This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 31d ago
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Trauma Surgical Profee Coder
HCA 4.5
Medical coder job in Brentwood, TN
Introduction Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years.
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Trauma Surgical Profee Coder like you to be a part of our team.
Job Summary and Qualifications
As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
What you will do in this role:
* Reviews and codes clinical notes and operative reports for assigned specialty/specialties.
* Coordinates and reconciles multiple schedules to ensure complete charge capture.
* Charge entry of codes into billing system in a timely manner.
* Work in conjunction with A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits.
* Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through pertinent materials.
What qualifications you will need:
* High school diploma or GED preferred
* Minimum two years of professional fee coding and/or reimbursement experience required. Relevant education may substitute for experience requirement.
* Knowledge of medical terminology and anatomy and physiology is preferred.
* Knowledge of pathophysiology is preferred.
* Coding certification through AHIMA or AAPC required. Work experience may be accepted in lieu of credential.
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Trauma Surgical Profee Coder opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$54k-65k yearly est. 4d ago
Coder
NHC Homecare 4.1
Medical coder job in Hendersonville, 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.
$56k-66k yearly est. 60d+ ago
Coder, PRN
Ovationhealthcare
Medical coder job in Brentwood, TN
Duties and Responsibilities:
Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
Submit necessary provider queries to resolve documentation discrepancies.
Perform quality assessment of records, including verification of medical record documentation.
Review appropriate charges and make changes or recommendations based on the documentation.
Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.
Knowledge, Skills, and Abilities:
Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment.
Must be able to pass a coding assessment.
Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
Ability to multi-task and have excellent communication skills.
Must meet and maintain a 95% quality accuracy rate and productivity standards.
Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
Must have experience working in a remote environment.
$34k-47k yearly est. Auto-Apply 20d ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Nashville, TN
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 44d ago
Certified Medical Coder
Steadfast Health
Medical coder job in Nashville, TN
Job Description
About the company
Steadfast Health was founded to establish a new standard of substance use disorder (SUD) care. Recognizing that traditional treatment methods often fall short of reaching patients when they're most in need, Steadfast is relentlessly focused on making low-barrier, high quality care accessible to all. We know that the journey to recovery is unique for every individual, and our patient-centered approach ensures we meet patients where they are, providing evidence-based therapies with unwavering support in a compassionate environment that fosters healing and growth. We are growing rapidly and building a dedicated team of professionals who are committed to fulfilling our mission - join us!
Position Summary
We are seeking an experienced Certified MedicalCoder with a strong background in Behavioral Health and Substance Use Disorder (SUD) coding. The ideal candidate will have 3-5+ years of hands-on experience coding both inpatient and outpatient encounters, with a deep understanding of SUD treatment services. This position directly impacts revenue integrity, regulatory compliance, and operational efficiency. The Certified Coder will play a key role in strengthening our Behavioral Health and SUD coding processes while supporting high-quality patient care and financial sustainability.
Some of the Benefits
Comprehensive medical, dental, and vision insurance for you and your family.
401(k) match up to 5% to help you invest in your future.
100% employer-paid short-term and long-term disability insurance, plus employer-sponsored life insurance for added peace of mind.
Re-Fuel Days: Take four paid days each year to recharge - for mental health, rest, or continuing education.
Generous PTO, floating paid holidays, and paid volunteer days
Employee Assistance Program (EAP): Free, confidential access to therapy sessions, legal guidance, financial resources, and health coaching.
An opportunity to shape our growth - join us early and help define the future of addiction care.
Key Responsibilities
Accurately assign ICD-10-CM, CPT, and HCPCS codes for Behavioral Health and SUD services across inpatient and outpatient settings.
Review clinical documentation to ensure coding accuracy, completeness, and compliance with federal and state regulations.
Apply coding guidelines specific to mental health and substance use treatment, including outpatient behavioral health and inpatient consult services.
Identify documentation gaps and work collaboratively with providers and clinical staff to improve coding quality and documentation standards.
Ensure coding supports medical necessity and payer requirements.
Stay current with coding updates, payer policies, and regulatory changes related to Behavioral Health and SUD services.
Assist with coding audits, respond to audit findings, and implement corrective actions as needed.
Maintain productivity and accuracy benchmarks as defined by the organization.
Support billing and revenue cycle teams by resolving coding-related denials or questions.
Required Qualifications:
Active coding certification: CPC, CCS, or equivalent (AAPC or AHIMA).
Minimum of 3-5 years of professional coding experience in Behavioral Health.
Strong experience coding Substance Use Disorder (SUD) services preferred.
Experience with both inpatient and outpatient coding environments.
Expert knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
Understanding of medical necessity, compliance standards, and payer-specific requirements.
Strong attention to detail and high level of accuracy.
Preferred Qualifications:
Experience in a startup or fast-growing healthcare organization.
Prior experience working with EHR systems (Athena, Epic, or similar).
Experience participating in coding audits and quality assurance initiatives.
Familiarity with Behavioral Health compliance regulations and documentation standards.
Key Skills & Competencies:
Analytical and detail-oriented with strong organizational skills.
Ability to work independently and manage multiple priorities.
Strong communication skills to collaborate with providers and internal teams.
High integrity and commitment to compliance and accuracy.
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Prolonged periods of sitting at a desk and working on a computer.
Occasional standing, walking, bending, and reaching as necessary to perform daily tasks.
Must be able to lift and carry up to 25 pounds at times.
Ability to safely and effectively operate standard office equipment.
Must be able to communicate clearly and effectively, both verbally and in writing.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of this position.
Investors & Partners
Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners. Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations, all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower healthcare costs for all). TAP emphasizes the importance of creating strong, front-line focused company cultures that enable high-quality patient care.
$34k-47k yearly est. 4d ago
Health Information Systems
Columbia 4.6
Medical coder job in Columbia, TN
Full-time Description
This position is a full-time onsite, non-clinical position within Tennessee Orthopaedic Alliance in Columbia, TN.
Responsibilities
Manage medical records requests, attorney correspondence, scheduling meetings and depositions for attorneys and providers
Receive and track all media devices for medical records
Manage electronic/manual fax correspondence
Scan documents into patient medical records as needed
Correct scanning and filing errors, search for missing documents
Send medical records to corresponding facilities and providers as needed
Act as liaison for medical records vendor and shredding company
Act as liaison between MRMC and TOA Columbia for joint replacement patients
Back up for all duties performed by other TOA Columbia HIM Specialist
Requirements
Excellent computer skills, in addition to Word and Excel
Must be able to identify and resolve problems in a timely fashion
Must be detail-oriented in order to perform work accurately and thoroughly
Knowledge of HIPAA rules and regulations pertaining to the dissemination of protected health information
Preferred
Experience using NextGen
Benefits
Competitive pay
Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
Paid Time Off (which increases with years of service)
Paid Holidays
TOA is an equal opportunity employer. TOA conducts background checks on applicants who accept employment offers. TOA adheres to HIPAA and OSHA safety guidelines.
$47k-66k yearly est. 19d ago
Certified Professional Coder - must have Oncology experience!
e Cancercare
Medical coder job in Nashville, TN
Candidates must have Oncology experience! Job Purpose: The Certified Professional Coder assists in generating revenue by assigning and monitoring the coding and reimbursement activities for professional and technical services provided within a group of specialty areas.
Essential Functions:
* Direct assigning of ICD-9 and ICD-10 codes by analyzing patient medical records
* Ensure documentation by providers conforms to legal and procedural requirements
* Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims.
* Provides feedback/training for physicians and staff in with any coding insufficiencies
* Reviews diagnosis codes assigned by staff prior to submission when assigned
* Assisting with research of denied claims
* Applies modifiers, checks CCI edits and assists with charge entry
* Aware of governmental regulations, protocols and third party requirements in reference to coding principles
* Maintain a working knowledge of EMR, the registration process and charge entry
* Ability to work effectively with providers and co-workers
* Regular attendance and punctuality.
* Contributes to team effort by accomplishing related results as needed.
* Ensures that all processing and reporting deadlines are consistently achieved.
* Perform any other functions as required by management.
Qualifications and Education Requirements
* Certification in CPC, CHONC or specialty coding with one to three years experience directly related to coding and reimbursement for physician services
* Certified through The American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
* Educational requirements: BS preferred
* Attention to detail and the ability to organize information and tasks are essential.
* Knowledge of current and developing issues and trend in medical coding procedures and requirements.
* Working knowledge of ICD-9 and ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.
Preferred Skills
* Knowledge of medical terminology
Required Competencies
Ability to work in a team environment and enjoy multi-job functions. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking.
Physical Demands and work environment
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical demands: Required job duties are essentially sedentary in nature, consisting of occasional walking, standing, lifting and/or carrying ten pounds maximum, seeing, speaking and hearing. Must be able to lift up to 25 pounds.
Work environment: Required job duties are normally performed in a climate-controlled office environment.
$36k-52k yearly est. 60d+ ago
EMR Helpdesk Specialist
DCI Donor Services 3.6
Medical coder job in Nashville, 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.
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.
$48k-57k yearly est. 29d ago
Specialist, Release Planning
Sony Music Global 4.7
Medical coder job in Nashville, TN
About Sony Music Entertainment
At Sony Music Entertainment, we fuel the creative journey. We've played a pioneering role in music history, from the first-ever music label to the invention of the flat disc record. We've nurtured some of music's most iconic artists and produced some of the most influential recordings of all time.
Today, we work in more than 70 countries, supporting a diverse roster of international superstars, developing and independent artists, and visionary creators. From our position at the intersection of music, entertainment, and technology, we bring imagination and expertise to the newest products and platforms, embrace new business models, employ breakthrough tools, and provide powerful insights that help our artists push creative boundaries and reach new audiences. In everything we do, we're committed to artistic integrity, transparency, and entrepreneurship.
Sony Music Entertainment is a member of the Sony family of global companies.
The Specialist, US Release Planning will be based in our Nashville office and will support the US Centralized Release Planning department specifically the label copy/metadata needs for Sony Music Nashville (SMN). Specific duties include, but are not limited to the following:
What you'll do:
Project level ownership & execution of the label copy/metadata management process for Sony Music Nashville artists from start to finish
Collaborate and liaise with various departments across Sony Music Nashville such as, but not limited to, production assistants, label A&R, label Marketing, A&R Administration, Business Affairs, Copyright/IPL, Creative Services, Video Production and artist management teams to determine and gather all credits that make up each release's label copy, i.e. participants such as performers, producers, songwriters (inclusive of publishers/splits), engineers, & arrangers, as well as all other necessary credits.
Responsible for sourcing, compiling, inputting, confirming accuracy and proofreading label copy information for all SMN artists so that these releases are accurate internally and on digital partner platforms and so that royalties & payments are properly dispersed.
Confirm Side Artist rights and accurate artist level tagging with Business Affairs & Commerce teams for public-facing display and functionality on digital partner platforms and within internal systems.
Resolve discrepancies between label copy and master or artwork for all SMN artists.
Transmit physical configuration (Vinyl/CD/Cassette, etc.) packaging documents to the art director for all SMN physical releases to meet scheduled release dates.
Proofread art packaging files from Creative to ensure accurate copy on art file PDFs before they're transmitted to print vendors as part of physical configuration finished products.
Liaison with IT for GRPS label copy system improvements and updates.
Maintain label copy files for all SMN artists and provide accurate label copy to approved internal and external contacts.
Maintain regular, detailed communication of label copy information to the label & artist management as needed
Spearhead and maintain strict confidentiality for SMN releases according to the project reveal timeline including but not limited to using code names & internal metadata masking techniques.
Who you are:
College graduate with 1-2 years of previous experience in the music industry preferred
Calm, positive, while keeping a professional demeanor within a fast-paced & sometimes stressful environment
Highly organized, discrete, meticulously detail oriented but flexible in adapting and reprioritizing tasks
Self-confident and resourceful with the ability to anticipate potential issues and proactively work to put solutions in place
Thorough knowledge and understanding of Microsoft 365 Suite (including Teams, Outlook, Word, Excel), Adobe Acrobat Reader, and familiarity using digital project management and issue tracking tools.
Prior release planning, copyright, and/or A&R Admin experience at a record label is a plus.
Additional skills/traits needed to succeed in this position include: organization, discretion, confidentiality, initiative, meticulous attention to detail and multi-tasking; ability to handle and work with all types of personalities; sensitivity to cultural differences; self-confidence; ability to excel and remain calm in stressful and demanding situations; strong work ethic; sense of humor; and being an excellent communicator and enthusiastic collaborator who works well with team members, external partners, artist teams, and senior management.
What we give you:
You join an inclusive, collaborative and global community where you have the opportunity to channel your passion every day
A modern office environment designed to foster productivity, creativity, and teamwork empowering you to bring your best
An attractive and comprehensive benefits package including medical, dental, vision, life & disability coverage, and 401K + employer matching
Voluntary benefits like company-paid identity theft protection and resources for pets, mental health and meditation resources, industry-leading fertility coverage, fully paid leave for childbirth or bonding, fully paid leave for caregivers, programs for loved ones with developmental disabilities and neurodiversity, subsidized back-up child and elder care, and reimbursement for adoption, surrogacy, tuition, and student loans
Investment in your professional growth and development enabling you to thrive in our vibrant community.
The space to accelerate progress, positively disrupt, and create what happens next
Time off for a winter recess
Sony Music is committed to providing equal employment opportunity for all persons regardless of age, disability, national origin, race, color, religion, sex, sexual orientation, gender, gender identity or expression, pregnancy, veteran or military status, marital and civil partnership/union status, alienage or citizenship status, creed, genetic information or any other status protected by applicable federal, state, or local law.
$35k-45k yearly est. Auto-Apply 32d ago
Medical Records Specialist II
Insight Global
Medical coder job in Brentwood, TN
A client based in Nashville, TN is looking to hire Medical Records Specialist II to assist with pulling record sets. Will support various projects such as audits, Medicare/Medicaid audits, etc. As records are pulled, specialists will identify and log any missing documentation. The speed and efficiency of record retrieval is important. Manage data accuracy and patient records in the EMR.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
RHIT or RHIA certificate highly preferred
Experience reviewing medical records
- specifically in a medical records department, not just filing/scanning
Familiarity with EHR systems
Strong attention to detail for documentation tracking
Ability to meet tight deadlines
Comfortable with production driven role
$26k-34k yearly est. 20d ago
Medical Records Specialist II - Onsite (Franklin, VA 23851)
Datavant
Medical coder job in Franklin, TN
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.
You will:
* Schedule: Monday-Friday 8:00am-4:30pm (Franklin, VA 23851)
* 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.
* Must meet productivity expectations as outlined at specific site.
* May schedules pick-ups.
* Other duties as assigned.
What you will bring to the table:
* High School Diploma or GED.
* Must be 18 years or older.
* 1-year Health Information related experience.
* Ability to commute between locations as needed.
* Able to work overtime during peak seasons when required.
* 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.
Bonus points if:
* Experience in a healthcare environment.
* 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.
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.
$26k-34k yearly est. Auto-Apply 18d ago
Aircraft Records Coordinator
Contour Aviation 4.0
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
$30k-38k yearly est. 34d ago
Medical Billing and Coding Specialist (On Site)
Family Medical Associates & Pediatrics
Medical coder job in Lebanon, TN
Job DescriptionSalary:
at 1407 W Baddour Pkwy, Lebanon, TN 37087.
We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations, and managing medical billing processes. Your expertise in medical terminology and coding systems will be crucial in maintaining accurate patient records and facilitating timely reimbursements.
Duties
Review and analyze patient medical records to extract relevant information for coding purposes.
Assign appropriate ICD-10 codes for diagnoses and procedures based on established guidelines.
Ensure accuracy of medical coding to support billing processes and compliance with regulations.
Collaborate with healthcare providers to clarify documentation and resolve discrepancies in medical records.
Process medical claims for reimbursement.
Maintain up-to-date knowledge of changes in coding standards, regulations, and billing practices.
Assist in the management of medical collections by following up on unpaid claims and resolving billing issues.
Utilize electronic health record (EHR) systems to input, track, and manage patient data effectively.
Qualifications
Proven experience in medical billing and coding, with a strong understanding of medical terminology.
Proficiency in ICD-10 coding.
Familiarity with medical office operations and procedures related to billing and collections.
Strong attention to detail with excellent analytical skills to ensure accurate coding practices.
Ability to work independently as well as collaboratively within a team environment.
Excellent communication skills for effective interaction with healthcare professionals and patients.
Certification in Medical Billing or Coding from AAPC or other accredited program required.
Experience in billing and coding for a primary care practice is required.
This position is on-site at our Lebanon, TN office. Does allow for one day of work from home after one year of employment, and billing amounts per week over the qualifying amount.
Join our dedicated team of healthcare professionals where your skills will make a meaningful impact on patient care through accurate billing and coding practices!
Job Type: Full-time
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
License/Certification:
Medical Coding Certification (Required)
Ability to Commute:
Lebanon, TN 37087 (Required)
Work Location: In person
$29k-37k yearly est. 11d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Nashville, TN
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
$23-35.7 hourly 38d ago
Clinical Denial Coding Review Specialist
HCA 4.5
Medical coder job in Brentwood, TN
Introduction Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare.
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary and Qualifications
The Clinical Denials Coding Review Specialist is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices.
In this role you will:
* Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures
* Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate
* Compose technical denial arguments for reconsideration, including both written and telephonically
* Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument
* Identify problem accounts/processes/trends and escalate as appropriate
* Utilize effective documentation standards that support a strong historical record of actions taken on the account
* Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information
* Update patient accounts as appropriate
* Submit uncollectible claims for adjustment timely and correctly
* Resolve claims impacted by payor recoupments, refunds, and posting errors
* Assist team members with coding questions and provide resolution guidance
* Provide coding guidance and support to Practices
* Meet and maintain established departmental performance metrics for production and quality
* Maintain working knowledge of workflow, systems, and tools used in the department
Qualifications:
* Minimum two years related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application.
* Prior experience reading and interpreting Explanation of Benefits (EOB) required
* Coding certification through AHIMA or AAPC strongly preferred
"
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Denial Coding Review Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$54k-65k yearly est. 35d ago
Coder, Outpatient
Ovationhealthcare
Medical coder job in Brentwood, TN
Welcome to Ovation Healthcare!
At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit **********************
Summary:
Amplify, an Ovation Healthcare company is seeking a same day surgery coder with at least three years of experience. The SDS coder is responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement.
Duties and Responsibilities:
Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
Submit necessary provider queries to resolve documentation discrepancies.
Perform quality assessment of records, including verification of medical record documentation.
Review appropriate charges and make changes or recommendations based on the documentation.
Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.
Knowledge, Skills, and Abilities:
Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment.
Must be able to pass a coding assessment.
Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
Ability to multi-task and have excellent communication skills.
Must meet and maintain a 95% quality accuracy rate and productivity standards.
Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
Must have experience working in a remote environment.
Work Experience, Education, and Certifications:
AHIMA/AAPC Credentials Required.
Five or more years of Auditing experience.
Physician surgery coding experience preferred.
Working Conditions and Physical Requirements:
Reliable high-speed internet connection is required for all remote/hybrid positions.
Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities.
A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.
#ZR
$34k-47k yearly est. Auto-Apply 60d+ ago
Coder
NHC Homecare 4.1
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.
$56k-66k yearly est. 60d+ ago
EMR Helpdesk Specialist
Dci Donor Services 3.6
Medical coder job in Nashville, TN
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.
How much does a medical coder earn in Nashville, TN?
The average medical coder in Nashville, TN earns between $30,000 and $55,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Nashville, TN
$40,000
What are the biggest employers of Medical Coders in Nashville, TN?
The biggest employers of Medical Coders in Nashville, TN are: