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
Clinical Denial Coding Review Specialist
Medical coder job in Nashville, 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 nation's 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.
Coder 3
Medical coder job in Memphis, TN
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
Coder Analyst Spec-Clnic
Medical coder job in Knoxville, TN
Coder Analyst Specialist, Clinical Document Integrity
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.
Position Summary:
Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Billing Department in timely billing and rebilling of patient information.
Recruiter: Brittany Smithson || *****************
Responsibilities
Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities.
Verifies data in the medical record and accurately abstracts pertinent information for charge entry.
Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis.
Edits unbilled claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing.
Participates in quality coding and audit reviews for each provider.
Assists provider with coding questions for all services rendered.
Assists other coders with coding questions to determine the most appropriate codes used for billing compliance and refers coding questions to the Operations Manager when additional research is needed.
Contacts physicians for clarification and medical necessity.
Reviews all encounters for accurate documentation and coding of services rendered.
Communicates pending items and questions with office manager, CDI supervisor, and manager.
Demonstrates ability to meet or exceed practice quality and quantity standards.
Liaison between practice specialty and insurance company for benefit determination and claim rejections.
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Professional coding experience is preferred.
Minimum Experience:
Three (3) years of extensive diagnosis and procedural coding experience required.
Licensure Requirement:
Must have and maintain a CPC coding certification through the American Academy of Professional Coders, or be registered as a Health Information Technician (RHIT) through the American Health Information Management Association.
Auto-ApplyCoder 3
Medical coder job in Memphis, TN
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
Auto-ApplyCoder, Edit/Denials
Medical coder job in Brentwood, TN
Duties and Responsibilities:
Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims.
Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals.
Researches payer policies and processes.
Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.
Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed. Identifies invoices or claims that have been rejected per billing edits/criteria.
Knowledge, Skills, and Abilities:
Knowledge of ICD-10 and CPT Coding
Must be comfortable working with AR teams to resolve issues.
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.
Auto-ApplyCertified Medical Coder
Medical coder job in Chattanooga, TN
We are looking for a detail-oriented Medical Coder to join our team on an immediate contract basis. In this role, you will be responsible for accurately reviewing and coding inpatient medical records using established standards and guidelines. This position is located in Chattanooga, Tennessee and offers the opportunity to contribute to the efficiency and compliance of a growing, patient-oriented team.
Responsibilities:
- Review inpatient medical records to assign accurate ICD-10-CM and CPT codes.
- Ensure all coding practices comply with regulatory requirements, payer policies, and official guidelines.
- Collaborate with healthcare professionals to clarify clinical documentation and resolve coding discrepancies.
- Stay updated on coding standards, payment systems, and healthcare regulations.
- Participate in audits and quality improvement initiatives to ensure coding accuracy.
- Protect the confidentiality and integrity of patient information throughout the coding process.
- Meet established productivity and accuracy benchmarks to support organizational goals.
If you are interested and available for an IMMEDIATE coding opportunity, please complete an application and call (423)244-0726! for more information TODAY!
Requirements
- Proven experience in medical coding, including proficiency in ICD-10 and CPT coding systems.
- Certification in medical coding required- CPC, CCS, RHIA or RHIT preferred.
- Strong understanding of specialized services coding guidelines.
- Familiarity with healthcare regulations and payer policies.
- Ability to work with patients, family members, and payers to resolve claims issues.
- Excellent attention to detail and organizational skills.
- Knowledge of prospective payment systems and healthcare compliance standards.
**All candidates must undergo drug and background screening for consideration
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
Coder- Surgery Center
Medical coder job in Knoxville, TN
The Surgical Coder in an Ambulatory Surgery Center (ASC) is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical and procedural services based on thorough review of patient medical records. This role ensures coding compliance with current healthcare regulations and supports timely, accurate billing and data reporting. The ideal candidate has strong knowledge of surgical procedures, anatomy, and medical terminology, and is comfortable collaborating with clinical and administrative teams. This is a non-exempt position.
Key Responsibilities:
Assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS) in accordance with documentation and regulatory requirements
Analyze patient medical records, operative reports, and other clinical documentation to ensure completeness and accuracy in coding.
Work closely with surgeons, nurses, and billing staff to clarify documentation and resolve coding discrepancies.
Follow official coding guidelines, payer policies, HIPAA regulations, and facility-specific coding and billing protocols.
Extract essential data elements from clinical documentation to support accurate billing and reporting.
Participate in internal and external audits, monitor coding productivity and accuracy, and review bill hold reports as needed.
Stay current with changes in coding rules, payer guidelines, and industry standards through ongoing education and training.
Respond to inquiries related to coding and billing from internal departments and external stakeholders.
Requirements
Education:
High school diploma or GED required. Associate's or Bachelor's degree in Health Information Management or related field preferred.
Certification:
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Experience:
Minimum of 2 years of surgical coding experience in an ASC or outpatient setting preferred.
Skills:
Strong understanding of medical terminology, anatomy, and surgical procedures
Excellent attention to detail and accuracy
Familiarity with EHR systems and coding software
Effective written and verbal communication skills
Ability to work independently and manage time effectively
Medical Coding Specialist
Medical coder job in Columbia, TN
Now hiring Medical Coding Specialist Columbia, TN Pay Rate: $17.00 per hour Shift: Monday-Friday, 6:30 AM-4:30 PM Behind Every Paid Claim Is Someone Like You Step into a Medical Coding Specialist role in Columbia, supporting a busy healthcare team with precise coding, clean claims, and expert billing follow-through. If you're detail-oriented and thrive in fast-paced healthcare environments, you'll fit right in.
Required to Join the Team
* An associate or bachelor's degree in health information management is preferred.
* Minimum of one year of medical billing or coding experience.
* Certification from recognized organizations such as AAPC (CPC), AHIMA (CCS), or PMImed (CMC) is required.
* Comfortable working with ICD-10, CPT, and HCPCS, and modifiers.
The Good Stuff For Medical Coding Specialist Pros
* Good Pay. Your accuracy and focus pay off
* Real Benefits. Medical, dental, vision, and life insurance
* Optional 401k Plan. A flexible way to save
* Everyday Deals. Employee discounts you will actually use
* Refer and Score. Earn bonuses for great referrals
* Career Growth. Grow your skills.
What Your Day Looks Like
* Submit medical and dental claims to all payers including Medicaid, Medicare, private insurance, and patient accounts.
* Identify and correct claim errors, then resubmit for payment.
* Update patient information within the billing system as needed.
* Apply and record payments and insurance reimbursements.
* Work directly with patients and insurance companies to answer billing questions and resolve open claims.
* Handle billing adjustments such as sliding scale fees.
* Provide courteous, accurate support for patient billing concerns.
* Prepare financial documents for release when authorized.
When 92% of employees say they'd tell a friend to join, you know the numbers add up. Medical billers love good numbers.
Join a Team That Works for You
At Staffmark, we're more than just a staffing company-we're your career partner. As part of RGF Staffing and Recruit Group, an HR powerhouse behind big names like Indeed and Glassdoor, we've got the muscle and the know-how to get you where you want to go.
With more than half a century of experience and a track record of putting hundreds of thousands of people to work every year, we've got your back. Whether you're looking to level up, switch gears, or just get to work fast, we make it happen.
Join us and experience the advantage of working with a trusted name in recruiting-because your success is our success.
About Staffmark
Staffmark is committed to providing equal employment opportunity for all persons regardless of race, color, religion (including religious dress and grooming practices), sex, sexual orientation, gender, gender identity, gender expression, age, marital status, national origin, ancestry, citizenship status, pregnancy, medical condition, genetic information, mental and physical disability, political affiliation, union membership, status as a parent, military or veteran status or other non-merit based factors. We will provide reasonable accommodations throughout the application, interviewing and employment process. If you require a reasonable accommodation, contact your local branch. Staffmark is an E-Verify employer. This policy is applicable to all phases of the employment relationship, including hiring, transfers, promotions, training, terminations, working conditions, compensation, benefits, and other terms and conditions of employment.
All employees are directed to familiarize themselves with this policy and to act in accordance with it. All decisions with respect to employment matters and other phases of employer-temporary employee relationships will be in keeping with this policy and in accordance with all applicable laws and regulations.
To read our Privacy Notice for Candidates and Employees/Contractors, please refer to our Privacy Notice for Candidates and Employees/Contractors.
By applying for this job, you agree that you may receive both AI-generated and non-AI generated calls, text messages, or emails from Staffmark Group and/or its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our general Privacy Policy at Privacy Policy - Staffmark
Certified Medical Coder
Medical coder job in Knoxville, TN
University Physicians' Association
is seeking qualified applicants for a
full-time
Certified Medical Coder
for University Gastroenterology located within the UT Medical Center.
is normal business hours Monday-Friday.
Coder audits medical provider clinical documentation inpatient and outpatient while adhering to Medicare guidelines and reviews documentation. Identifies areas for documentation improvement and effectively communicates with providers. Ensure the provider has entered the correct coding and adding modifiers as needed. Must be reliable and have the ability to maintain a high level of confidentiality within all aspects of job performance.
Essential Duties and Responsibilities:
Performs coding services and audits documentation before claims are submitted
Partners with providers and staff to improve quality and efficiencies in coding and documentation
Maintains HIPPA Guidelines for privacy.
Remains current in coding rules and guidelines.
Benefits
Great benefits with health insurance, dental insurance, vision insurance, 401K with company match and immediate vesting, PTO (paid time off), sick leave, and life insurance along with short-term and long-term disability. Flex spending account and Health Saving Account (HSA) available.
Requirements
Minimum one-year experience in coding inpatient and outpatient Evaluation & Management (E/M) Services, as well as experience coding procedures.
GI experience preferred
Coder 3
Medical coder job in Memphis, TN
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
Auto-ApplyLOP 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
Donor / Medical Records Manager
Medical coder job in Nashville, TN
Summary of Function: The Donor Records Manager oversees the quality assurance (QA) review of cadaveric and birth tissue donor eligibility charts, ensuring that donor records are complete, accurate, and compliant with internal and external standards. This role is responsible for managing corrections, maintaining efficient workflows, and fostering collaboration with partner agencies. The position includes supervising and evaluating staff performance, managing communications with medical directors, and supporting strategic initiatives. The Donor Records Manager also leads process improvement efforts using data-driven methods to enhance overall quality and compliance.
MAJOR DUTIES AND RESPONSIBILITIES
Manage of donor eligibility and donor record review team, identifying and addressing deficiencies, and ensuring timely completion of corrections.
Oversee the review and completion of partner agency pending lists, ensuring timely communication on aged donor records and key performance metrics.
Oversee chart disposition and ensure monthly chart metrics and goals by staff.
Collaborate effectively with external agencies, maintaining strong communication regarding pending records and compliance.
Exercise sound judgment and decision-making to provide quality solutions aligned with DCI Donor Services' mission.
Provide daily supervision of QA/QC staff, including training, accountability, scheduling, and performance evaluations.
Ensure staff understand their job responsibilities and address any performance gaps through feedback, coaching, and disciplinary action when necessary. Promote employee growth through mentoring and formalizing plans when appropriate.
Recruit, hire, and train personnel to maintain high-quality team performance.
Facilitate timely communication with medical directors, ensuring records are reviewed for eligibility determination and seeking guidance on medical issues as needed.
Acts as liaison between DCIDS Quality Assurance, Tissue Bank, Tissue Recovery, Ocular Recovery, other Affiliated Tissue Processors and Medical Directors on compliance initiatives.
Build and maintain positive professional relationships with internal and external stakeholders.
Uphold confidentiality of patient, donor, and company information.
Assist in developing and maintaining the department's strategic plan, including setting key performance indicators (KPIs) and metrics for both the team and department.
Attend industry workshops and meetings to stay current with quality, regulatory, and industry standards relevant to tissue and birth tissue recovery operations.
Analyze cross-departmental data to identify trends and patterns, collaborating to improve processes and ensure regulatory compliance.
Apply the PDSA (Plan-Do-Study-Act) model to support consistent and effective process improvement initiatives.
Lead investigations into deviations and occurrence reports, conducting root cause analysis and ensuring proper documentation and communication with stakeholders.
Perform other related duties as assigned.
Qualifications:
Education: Bachelor's degree in a health-related field or equivalent experience in quality system management within an OPO (Organ Procurement Organization) or medical records management.
Experience: Minimum of 5 years with medical records and 2 years leading staff.
Licenses/Certifications: CQIA (Certified Quality Improvement Associate) or equivalent; CPTC (Certified Procurement Transplant Coordinator), CTBS (Certified Tissue Bank Specialist), or CEBT (Certified Eye Bank Technician) preferred.
Skills: Proficiency in Microsoft Office (Word, PowerPoint, Excel). Strong communication, decision-making, and leadership skills.
Auto-ApplyPGA Certified STUDIO Performance Specialist
Medical coder job in Tennessee
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyCoder
Medical coder job in Paris, TN
Job Details West TN Healthcare Henry County - Paris, TN FT 80 Certification Days Health CareDescription
The Health Informatics Specialist / Coder will be responsible for assisting with all mandatory reporting services, information technology upgrades, and reviewing all un-coded encounters in the respective queue for completeness by the provider, ensuring that the correct charges have been entered, and by utilizing the 3M software code the diagnosis and procedures accurately. It is our goal to have all encounters coded and dropped for billing by the 5
th
working day following the encounter.
Qualifications
EDUCATION & TRAINING:
Minimum of two years of formal healthcare training in a certified health information or equivalent field. Associate Degree or higher is preferred.
-A credential in a health related field, i.e., RHIA, RHIT, CCA, CCS, CCS-P, and CPC-H is preferred.
-Within two (2) years of employment at Henry County Medical Center a credential of CCA, CCS, CCS-P, or CPC-H is required.
-Continuing education to maintain the coding credential is imperative.
EXPERIENCE:
Minimum of one year of experience in a healthcare related setting with additional experience in quality control / federal or state regulations / analysis of healthcare data or similar position / 3M software
Strong attention to detail, problem-solving skills, and organizational skills
Demonstrated high competency in balancing multiple projects
Strong verbal and written skills
Excellent time management skills
Experience in process analysis and documentation
Outstanding communication skills
High proficiency in Microsoft Office programs, i.e. Word, Excel, Access, and Outlook
LICENSES & CERTIFICATION:
RHIA, RHIT, CCA, CCS, CCS-P , CPC-H is preferred
Clinical Documentation Integrity (CDI) Medical Records Technician
Medical coder job in Memphis, TN
The CDI Medical Records Technician plays a critical role in enhancing the quality and accuracy of clinical documentation within the Veterans Health Administration (VHA) system. This position is based onsite at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, TN, a high-complexity, tertiary care teaching hospital serving over 206,000 veterans across Tennessee, Arkansas, and Mississippi.
As a Medical Records Technician (MRT) specializing in Clinical Documentation Integrity, you will collaborate with healthcare providers, coding professionals, and clinical staff to ensure that medical records accurately reflect the patient's clinical status, diagnoses, and treatment plans. Your work will directly impact coding accuracy, reimbursement, quality reporting, and patient care outcomes.
Key Responsibilities:
Perform concurrent and retrospective reviews of inpatient and outpatient medical records to identify documentation gaps and opportunities for improvement.
Initiate and manage provider queries to clarify ambiguous, incomplete, or conflicting documentation.
Apply knowledge of ICD-10-CM coding, SNOMED-CT terminology, and VHA documentation standards to support accurate coding and billing.
Assist in the development and implementation of CDI workflows, SOPs, and training programs.
Educate providers and staff on documentation best practices, compliance standards, and regulatory requirements.
Participate in reconciliation processes to resolve discrepancies between CDI and final coded records.
Support quality initiatives including mortality reviews, CMS core measures, and utilization management.
Maintain compliance with VA, CMS, and Joint Commission documentation guidelines.
Work Environment:
Onsite at a Level 1A VA Medical Center with a 60-bed Spinal Cord Injury Unit and 10 outpatient clinics.
Collaborative, multidisciplinary team setting under the supervision of the Chief of Health Information Management.
Job Details
Position Type: Full-Time (Onsite)
Location: Lt. Col. Luke Weathers, Jr. VA Medical Center, 116 North Pauline Street, Memphis, TN 38104
Period of Performance: Base Year (Oct 1, 2025 - Sep 30, 2026) with one (1) Option Year
Work Schedule: Monday to Friday, 7:30 AM - 4:00 PM EST
Service Contract Act Applicable: Yes
Hourly Rate: $27.20-$33 Per Hour + SCA Health and Welfare (H&W) $5.09 Per Hour
Citizenship Requirement: U.S. Citizen or Green Card holder
RequirementsEducation: Bachelor's degree preferred; Master's degree optional
Experience: Minimum of 2 years of recent CDI experience in trauma, teaching, or tertiary hospital settings
Certifications: Must hold current certification from one or more of the following:
ACDIS (Association of Clinical Documentation Integrity Specialists): Certified Clinical Documentation Specialist (CCDS))
AHIMA (American Health Information Management Association): Certified Documentation Integrity Practitioner (CDIP)
AAPC (American Academy of Professional Coders): Certified Documentation Expert Outpatient (CDEO) certification or Certified Documentation Expert Inpatient (CDEI) certification
Technical Skills: Proficient in reviewing inpatient and outpatient documentation, applying ICD-10-CM coding standards, and using SNOMED-CT terminology
Responsibilities:
Conduct concurrent and retrospective reviews of medical records
Collaborate with providers to clarify documentation
Develop SOPs, workflows, and training materials
Participate in reconciliation of CDI and coding discrepancies
Educate staff on documentation standards and compliance
Compliance: Must meet all VA, CMS, and Joint Commission documentation guidelines
Health Requirements: Must provide proof of current immunizations and screenings (TB, MMR, Varicella, Tdap, Influenza, COVID-19)
Other Requirements:
Must pass background check and credentialing
Must maintain PHI access and NPI registration
Must adhere to ACDIS Code of Ethics
BenefitsComprehensive Health & Wellness Coverage
Medical Coverage: Multiple nationwide and regional options, including HMO, PPO, and HDHP plans, with access to 24/7 telemedicine and wellness programs.
Dental & Vision Insurance: Preventive, basic, and major dental services, plus vision exams, frames, and contact lenses.
Health Savings Account (HSA) & Flexible Spending Account (FSA): Pre-tax savings for healthcare expenses.
Employee Assistance Program (EAP): Confidential support for mental health, legal consultations, and work-life balance.
Financial Wellbeing
401(k) Retirement Plan with Employer Matching.
Financial Coaching: Budgeting tools and financial planning support.
Commuter Benefits & Adoption Assistance: Savings on mass transit and reimbursement for eligible adoption expenses.
Work-Life Balance & Professional Growth
Training & Development: Access to on-demand courses and professional growth programs.
Sick Time and PTO
Holiday Pay
Additional Perks
MarketPlaceâ„¢ Perks at Work: Discounts on fitness, nutrition, travel, and childcare.
Community Online Academy: Free wellness and professional development courses.
Medical Records Technician (PRN)
Medical coder job in Memphis, TN
CVP is seeking PRN-Medical Records Technicians to provide back up coverage for our team at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, TN. This position will work collaboratively with the CDI Nursing Advisor to ensure clinical documentation integrity for both inpatient and outpatient services.
Responsibilities
Review and analyze health records to identify documentation improvement opportunities in both inpatient and outpatient settings
Generate and communicate queries to healthcare providers to clarify clinical documentation
Develop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable services
Focus on inpatient cases (patient treatment files/PTFs) and outpatient abstracts
Develop standard operating procedures (SOPs), workflow processes, and templates consistent with current standards
Implement an improvement plan focused on updating problem lists or Scientific Nomenclature of Medicine - Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code sets
Participate in reconciliation activities to review discrepancies in code or MS-DRG assignments
Conduct program evaluation and performance improvement activities
Monitor and report on key CDI metrics, including query rates, response rates, and impact measures
Generate and deliver periodic reports (weekly, bi-monthly, and monthly) as required
Participate in collaborative meetings with healthcare teams and administrators
Qualifications
Must be a U.S. citizen and eligible to obtain a Public Trust government security clearance
Bachelor's degree
Current certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS)
Minimum of two years' experience as a Clinical Documentation Integrity Specialist
Strong knowledge of medical terminology, coding principles, and healthcare documentation standards
Experience with electronic health record systems like VistA/CPRS preferred
Understanding of MS-DRG assignment, coding guidelines, and clinical documentation requirements
Familiarity with The Joint Commission, CMS regulations, and VHA directives related to health information management
Clinic Hours: Monday-Friday, 7:30 am-4:00 pm
Contract: 10/1/2025 - 9/30/2027
Pay Rate: $32/hr
H&W Benefits: $5.09/hr (Can opt for cash in lieu of benefits)
Location: Lt. Col. Luke Weathers, Jr. VA Medical Center, 116 North Pauline Street, Memphis, TN 38104
About CVP
CVP is an award-winning healthcare and next-gen technology and consulting services firm solving critical problems for healthcare, national security, and public sector clients. We help organizations achieve lasting transformation.
CVP is an Equal Opportunity Employer dedicated to actively recruiting individuals and providing advancement opportunities based on merit and legitimate job qualifications. We ensure that all associates receive equal opportunities based on their personal qualifications and job requirements. CVP strictly prohibits any form of discrimination or harassment.
At CVP, we cultivate a work environment that encourages fairness, teamwork, and respect among all associated. We are committed to maintaining a workplace where everyone can grow both personally and professionally.
Auto-ApplyCertified 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-ApplyOtolaryngology - Certified Coding Specialist - Full Time
Medical coder job in Murfreesboro, TN
Policy Name Certified Professional Coder and Responsibilities Department Effective Date Last Revision June 2025 Policy Owner Clinic Manager Policy Description and Purpose: Managing patient care involves a team of clinical and nonclinical staff interacting with patients and working to achieve patient-centered care. s and responsibilities of the care team emphasize a team-based approach to patient care and promote training of team members to meet the highest level of function allowed by state law.
Procedure: The and responsibilities are defined for Certified Professional Coder in the Gastroenterology department at Murfreesboro Medical Clinic below:
Job Title
Certified Professional Coder (CPC)
Job Description
The CPC researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD-10 (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner.
Working Conditions
Work is performed in an office setting and possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting, stooping, and sitting for extended periods of time will occur. Also, occasional stress from multiple responsibilities. Overtime hours may be required as needed.
Job Responsibilities
Represent MMC in a courteous and professional manner
Responsible for accurate and complete coding according to Compliance Guidelines, and for assigning ICD-10 and CPT codes from doctors/providers documentation.
Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
Works A/R queues to resolve denials or errors in a timely manner.
Provide ongoing feedback and targeted training to doctors/providers and other providers regarding coding guidelines and requirements.
Stay up to date with changes in CMS guidelines.
Research and stay current with health insurance billing requirements.
Must meet month end requirement.
Works with medical staff and patient accounting staff to resolve coding issues and associated problems.
Reviews reimbursement from third-party payers to ensure payment through proper use of codes.
Be proactive and participate in educational activities such as webinars, AAPC education opportunities and conferences.
Be at your workstation on time and prepared to start the day
Email communication is utilized in this department for important messages and updates. Staff members are expected to read emails frequently.
Be flexible when asked to stay past your scheduled work time (as needed) to accommodate the needs of patients
Meet or exceed patient, doctor, and staff expectations through a cooperative, teamwork approach
Keep your work area and the clinic clean.
Be knowledgeable of and adhere to all HIPAA and OSHA guidelines.
Be knowledgeable of and adhere to all MMC policies and procedures.
With instruction, perform other duties as required or assigned
Required Skills
Excellent customer service skills
Strong skills in communicating effectively with co-workers, providers, and patients
Ability to conduct daily functions in an appropriate, professional, and compassionate manner
Ability to manage/prioritize multiple tasks in an efficient and timely manner
Teamwork attitude
Flexibility to respond to changing demands
Ability to react calmly and competently in stressful situations
Effectively utilize computer systems and programs that are necessary to complete daily tasks
Education/Experience Requirements
* High school diploma or GED
* Coding Certification (Certified Professional Coder CPC) Required
MMC Vision, Mission, and Values
Our vision is to be a leading contributor to community health through participation in programs that promote wellness, facilitate diagnosis, and enhance treatment of disease.
Our mission is to foster continuous improvement in community health through the delivery of quality, accessible medical and surgical care in a cost-effective manner to the residents of Middle Tennessee.
Our values guide our actions as we strive to carry out our mission.
A progressive approach to advances in medicine and changes in the health care delivery system
Responsive to patient and community needs
Collaborative with other physicians, hospitals, allied health providers and the community in improving health care
Professional, ethical and socially responsible
Team-oriented management and leadership
A positive, open and responsive work setting
Medical Records Supervisor RMSI
Medical coder job in Nashville, TN
Job Details TN, Nashville - Riverbend Max Security Institution - Nashville, TN Full-Time High School Diploma/GED Day Administrative & ClericalDescription
Centurion is proud to be the provider of healthcare services to the Tennessee Department of Correction
.
We are currently seeking a full-time Medical Records Supervisor to join our team at Riverbend Maximum Security Institution located in Nashville, Tennessee.
The Medical Records Supervisor will be responsible for directing, planning, coordinating, and administering the written and electronic medical records program. The Supervisor will be responsible for supervising and managing department operations and maintaining a complete, accurate healthcare record. This person will supervise the medical records staff and maintain the confidentiality of the health care records.
Pay ranges from $21-$25 per hour depending on relevant experience.
Qualifications
High school diploma or equivalent
Three years' supervisory experience in Medical Records setting preferred
Current CPR Certification
Medical terminology knowledge and/or medical terminology course completion preferred
EMR experience preferred
Ability to obtain a security clearance, to include drug screen and criminal background check
7:00am - 3:30pm; Monday, Wednesday, Thursday, Friday
We offer excellent compensation and comprehensive benefits for our full-time team members including:
Health, dental, vision, disability and life insurance
401(k) with company match
Generous paid time off
Paid holidays
Flexible Spending Account
Continuing Education benefits
Much more...
Contact: Cathleen Garrison ***************************
indmhm
#CG
Easy Apply