supervision of the Coding Supervisor and Director of the Health Information Management Department.
Some of the many skills performed
Coding of diagnoses and procedures for:
Inpatients
Observation
Other Outpatient Service Types, if appropriate
Qualifications
EDUCATION:
High school graduate or equivalent
2 years or more in Health Information Management
1-2 years' experience in inpatient coding
LICENSURE/CERTIFICATION:
RHIA, RHIT, or CCS certification preferred
Certification must be obtained within one (1) year of employment
About Us
Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville - and is home to Marshall Medical Centers.
Marshall Medical Centers, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care - often provided by those who are neighbors and friends.
Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956. Marshall Medical Center North, in Guntersville, opened in 1990 - and - is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center.
Named by the Joint Commission as a “Top Quality Performer” among America's hospitals, Marshall Medical Centers' patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.
Auto-ApplyEMR Helpdesk Specialist
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 in Nashville, TN.
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.
Medical Records
Medical coder job in Mobile, AL
Medical Records Staff - Mobile County
Seeking experienced Electronic Medical Records team member. Job duties include filing charts, organizing records, fielding inquiries and faxing charts in a fast paced environment. The candidate who qualifies for this position must have a working knowledge of medical terminology, an understanding of release of information and knowledge of HIPAA regulations. Excellent benefits, competitive salary and pleasant working environment.
Location: Mobile
Benefits:
Health and Dental Insurance
Paid Time Off, Paid Holidays, Paid Sick Days
Retirement Plan
Aircraft Records Coordinator
Medical coder job in Smyrna, TN
Contour Airlines is a long-established aviation services company with a diverse range of capabilities. At Contour Airlines, our core values guide every action and decision. We are unwavering in our commitment to integrity and safety, which remains at the heart of all our business lines. Our team members exemplify an attitude of excellence, consistently striving to think like a customer. We believe there is strength in unity, and we work together as a team to achieve ambitious goals.
Full-Time Employee Benefits & Compensation Overview
As a full-time employee of Contour Airlines, you are eligible for the following benefits and programs:
Insurance
* Health, vision, and dental insurance, plus short/long-term disability and voluntary life insurance (effective the first day of the month following your hire date)
401(k) Savings Plan
* Eligibility begins the first day of the month following your hire date.
* The Company offers a matching contribution up to 6% of your eligible compensation.
* Enrollment guidelines and a 401(k) Enrollment Guide will be provided during onboarding.
Paid Sick Leave
* Accrual of up to 56 hours of paid sick leave per year.
* Unused sick leave rolls over annually until your sick bank reaches 480 hours.
Vested Vacation Hours
* Eligible to receive vacation hours on January 1st following your hire date.
* These hours will be vested and available for use in accordance with Company policies.
Non-Revenue/Space Available (NRSA) Travel Privileges
* NRSA (non-revenue/space available) travel privileges on Contour Airlines upon hire and access to MyID Travel after 6 months of service.
Leaves of Absence
* Eligible for various types of leave, including:
* Medical Leave
* Non-Medical Family Care Leave
* Maternity and Paternity Leave
* Personal Leave
* Detailed leave policies are outlined in the Contour Airlines Employee Handbook, which will be provided during onboarding.
Compensation Details
* Contour Airlines offers a competitive salary based on your prior work experience.
Equal Employment Opportunity
Contour Airlines is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, citizenship, color, creed, sex, national origin, race, religion, sexual orientation, political affiliation, marital status, pregnancy, pre-disposing genetic characteristics, veteran status, military status, disability, gender identity or expression, familial status, criminal history, status as a victim of domestic violence, or any other protected status.
Accommodations
Contour Airlines is committed to providing reasonable accommodations to applicants and employees. If you require accommodations during the application or onboarding process, please contact Human Resources at *****************.
Join Our Growing Team
Contour Airlines' rapid growth has created exciting career opportunities. We invite you to become part of our family and contribute to our ongoing success.
Summary of Essential Duties
The Aircraft Records Coordinator is responsible for ensuring regulatory compliance by performing the following duties: administrative tracking and control of airworthiness directive, major repair/alteration management, research and investigation of aircraft/part discrepancies, and maintenance task set-up review/approval. All duties and responsibilities will be performed in support of Contour Airlines' Part 135 Air Carrier Certificate and procedures within the General Maintenance Manual.
Key Responsibilities
* Support records specialist team including overseeing and auditing technical data input.
* Performs administrative tracking and control of airworthiness directive to ensure regulatory compliance.
* Monitors government federal register site for pending rule makings as they pertain to airworthiness.
* Performs periodic audits of fleet aircraft.
* Assists in the acceptance and delivery of newly acquired aircraft and lease returns.
* Administers aircraft technical database programs such as CAMP, Flightdocs, and other aircraft records database programs.
* Research and investigation of leased engines/assemblies and adds to the aircraft technical database programs.
* Focus on process improvement.
* Supports other maintenance staff by assisting in data entry, audits, reviews, and evaluations.
* Ensure that all specified policies, practices and procedures are complied with, and follow company policies and procedures for completion of assigned duties.
* Other duties as assigned by leadership
Qualifications
* Be at least 18 years of age.
* Must have a high school diploma or GED equivalent
* Must have a valid driver's license and good driving record.
* Be authorized by law to work in the United States and able to travel in and out of the United States.
* Must have experience and be highly proficient in Microsoft Office 365, Excel, Word, Outlook, and related software.
* Able to pass a required 10-year work history review and submit to criminal history records check.
* Must understand, read, and write English.
* Possess polished and professional interpersonal skills with a positive attitude and a customer-oriented mindset.
* Possess strong leadership, interpersonal and organizational skills.
* Must have well-developed people skills and ability to work with a variety of personalities.
* Able to coordinate multiple priorities and meet deadlines.
* Able to handle interruptions and a fast-paced environment.
* Maintain strong attention to detail.
* Be self-motivated and able to motivate others
* Excellent interpersonal and conflict resolutions skills.
* Strong analytical and problem-solving skills.
* Strong supervisory and leadership skills.
* Thorough knowledge of employment-related laws and regulations.
* Ability to manage multiple complex projects simultaneously.
* Excellent communication skills both written and verbal delivered with tact and professionalism.
* Ability to work independently and as part of a team.
* Must have experience and be highly proficient in inventory software and tracking systems
* Prior experience with Component Controls Quantum software preferred
* Experience maintaining aircraft maintenance records.
* Ability to administer aircraft technical database programs.
* Ability to work in a safe professional manner adhering to all regulatory requirements including OSHA, EPA, state, and federal regulations.
Disclaimer: The above statements are intended only to describe the general nature and level of work required for the referenced position; they are not intended to be an exhaustive list of all responsibilities, duties, and skills required of individuals in the position. Please be advised that the duties and expectations of this position may be subject to change.
Shar SVC Adv Phar Tech Med His
Medical coder job in Crossville, TN
Shared Services Advanced Pharmacy Technician, Pharmacy
Full Time, 80 Hours Per Pay Period, Variable Shifts
Covenant Health is the region's top performing healthcare network. Each of our more than 10,000 employees, physicians, and volunteers are unified by one covenant: to put our patients first every day, to strive for excellence in everything we do, and to make Covenant Health the first and best choice in our region.
Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee, with more than 650 employees and 175 active physicians. It offers a full range of specialty services, including cardiology, gastroenterology, surgery, orthopedics, maternity services, cancer care, and advanced wound care.
Emergency Department: 24 emergency beds
Critical Care Unit (ICU): 12 ICU beds
Labor & Delivery: 12 LDRP suites
Med/Surg: 37 beds
Surgery: 9 operating room surgery suites
Telemetry: 37 beds
Fully accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms as well as specialized services not usually found in the rural medical system.
For seriously ill patients, advanced medical and surgical care is provided at CMC including telemetry monitored beds and an intensive care unit. Additionally, Cumberland Medical Center offers an outpatient imaging center, same day surgery unit, cardiac and pulmonary rehab programs, a sleep disorder center, breast center, cancer center, and hyperbaric medicine and wound center.
"Cumberland Medical Center offers a unique, family-oriented healthcare setting in a rural environment. We strive to deliver exceptional care to our patients, their loved ones, and each other. We look forward to welcoming team-focused people to grow their careers with us!"
-Chief Nursing Officer, Cumberland Medical Center
Position Summary:
Under the direct supervision of the pharmacist, obtains admission medication histories for new patients. Medication history information will be obtained from the patient directly or the patient's family, outpatient pharmacy, or physician office. The technician enters the medication history into the electronic patient database or updates the database if information already exists.
Recruiter: Erin Wood || *****************
Responsibilities
Performs medication history assessments for new admissions to the hospital, providing complete information regarding each medication identified (i.e., drug, dose, route, frequency, indication for PRN and last dose taken date/time). Other sources of information should be solicited to verify accuracy.
Obtains allergy history and ensures complete documentation (i.e., substance, reaction description).
Determines compliance of medication consumption prior to admission.
Prompts patients for additional medications by specifically suggesting over-the-counter medications including herbals, vitamins, pain relievers, cold products, patches, lotions/creams, eye drops, sprays and inhalers.
Enters the patient's preferred outpatient pharmacy or pharmacies into the electronic health record.
Navigates the electronic health record database and enters new medication histories (or updates existing database if information already exists) in a timely manner.
Performs accurate work while paying careful attention to detail and persistence to follow-up if information cannot be initially obtained.
Has excellent knowledge of brand and generic medication names, common dosages, dosage forms and frequency of administration of each medication.
Works in consultation, cooperation, and coordination with nurses, pharmacists, and prescribers in completing timely and accurate medication history assessments.
Uses good clinical judgment skills to determine accuracy of medication history list as obtained (i.e., determine if the information is from a reliable historian).
Navigates the hospital tracking boards and determines patient selection.
Reports errors or concerns about the medication history to a supervising pharmacist.
Reviews and completes applicable reports.
Precepts pharmacy technicians, pharmacy students, pharmacists, pharmacist residents and nurses regarding home medication interviews and documentation.
Clearly and effectively communicates with patients and co-workers
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:
High School Diploma or GED.
Minimum Experience:
Three (3) years' experience as a Pharmacy Tech or two (2) years as a Pharmacy Tech with nationally recognized pharmacy board certification. Acceptable certifications include: Pharmacy Technician Certification Board or BPTS ( Board of Pharmacy Technician Specialists) Certification. State approved PTCB Med History Certificate must be obtained within one (1) year. Previous outpatient pharmacy experience including prescription transcription duties preferred. Proficiency in using computer systems for data retrieval and data entry.
Licensure Requirement:
Must be licensed by the Tennessee Board of Pharmacy. Additionally, PTCB Med History Certificate must be obtained within one (1) year.
Auto-ApplyArea Health Information Specialist I
Medical coder job in Murfreesboro, TN
Job Description
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
This position is responsible for processing all release of information (ROI) specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. This position travels 75% or more of their time
Position Highlights:
Full-Time: Monday-Friday 7:30AM-4:00 PM CST
Location: Primary location is Murfreesboro
Comfortable working in a high-volume production environment.
Documenting information on multiple platforms using two computer monitors.
Full Benefits: PTO, Health, Vision, Dental Insurance, mileage reimbursement, and 401k Savings Plan and tuition Assistance
You will:
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company's and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
May schedules pick-ups.
Assist with training associates in the HIS I position.
Generates reports for manager or facility as directed.
Must exceed level 1 productivity expectations as outlined at specific site.
Participates in project teams and committees to advance operational strategies and initiatives as needed.
Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Must be 18 years of age or older.
Able to travel local/regionally 75% or more of the time.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
1-year Health Information related experience
Meets and/or exceeds Company's Productivity Standards
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Detail and quality oriented as it relates to accurate and compliant information for medical records.
Strong data entry skills.
Must be able to work with minimum supervision responding to changing priorities and role needs.
Ability to organize and manage multiple tasks.
Able to respond to requests in a fast-paced environment.
Bonus points if:
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
HIM Specialist
Medical coder job in Tullahoma, TN
Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
As a Health Information Management (HIM) Specialist, you play a critical behind-the-scenes role in supporting high-quality patient care and operational excellence. Your primary responsibility is to ensure the accurate, timely, and secure handling of patient health records, contributing directly to provider readiness, regulatory compliance, and patient safety.
ESSENTIAL FUNCTIONS:
* Maintain and manage patient medical records in compliance with state, federal, and organizational standards.
* Accurately scan, import, and organize patient documents within the electronic health record (EHR).
* Collect, prepare, and process paper documents for secure scanning and indexing.
* Prepare charts and gather essential records before patient appointments to support provider readiness.
* Review daily reports to:
* Confirm health records are complete and accurate.
* Identify missing documentation or needed follow-ups from external facilities.
* Correct and resend failed outbound faxes as needed.
* Process requests for health records from authorized parties following HIPAA, state laws, and organizational policies.
* Ensure patient confidentiality and privacy are always maintained.
* Monitor and route incoming and outgoing faxes, ensuring timely delivery and appropriate follow-up on transmission issues.
* Assist patients with accessing their health records through the Patient Engagement Portal.
* Support clinical and administrative staff by promptly retrieving, scanning, indexing, and filing necessary health information.
* Collaborate with other HIM Specialists across the organization to ensure consistency, standardization, and timely information flow.
* Respond promptly to internal and external requests or inquiries using preferred communication methods.
* Provide exceptional customer service in all interactions with providers, staff, patients, and external partners.
* Serve as a knowledgeable and approachable resource for questions regarding health records and HIM processes.
* Follow established HIM policies and procedures to ensure consistency and regulatory compliance across all clinic locations.
* Participate in departmental quality improvement initiatives and training activities.
* Contribute to additional HIM projects or tasks as assigned by leadership.
EDUCATION & EXPERIENCE:
* A high school diploma or equivalent (GED) is required.
* Two years of professional office experience preferred.
* Experience in medical records or a healthcare setting is strongly preferred.
* Strong computer proficiency, including use of electronic health record (EHR) systems and Microsoft Office Suite.
* Excellent verbal and written communication skills.
* Demonstrated ability to deliver exceptional customer service.
* Strong organizational skills and keen attention to detail.
* Ability to work productively and effectively in a fast-paced environment.
*
PHYSICAL REQUIREMENTS: Able to travel to satellite clinics when necessary (rare occasion)
* Able to lift 25 pounds
Job Title:
Physical Activity Required
Amount of time
None
Less than 1/3
(Occasionally)
1/3 to 2/3
(Frequently)
More than 2/3
(Regularly)
Standing
Walking
Sitting
Fingering or manual dexterity
Repetitive finger motion
Lifting or exerting force
Up to 10 pounds
Up to 25 pounds
X
Up to 50 pounds
Up to 100 pounds
Over 100 pounds
Reaching or stretching
Climbing or balancing
Crouching or stooping
Speaking
Hearing
Seeing (with correction)
Auto-Apply