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Medical coder jobs in Tennessee

- 242 jobs
  • Clinical Reimbursement Specialist

    Life Care Centers of America 4.5company rating

    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
    $44k-52k yearly est. 2d ago
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Nashville, TN

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $57k-68k yearly est. 9d ago
  • OASIS and Coding Specialist

    Amedisys Inc. 4.7company rating

    Medical coder job in Tennessee

    Are you looking for a rewarding career as an RN OASIS and coding specialist? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay * $70,000 - $75,000 Enjoy many perks and benefits * A full benefits package with choice of affordable PPO or HSA medical plans. * Paid time off. * Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. * Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa/massage/salon services, gym memberships, fitness classes, sports, hobbies, pets and more. * * Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. * 401(k) with a company match. * Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. * And more. Please note: Benefit eligibility can vary by position depending on shift status. * To participate, you must be enrolled in an Amedisys medical plan. Responsibilities * Receives and reviews patient OASIS assessments for assigned care centers. * Reviews OASIS patient status items compared to other related patient documentation to verify completeness and accuracy. * Assists in evaluating needs of the patient and suggests referrals to other disciplines as indicated by the patient's needs. * Identifies need for OASIS/documentation education and communicates group needs to care center leadership and supervisor. * Communicates any delays in processing assessments to supervisor and care center. * Performs other duties as assigned. Qualifications * Current unencumbered license to practice as an RN. * One year ICD-9 or ICD-10 coding and OASIS experience. * HCSD or BCHH-C ICD-10 certification. * OASIS (COS-C/HCS-O) certification. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * Current unencumbered license to practice as an RN. * One year ICD-9 or ICD-10 coding and OASIS experience. * HCSD or BCHH-C ICD-10 certification. * OASIS (COS-C/HCS-O) certification. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * Receives and reviews patient OASIS assessments for assigned care centers. * Reviews OASIS patient status items compared to other related patient documentation to verify completeness and accuracy. * Assists in evaluating needs of the patient and suggests referrals to other disciplines as indicated by the patient's needs. * Identifies need for OASIS/documentation education and communicates group needs to care center leadership and supervisor. * Communicates any delays in processing assessments to supervisor and care center. * Performs other duties as assigned.
    $70k-75k yearly 60d+ ago
  • Clinical Denial Coding Review Specialist

    HCA 4.5company rating

    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 nations leading provider of healthcare services, HCA Healthcare. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Clinical Denials Coding Review Specialist is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices. In this role you will: * Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures * Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and telephonically * Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument * Identify problem accounts/processes/trends and escalate as appropriate * Utilize effective documentation standards that support a strong historical record of actions taken on the account * Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information * Update patient accounts as appropriate * Submit uncollectible claims for adjustment timely and correctly * Resolve claims impacted by payor recoupments, refunds, and posting errors * Assist team members with coding questions and provide resolution guidance * Provide coding guidance and support to Practices * Meet and maintain established departmental performance metrics for production and quality * Maintain working knowledge of workflow, systems, and tools used in the department Qualifications: * Minimum two years related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application. * Prior experience reading and interpreting Explanation of Benefits (EOB) required * Coding certification through AHIMA or AAPC strongly preferred " Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Denial Coding Review Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $54k-65k yearly est. 3d ago
  • Coder

    NHC Homecare 4.1company rating

    Medical coder job in Murfreesboro, TN

    Definition: Remote Clinical Coder and Quality Review for the Home Care division. Line of Authority: Director of Coding Education and Compliance, Home Care; Director of Home Care Services Qualifications: One to Two years of experience in Home care required Certification and formal training and education in ICD-10-CM diagnosis coding required as well as OASIS Certification Licensed Clinician-RN, LPN, PT, PTA, OT, COTA, or ST. Performance Requirements: Microsoft Excel experience Typing and data entry proficiency Web-based application experience OASIS review and instruction ICD-10-CM introduction and education preferred Lifting and transferring of tools of the trade and travel supplies as needed Able to carry out fine motor skills with manual dexterity Able to sit for extended periods of time Able to see and hear adequately in order to respond to auditory and visual requests Able to speak in clear, concise voice in order to communicate adequately Able to read, write, and follow written orders Must have reliable personal transportation and the ability to travel as needed Specific Responsibilities: Responsible for participating in the pre-lock abstraction of relevant medical information for the assignment and sequencing of diagnosis codes by remote review of home health agency records and provided other clinical historical records. Responsible to assure alerts and omissions of the OASIS are identified and corrected according to policy/procedure. Accurately interprets and applies Home Care policy and procedure, as well as regulatory rules and guidelines pertaining to diagnosis coding and sequencing. Accurately assigns, sequences, data enters, diagnoses codes with a minimum of 95% accuracy within the required completion time frame. Is required to maintain an average daily quota as assigned. Guides Home Care staff in following Home Care policy and procedure, Official Coding Guidelines and related M items. Reports any discovered medical diagnoses coding errors or noncompliance with stated policy, rules, guidelines and other NHC coding processes to Director of Coding Education and Compliance or other appropriate Regional or Corporate clinical support staff. Accurately maintains electronic files and logs of all completed Diagnoses and Coding Forms, as well as accurately maintains original records of all received supporting documentation for the indicated time frame. Effectively communicates all requests for additional or clarification of information to the appropriate agency. Seeks opportunities to increase knowledge base and broaden expertise and keeps professional credentials current. Supports and assists other Home Care Administrative or Regional personnel as needed. Performs other duties as assigned by Director of Coding Education and Compliance and/or Director of Home Care Services/ Vice President of Home Care.
    $56k-66k yearly est. 60d+ ago
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Nashville, TN

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 5d ago
  • Coder 2

    Baptist Memorial Health Care 4.7company rating

    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:
    $44k-56k yearly est. 18d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Nashville, TN

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 7d ago
  • CODER ANALYST

    Covenant Health 4.4company rating

    Medical coder job in Knoxville, TN

    Coding Analyst, Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Business Office in timely billing of patient information. Recruiter: Susanna Mcguinn | ***************** Responsibilities * Reviews medical records to determine the ICD-10 CM, ICD-10 PCS and CPT codes to be utilized, in accordance with coding and reimbursement guidelines. * Verifies data in the medical record abstract and accurately abstracts and enters clinical information from the medical records, to ensure the integrity of the database. * Appropriately utilizes current UHDDS standards in the proper selection and assignment of the principal diagnosis, principal procedure, complications and cormorbid conditions. * Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are coded in a timely manner. * Reviews case mix reports on a weekly basis and follow-up on any record requiring re-review. * Participates in coding and abstracting quality reviews as required. * Assists physicians and clarifies coding versus clinical issues. * Assists other coders with coding questions to ascertain the most appropriate codes for billing and statistical information; refers coding questions to the Unit Leader, as necessary. * Contacts physicians for clarification when necessary. * Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office. * Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. * Performs other duties as assigned. Qualifications Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate's degree. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university. Minimum Experience: None Licensure Requirement: None
    $43k-58k yearly est. Auto-Apply 11d ago
  • LOP Specialty Certified Coder

    Surgery Partners 4.6company rating

    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
    $37k-57k yearly est. 33d ago
  • Coder 3

    Baptist Anderson and Meridian

    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
    $35k-48k yearly est. Auto-Apply 60d+ ago
  • Coder, Edit/ Denials

    Ovation Healthcare

    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.
    $34k-47k yearly est. Auto-Apply 60d+ ago
  • Coder- Surgery Center

    Tennessee Orthopaedic Alliance, East Tn 4.1company rating

    Medical coder job in Knoxville, TN

    The Surgical Coder in an Ambulatory Surgery Center (ASC) is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical and procedural services based on thorough review of patient medical records. This role ensures coding compliance with current healthcare regulations and supports timely, accurate billing and data reporting. The ideal candidate has strong knowledge of surgical procedures, anatomy, and medical terminology, and is comfortable collaborating with clinical and administrative teams. This is a non-exempt position. Key Responsibilities: Assign appropriate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS) in accordance with documentation and regulatory requirements Analyze patient medical records, operative reports, and other clinical documentation to ensure completeness and accuracy in coding. Work closely with surgeons, nurses, and billing staff to clarify documentation and resolve coding discrepancies. Follow official coding guidelines, payer policies, HIPAA regulations, and facility-specific coding and billing protocols. Extract essential data elements from clinical documentation to support accurate billing and reporting. Participate in internal and external audits, monitor coding productivity and accuracy, and review bill hold reports as needed. Stay current with changes in coding rules, payer guidelines, and industry standards through ongoing education and training. Respond to inquiries related to coding and billing from internal departments and external stakeholders. Requirements Education: High school diploma or GED required. Associate's or Bachelor's degree in Health Information Management or related field preferred. Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. Experience: Minimum of 2 years of surgical coding experience in an ASC or outpatient setting preferred. Skills: Strong understanding of medical terminology, anatomy, and surgical procedures Excellent attention to detail and accuracy Familiarity with EHR systems and coding software Effective written and verbal communication skills Ability to work independently and manage time effectively
    $38k-53k yearly est. 60d+ ago
  • Inpatient Coding Denials Specialist

    Hospital Housekeeping Systems 4.4company rating

    Medical coder job in Nashville, TN

    Responsibilities HHS is a private, family-owned business dedicated to caring for its team members and providing honest, quality-driven customer service. Founded in 1975, HHS now supports nearly 1,000 customers across various sectors including healthcare and hospitality. Summary We are seeking a Inpatient Coding Denials Specialist to join our dynamic team at HHS in the United States. This role is vital in ensuring accurate medical coding and billing processes that align with our commitment to quality service. The Coding Specialist will play a key role in supporting our healthcare clients by maintaining high standards of accuracy and efficiency. Responsibilities Review inpatient documentation to support accurate ICD-10-CM and ICD-10-PCS coding and DRG assignment. Write and submit clear, evidence-based appeal letters using medical records, coding guidelines, and payer policies. Investigate payer denials by reviewing remittance advice, denial letters, and regulatory guidance. Escalate problem accounts and report denial trends for process improvements. Meet or exceed productivity and accuracy standards. Stay current on coding guidelines, regulatory updates, and company policies. Occasionally perform Coding Integrity Specialist or Coding Account Resolution Specialist duties as needed. Required Qualifications Certifications: CCS, RHIT, or RHIA Minimum 3 years of acute care inpatient hospital coding (5+ years preferred). Experience with DRG assignment and inpatient coding guidelines. Prior DRG appeal or payer denial resolution experience strongly preferred. Expert-level understanding of ICD-10-CM, ICD-10-PCS, MS-DRGs, APR-DRGs. Strong knowledge of inpatient coding guidelines and payer regulations. Excellent written and verbal communication skills (appeal letter writing required). Strong analytical and problem-solving abilities. Proficiency in Microsoft Office and EMR/coding systems Associate's or Bachelor's degree in Health Information Management or Health Information Technology preferred. - Billing Identifier: CC 3271 Hourly
    $31k-39k yearly est. Auto-Apply 60d+ ago
  • Certified Medical Coder

    University Physicians' Association, Inc. 3.4company rating

    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
    $31k-39k yearly est. 24d ago
  • Coder 3

    Baptist 3.9company rating

    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
    $27k-34k yearly est. Auto-Apply 60d+ ago
  • Senior Outpatient Coder

    Houston Methodist 4.5company rating

    Medical coder job in Tennessee

    At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. **PEOPLE ESSENTIAL FUNCTIONS** + Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. + Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. + Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Responsible for assigning diagnostic and procedural codes to encounters of high complexity. + Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. + Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. + Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy. + Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines. **FINANCE ESSENTIAL FUNCTIONS** + Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding. + Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts. + Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner. **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve. + Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises. **EDUCATION** + Associate's or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree **WORK EXPERIENCE** + Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program **LICENSES AND CERTIFICATIONS - REQUIRED** + RHIT - Certified Health Information Technician (AHIMA) **OR** + RHIA - Registered Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate (AHIMA) **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder (AAPC) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations + Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security + Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical record and imaging systems + Working knowledge of medical terminology, anatomy and physiology + Proficiency with electronic encoder application + Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs No + Business professional Yes + Other (department approved) No **ON-CALL*** _*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below._ + On Call* No **TRAVEL**** _**Travel specifications may vary by department**_ + May require travel within the Houston Metropolitan area Yes + May require travel outside Houston Metropolitan area Yes **Company Profile:** Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an Equal Opportunity Employer.
    $30k-38k yearly est. 60d+ ago
  • Donor / Medical Records Manager

    DCI Donor Services 3.6company rating

    Medical coder job in Nashville, TN

    Job Description 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.
    $53k-76k yearly est. 22d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    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.
    $32k-42k yearly est. Auto-Apply 23d ago
  • Coder

    Henry County Medical Center 4.3company rating

    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
    $33k-40k yearly est. 60d+ ago

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Top 10 Medical Coder companies in TN

  1. CovenantHealth

  2. HCA Healthcare

  3. University Physicians' Association, Inc.

  4. Baptist Memorial Health Care

  5. Baptist Anderson and Meridian

  6. Datavant

  7. Humana

  8. Erlanger Health System

  9. Houston Methodist

  10. Community Health Systems

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