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 2
Medical coder job in Memphis, TN
Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records.
Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies.
Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc.
Completes assigned goals.
Specifications
Experience
Description:
Minimum Required: Skill and proficiency in coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD-9-CM and CPT-4 through 3 years' experience in an acute care facility.
Preferred/Desired:
Education
Description:
Minimum Required: TN - Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties.
Preferred/Desired:
Training
Description:
Minimum Required: ICD-9-CM Coding CPT-4 Coding
Preferred/Desired:
Special Skills
Description:
Minimum Required:
Preferred/Desired
Licensure
Description: One of the following: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT). Minimum Required:
Coder 2 - Clinic, Patient Financial Services
Medical coder job in Jackson, MS
To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. #CB Responsibilities Job Title: Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations.
* Quality and Performance Improvement
* Research, develops and implements standardized process for quality monitoring of inpatient and outpatient coding and abstracting. Conducts quality audits for coding according to pre-established criteria in coordination with the Coding and Reimbursement Specialist. Assists Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implements innovative ideas and process changes.
* Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students.
* Collaboration and Partnership
* Establishes and maintains interdepartmental relationships with Network providers to facilitate cooperation and compliance. Assists the Physician Network, Revenue Management Department and other financial departments in clarification of coding regarding reimbursement issues to resolve claim edits and assure clean claim submission. Monitors and evaluates compliance with documentation standards to identify trends, issues, risk areas, and opportunities of education and process improvement.
* Collaborates with Management to identify and coordinate educational needs based audit results and new technologies. Provide support to the Coding and Reimbursement Specialist of monthly statistics and educational programs to staff on a regular basis. Provides technical assistance to the Systems Specialist for authorized coding database retrieval and identification and resolution of software and system functionality.
* Other Duties As Assigned
* Performs other duties as assigned or requested.
Qualifications
* Associates degree, Bachelor's degree, or coding certification (CCS or CPC) with 3 years' experience OR 5 years' experience in medical coding without degree or certification
* Thorough knowledge of medical terminology, managed care financial agreements; Thorough knowledge of CPT-4, HCPC, and ICD-9 codes
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
Coder
Medical coder job in Conway, AR
Responsible for coding designated medical records as assigned by coding supervisor. Maintains quality control for all records processed. Codes all records according to ICD-10-CM Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Abstracts according to UHDDS guidelines. Follows instructions published by "Coding Clinic" and "CPT Assistant."
Qualifications
Education: High school graduate or equivalent. ICD-10-CM coding school and/or attendance at basic ICD-10-CM/CPT seminar required in lieu of experience. Certified Coding Specialist (CCS) preferred.
Experience: Previous experience in medical record department preferred. Physician office experience will be considered in a motivated individual.
Certificate/License: RHIA, RHIT, CCS, CPC ,or CCA required.
If candidate does not possess any of the aforementioned credentials he or she will be given a year to acquire one of the credentials.
Auto-ApplyMedical Records Specialist
Medical coder job in Oxford, MS
Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.
Overview:
We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season.
HEDIS Course: Includes
- Medical Terminology
- Introduction to HEDIS
- HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc)
- Interview Tips
Self-Paced Course
https://courses.medicalabstractortemps.com/courses/navigating-hedis-2026
Coder
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
SMRMC Full Time 1373-HIM Coder/Certified Level 2-7181
Medical coder job in McComb, MS
Job Summary: The Health Information Coder is expected to provide exceptional customer care to Southwest Health consumers, visitors, and staff. The HIM Coder is responsible for using coding work queues daily in the electronic health record and selecting the most accurate and applicable codes per coding guidelines. The HIM Coder must communicate with their Coding Supervisor and Billing Staff daily for prompt resolution of coding issues and claim processing issues. The HIM coder is expected to participate in bi-weekly meetings, monthly, quarterly, and yearly coding education through various educational sources. The HIM Coder must maintain coding certifications and continuing education units and must be willing to perform any task assigned by supervisor or Department Head.
Additional Responsibilities:
Reviewing and coding patient encounters of all specialties.
Ensure that all codes are accurately assigned.
Report missing or incomplete documentation to the analysis area or submit queries to providers if necessary.
Meet daily coding productivity and quality standards set forth by the department.
Review charge code entries for accuracy and makes corrections as needed.
Serve as a resource regarding insurance denials and coding questions from the Revenue Cycle team.
Adhere to and follow all coding guidelines and legal requirements to ensure compliance with Federal and State regulations.
General Functions:
Complete required continuing education to maintain coding credentials and license.
Support and assist the Coding Manager of HIM and Revenue Cycle leadership on special projects as requested.
Work directly with other departments and attend all internal/external meetings and training.
Auto-ApplyCoder-Inpatient
Medical coder job in Batesville, AR
Job Description
Coder-Inpatient
JOB RESPONSIBILITY
Perform Inpatient Medical Record Coding.
Identify significant diagnoses and procedures and determine the principal diagnosis and procedure for each hospitalization accu rately 95‑100% of the time to meet standard; 94% or less is below standard as documented by quality assurance activities.
Assign correct classification codes for identified diagnoses and procedures accurately - 95‑100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities.
3. Sequence all procedures performed according to the established AHIMA guidelines.
4. Code all inpatient medical records as documented on the daily worklists. Work task desktop maintain AR daily productivity.
Standard:
1. Code all IP records with a minimum of 2 charts per hour. The goal is to code within 4 -7 days from discharge date.
Employee shall maintain ongoing continuing education and training as available. This will include seminars, literature, and discussion of issues that relate to the coding specialty. Employee must follow all coding guidelines and AHIMA's Code of Ethics
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 - 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-ApplyElectronic Medical Records Specialist - FT - Days (72400)
Medical coder job in Cleveland, TN
The Electronic Medical Records Specialist is responsible for creating, maintaining, and validating Bradley Health Care's legal electronic medical records. Duties include retrieving records from nursing units, ancillary departments, and remote campuses. All inpatient and outpatient discharged records are reconciled against census reports. The paper records are reviewed for document and patient identifiers and then prepped for the scanning process. The paper is scanned on either high-speed or flatbed scanners and image quality is reviewed for legibility. Electronic images which require manual intervention are manually indexed to the assigned the document or patient id. The electronic record is reviewed to validate the images are assigned to the proper doctype and folder. Individual pages and documents are maintained as needed including moving or rotating pages, reassigning documents to the proper encounter, splitting pages into multiple documents, and merging different documents into one.
The position performs quantitative and qualitative analysis of medical records of discharged Inpatient, Observation, and Outpatient Surgery records in accordance with Medical Record policies and procedures, Medical Staff policies, JCAHO and other regulatory agency standards. The electronic medical record is reviewed for missing documents, incomplete information on existing documents, and missing signatures to ensure the record is complete and accurate. Electronic deficiencies are inserted into the record and assigned to the proper physician to complete. Changes to the record that require reanalysis are also reviewed and additional action is taken as needed. Assistance is provided to physicians as needed when they are completing their deficiencies.
Other periodic duties include assisting physicians, various office duties, and answering phone within the HIM department.
Qualifications
JOB QUALIFICATIONS
Education: High school graduate or GED equivalent required Associate degree preferred
Licensure: N/A
Experience: Minimum of 2 years experience in a HIM environment or 3 years of experience as a HIM Analyst preferred.
One year of Medical Record and/or scanning experience preferred. Must demonstrate the ability to type 40 - 45 wpm accurately or demonstrate sufficient keyboard familiarity to perform job functions. Previous experience in a hospital HIM department preferred.
Six months of analysis experience preferred. Previous experience with a document imaging system desired, preferably Siemens Imaging; will consider medical office experience.
Skills:
* Strong knowledge of medical record format and content for inpatient and outpatient visits.
* Orientation to anatomy and physiology as well as medical terminology.
* Ability to examine the chart and verify patient identification utilizing the hospital-wide patient system with complete knowledge of the registration process and pathways.
* Ability to examine a form and determine its proper barcode.
* Ability to identify non-standard forms and determine action required.
* Ability to navigate the patient registration system.
* Ability to perform computer functions in a Microsoft Windows environment.
* Ability to push or lift 30 pounds.
* Good verbal, written, and computer communication skills.
* Detail oriented.
* Ability to evaluate and process 400 documents per hour.
* Adheres to the facility's confidentiality policy for all information related to patient's, their family, staff, physicians and clients.
* Ability to prioritize workload and strong recall and recognition skills
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Typical office/information systems environment, subject to frequent interruptions and heavy deadline requirements.
The associate is frequently working with sensitive and confidential patient and business information.
Frequent sitting, and long periods of reviewing records from a computer screen. Frequent pushing, pulling, bending, stooping, reaching and climbing (steps, step ladder, stool) requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift on feet. Ability to handle moderate to heavy materials while bending or reaching overhead. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, color codes, report types, as well as hand dexterity to sort reports and/or enter data.
* Work assignments require consistent periods of sitting or standing.
* Dexterity of upper extremities and fingers, as well as mental dexterity for accurately sorting medical record documents.
* Ability to flex neck for sorting documents.
* Light to moderate lifting of 25 +/- pounds of medical record documents.
* Ability to stand, bend and stretch to accommodate filing and sorting process.
* Ability to communicate clearly and understandably on the telephone and in person.
* Ability to understand the spoken work 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. 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).
Must be able to lift, bend and carry light to medium weight equipment. Move mobile files and buggies.
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
EMR Helpdesk Specialist
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 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.
Auto-ApplyMedical Records, Health Information Management Dir., Medical Records, RHIA
Medical coder job in Collierville, TN
Clients are general acute care hospitals nationwide. Southern Medical Recruiters is a healthcare/hospital recruitment organization with hospitals clients nationwide. seeking the best in healthcare talent. Candidates must have strong hospital experience as CEO, CNO, COO, CFO, Director of Business Office, Director of Quality, Performance Improvement, Director of Case, Director of Anciallary, Allied, Critical Care, Pediatrics, NICU, CCU, ICU, Cardiac CAth, Radiology, Lab Services, Education, ER, OR, Physicians, Clinics, Outpatient, Service Line Administrators, ONcology, NP, PA, CRNA, etc.
We provide recruitment services to hospitals, physician practice organizations, clinics, healthcare providers, for profit and non for profit health care organizations seeking the best value and talent.
Our Clients offer excellent compensation, benefits, relo. allowance, bonus incentive, nego. doe.
We work Nationwide on a contingency basis.
pls. email us your if you are seeking healthcare talent.
If you are a candidate seeking a job, pls. submit a CV
no fees to applicants
**************************
no fees to applicants
************
Job Description
Medical Records, HIM, Coding, Health Information Management Dept., RHIT, RHIA, lovely location, Tn.
Supervision of off-site coders, staffing, evaluating and prioritizing daily work assignments, maintaining coding standards, and educating staff and physicians on coding issues
. Audits records to ensure 95% accuracy of coding. Runs the grouper daily to release all coded accounts. Works those accounts caught in the grouper. In AS 400, runs the medical necessity check (MNCM) and works those records which have failing procedures.
Responsible for the charts that are caught on the 72 hour rule, the APC Hold and the HCPCS hold, reviews the accounts to see if records can be combined or released. Works with the Central Billing Office to fix those accounts which are caught due to coding errors and corrects the accounts and responds to the billing office through CNE.
Candidates must have RHIA, RHIT or CCS with a minimum of 2 years ICD-9 and CPT-4 coding experience with inpatient and outpatient coding. Must have extensive knowledge about reimbursement systems such as DRGs and APCs. Experience in performing quality audits.
Must be able to code all chart types and be proficient with assigning modifiers. Must have prior knowledge in 3M grouper.
Must be familiar with Medicare guidelines with the respect to billing. Must have some computer experience, working with a healthcare software computer system is desirable. Ability to work under pressure in a fast paced environment with time constraints
Required:
Education & Experience " Bachelor's degree (B. A.) from Four year College or University; or four years related experience and/or training; or equivalent combination of education and experience.
Must have:
Licensure, Certification & Registration " Must maintain one of the following: a current Certified Coding Specialist certificate, a current Certified Coding Specialist Physician Based certificate, a current Registered Health Information Administrator certificate. or a Registered Health Information Technician certificate
Client offers excellent growth potential, salary, benefits, and other perks.
email a resume to:
Adela Nash
(google us)
Southern Medical Recruiters
************
Qualifications
BS degree, RHIA, strong general acute care experience in HIM as Director and leader
.
email a resume for consideration, client is offering excellent salary, benefits and other perks to strong candidate.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Client offers excellent salary, benefits, relocation package and more
.
email a resume for consideration.
EMR
Medical coder job in Marks, MS
Provides basic medical care to the level of Emergency Medical Responder including medical evaluation, treatment and stabilization of the critically ill and injured; responds to emergency rescue situations involving potential loss of life or bodily injury; maintains control, manages and directs patient care at the scene of a pre-hospital emergency; provides training and instruction to lesser trained personnel; performs other duties as required.
Essential Duties and Responsibilities:
Provides and directs fast, efficient Basic Life Support to the ill and injured utilizing all basic and abilities and techniques, including but not limited to the placement of airway adjuncts, and AED use including defibrillation;
Recognizes and understands a medical emergency and makes reasonable and acceptable differential diagnosis;
Performs critical physical examinations;
Understands and anticipates potentially life-threatening presentation of non-cardiac emergencies and institutes appropriate emergency therapy where essential for the preservation of life;
Deals with medical and emotional needs of any victim of acute illness or injury with the goal of reducing mortality and morbidity
Responsible for managing and directing all first responders at the scene of a medical emergency;
Responsible for quality patient-care as established by the Company;
Files standardized reports of patient information and care for the use of receiving hospital and administration, including nature of request for aid, pertinent past history, therapy provided diagnosis, disposition and sufficient patient information for billing purposes;
Transports the ill and injured to institutions of medical care;
Operates emergency vehicles in a safe manner under all conditions;
Cleans and maintains equipment;
Properly completes medical information forms for administrative use;
Maintains strict compliance with all Pafford Policies & Procedures.
Maintains strict compliance with all rules and regulations set forth by the state and federal programs.
May perform related duties or task as assigned.
Education and/or Work Experience Requirements:
High School Diploma or GED Required, Associates Degree or advanced degree preferred
Must possess and maintain unrestricted EMR Certification
Must possess and maintain CPR for the Health Care Provider (AHA, ASHI, ECSI)
Must possess and maintain unrestricted state driver's license.
Certification in ICS 100 & 200; 300 & 400 preferred but not required;
Certification in FEMA IS-800;
Must possess NIMS 700.
Must have completed CEVO or EVOC upon date of hire
Proficient knowledge of the street systems, addresses and physical layout of the area, and of the rescue equipment and the emergency medical equipment used on the ambulance.
Ability to perform technical medical skills with a high degree of accuracy;
Ability to understand and effectively deals with emotional and medical needs of victims of injuries, acute illnesses, or psychological emergencies;
Ability to maintain a professional and objective approach to the care of ill or injured persons;
Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
Physical Requirements:
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
Must be able to lift and carry up to 150 lbs.
Work may require sitting, near vision use for reading, computer use and technical procedures, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
Must be able to talk, listen and speak clearly in person, on two-way radios and telephone.
Must possess visual acuity to operate a computer terminal, operate a motor vehicle (day and night), and read.
NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.
Coder 3
Medical coder job in Jonesboro, AR
Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned.
Responsibilities
Codes diagnoses and procedures of records.
Completes assigned goals.
Serves as a resource to physican office staff, clinical documentation specialist, case managers, etc.
Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows.
Assist in research of new speciality areas, new treatments in medicine, etc.
Work with new acquisitions on documentation improvement and medical necessity, including education.
Specifications
Experience
Minimum Required
Over one year of experience in physician /professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in coding physician/professional outpatient (ancillary, emergency department, or outpatient surgery, etc) records utilizing ICD-9-CM and CPT-4 . Two years experience in an acute care facility, professional office or integrated health system. One year of documented successful physician education.
Preferred/Desired
Education
Minimum Required
Skill and proficiency in coding physician/professional and outpatient (ancillary, emergency department, oupatient surgery, etc. ) records utilizing ICD-9-CM and CPT -4 through 5 years experience in an acute care facility, professional office or intergrated health system. Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, RHIA
Preferred/Desired
Associates degree
Training
Minimum Required
CPC, CPC-H, CPC-P, CCS, CCS-P, RHIT, RHIA, HCPCS, ICD-10, ICD-9, CPT-4
Preferred/Desired
Special Skills
Minimum Required
Preferred/Desired
Physician education, leadership, mentoring, workflow documentation
Licensure
One of the following: Certified Coding Specialist (CSS), Certified Coding Specialist Physician (CCSP), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC/CPCH), Certified Professional Coder Payer (CPCP).
Minimum Required
COC/CPCH;CPC-P ;CCS-P;RHIT;RHIA;CPC;CCS
Preferred/Desired
Medical Records Specialist
Medical coder job in Tupelo, MS
Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.
Overview:
We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed, we will connect you with hiring recruiters looking to hire for the upcoming HEDIS season.
HEDIS Course: Includes
- Medical Terminology
- Introduction to HEDIS
- HEDIS Measures (CBP, LSC, CDC, BPM, CIS, IMA, CCS, PPC, etc)
- Interview Tips
Self-Paced Course
https://courses.medicalabstractortemps.com/courses/navigating-hedis-2026
Electronic Medical Records Specialist - FT - Days
Medical coder job in Cleveland, TN
Job Details Bradley Medical Center LLC - CLEVELAND, TN Full Time Days Health Information Management / Medical RecordsDescription
The Electronic Medical Records Specialist is responsible for creating, maintaining, and validating Bradley Health Care's legal electronic medical records. Duties include retrieving records from nursing units, ancillary departments, and remote campuses. All inpatient and outpatient discharged records are reconciled against census reports. The paper records are reviewed for document and patient identifiers and then prepped for the scanning process. The paper is scanned on either high-speed or flatbed scanners and image quality is reviewed for legibility. Electronic images which require manual intervention are manually indexed to the assigned the document or patient id. The electronic record is reviewed to validate the images are assigned to the proper doctype and folder. Individual pages and documents are maintained as needed including moving or rotating pages, reassigning documents to the proper encounter, splitting pages into multiple documents, and merging different documents into one.
The position performs quantitative and qualitative analysis of medical records of discharged Inpatient, Observation, and Outpatient Surgery records in accordance with Medical Record policies and procedures, Medical Staff policies, JCAHO and other regulatory agency standards. The electronic medical record is reviewed for missing documents, incomplete information on existing documents, and missing signatures to ensure the record is complete and accurate. Electronic deficiencies are inserted into the record and assigned to the proper physician to complete. Changes to the record that require reanalysis are also reviewed and additional action is taken as needed. Assistance is provided to physicians as needed when they are completing their deficiencies.
Other periodic duties include assisting physicians, various office duties, and answering phone within the HIM department.
Qualifications
JOB QUALIFICATIONS
Education: High school graduate or GED equivalent required Associate degree preferred
Licensure: N/A
Experience: Minimum of 2 years experience in a HIM environment or 3 years of experience as a HIM Analyst preferred.
One year of Medical Record and/or scanning experience preferred. Must demonstrate the ability to type 40 - 45 wpm accurately or demonstrate sufficient keyboard familiarity to perform job functions. Previous experience in a hospital HIM department preferred.
Six months of analysis experience preferred. Previous experience with a document imaging system desired, preferably Siemens Imaging; will consider medical office experience.
Skills:
Strong knowledge of medical record format and content for inpatient and outpatient visits.
Orientation to anatomy and physiology as well as medical terminology.
Ability to examine the chart and verify patient identification utilizing the hospital-wide patient system with complete knowledge of the registration process and pathways.
Ability to examine a form and determine its proper barcode.
Ability to identify non-standard forms and determine action required.
Ability to navigate the patient registration system.
Ability to perform computer functions in a Microsoft Windows environment.
Ability to push or lift 30 pounds.
Good verbal, written, and computer communication skills.
Detail oriented.
Ability to evaluate and process 400 documents per hour.
Adheres to the facility's confidentiality policy for all information related to patient's, their family, staff, physicians and clients.
Ability to prioritize workload and strong recall and recognition skills
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Typical office/information systems environment, subject to frequent interruptions and heavy deadline requirements.
The associate is frequently working with sensitive and confidential patient and business information.
Frequent sitting, and long periods of reviewing records from a computer screen. Frequent pushing, pulling, bending, stooping, reaching and climbing (steps, step ladder, stool) requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift on feet. Ability to handle moderate to heavy materials while bending or reaching overhead. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, color codes, report types, as well as hand dexterity to sort reports and/or enter data.
Work assignments require consistent periods of sitting or standing.
Dexterity of upper extremities and fingers, as well as mental dexterity for accurately sorting medical record documents.
Ability to flex neck for sorting documents.
Light to moderate lifting of 25 +/- pounds of medical record documents.
Ability to stand, bend and stretch to accommodate filing and sorting process.
Ability to communicate clearly and understandably on the telephone and in person.
Ability to understand the spoken work 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. 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).
Must be able to lift, bend and carry light to medium weight equipment. Move mobile files and buggies.
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
Hospital EMR Coordinator
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 looking for a Hospital EMR Coordinator to join the team onsite in Nashville, TN. This role will be responsible for the development, implementation and maintenance of efficient systems that provide DCIDS with access to hospital electronic medical records (EMR); taking the following into consideration: DCIDS requirements, donor/recipient safety, confidentiality, data privacy, user access, and hospital EMR capabilities.
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.
We are committed to diversity, equity, and inclusion. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
Key responsibilities this position will perform include:
Develops and implements efficient systems that provide DCIDS with access to hospital electronic medical records.
Follows and documents established methodology for initiating EMR access systems.
Provides support to end-users in the installation and configuration of EMR applications. Works with Hospital Development Coordinators to obtain access to hospital personnel who will participate in implementation of agreed upon systems.
Works with internal/external IT colleagues and business units to endure timely delivery of high overall satisfaction.
Organizes and tracks details of each electronic medical record access system.
Maintains user access accounts, including additions, changes, and terminations in DCIDS's EMR tracking system.
Identifies quality improvement opportunities and facilitates improvements.
Troubleshoots real time access problems.
Creates professional materials pertinent to the process.
Serves as the liaison between Clinical Services, Tissue Recovery Services, Bridge 2 Life Center, Quality, IT and Hospital Development for all hospital EMR related issues.
Supports other DCIDS Department projects, as needed.
Performs other related duties as assigned.
The ideal candidate will have:
An associate's degree in healthcare related field, business, or information technology
1 year of professional experience in IT support or healthcare informatics environment
Proficiency in Microsoft office products and Electronic Signature Platforms
Exceptional teamwork, communication, and conflict management skills.
Valid Driver's license with ability to pass MVR underwriting requirements
We offer a competitive compensation package including:
Up to 176 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.
Auto-ApplyAmbulance Billing Coder
Medical coder job in Hope, AR
Responsible for appropriate and accurate coding of ambulance claims for submission to appropriate payer to appropriate and timely reimbursement of ambulance services. Ambulance Billing Coder converts patient's information into standardized codes which are used on documentation for healthcare insurance claims and for databases. Medical
coders assist in the reimbursement of ambulance claims from healthcare insurance companies.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
● Entering Patient Health Information into the TriTech system from the ZOLL Web PCR
● Assigns appropriate ICD-10 codes based on the information documented in the patient care report
● Assign the appropriate level of ambulance based on the CAD report
● Assign appropriate charges for services supported by the patient care report
● Review documentation to determine medical necessity of the ambulance transport and enter appropriate billing
narrative to each claim
● Ensure that all necessary documents are present before submitting a claim for reimbursement
● Ensure that each account is billed to the correct payer and billing schedule
● Performing other duties as assigned.
QUALIFICATIONS
● Proficient with a PC
● Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
● Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
● Knowledge of medical terminology
● Knowledge of Medical Billing
● Ability to work independently and with a group
● Working knowledge of MS Word, Excel
● Ability to maintain effective working relationships.
● Thorough knowledge of office practices
● Ability to type at least 35 words per minute.
● Proficiency using 10 key
EDUCATION AND EXPERIENCE REQUIREMENTS:
● High School Diploma or GED
● Minimum of one year revenue
PHYSICAL REQUIREMENTS
● Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
● Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
● The employee may occasionally be required to lift and/or move up to 20 pounds.
● Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
● Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
● Must be able to talk, listen and speak clearly on telephone.
● Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
TRAVEL TIME: 0-5% Negligible travel
NOTE: The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified.