Top 367 Risk adjustment coding Jobs in Tennessee

PreVisit Planning Coder - Summit Medical Group
Summit Medical Group, P.L.L.C. —Knoxville, TN
- Full-time
- Hybrid work
- Anatomy knowledge
- Mid-level
- Computer skills
Quick Apply
Community Manager
Asset Living —Clarksville, TN
- $50,000 - $55,000 a year
- Overtime
- Mid-level
- Ability to climb stairs
- High school diploma or GED
- Paid holidays
- Disability insurance
RTW Coordinator
CorVel Corporation —Nashville, TN
- $19.24 - $31.04 an hour
- Full-time
- Remote
- Mid-level
- Analysis skills
- Presentation skills
- Health savings account
- Disability insurance
Quick Apply
Revenue Cycle Manager
LifeLinc Corporation —Memphis, TN
- Full-time
- Microsoft Excel
- Bachelor's degree
- Recruiting
Principal, Risk Adjustment Analytics Consultant - REMOTE
Health Care Service Corporation —Nashville, TN
- $102,000 - $184,300 a year
- Full-time
- Remote
- 6 years
- Master's degree
- Analysis skills
7d
Health Technician
US Veterans Health Administration —Memphis, TN
- $45,409 - $59,031 a year
- Online Application
- Background check
- Psychiatry
- Pass drug screening
8d
Medical Coder
Humana —Memphis, TN
- $59,300 - $80,900 a year
- Full-time
- Remote
- Public speaking
- Mid-level
- Driver's License
- Paid parental leave
- Paid holidays
Security & Compliance Engineer II, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Nashville, TN
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
2d
Director of Revenue Cycle - Professional Services
Summit Healthcare Mgmt —Nashville, TN
- Full-time
- Hybrid work
- Office
- Finance
- Analysis skills
Quick Apply
1d
Quality & Stars Program Manager
Honeycomb Management Group LLC —Memphis, TN
- Full-time
- Nursing
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Senior Accountant
HOLLADAY PROPERTY SERVICES MID WEST INC —Nashville, TN
- Extended hours
- Bachelor of Science
- Bachelor's degree
- Quality control
Quick Apply
Security & Compliance Engineer, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Nashville, TN
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
2d
Senior Security & Compliance Engineer , AWS Security Assurance Services
AWS Security Assurance Services LLC —Nashville, TN
- $151,200 - $226,700 a year
- Full-time
- 5 years
- Java
- Analysis skills
- AD&D insurance
- Health insurance
9d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Nashville, TN
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Senior Software Engineer II
LexisNexis Risk Solutions —Franklin, TN
- $95,300 - $158,800 a year
- Full-time
- Azure
- System design
- Research
Site Reliability Engineering Lead
LexisNexis Risk Solutions —Franklin, TN
- $118,300 - $219,800 a year
- Full-time
- Mentoring
- Recruiting
- Senior level
Physician - Virtual Health Assessment - Bilingual in Spanish (Part-time)
Oscar Health —Nashville, TN
- $90 - $118 an hour
- Part-time
- Remote
- Spanish
- Medicine
- Internal Medicine
- Paid parental leave
- Paid holidays
Quick Apply
Security & Compliance Engineer II, AWS Security Assurance Services, LLC
Amazon Web Services, Inc. —Nashville, TN
- $137,600 - $202,400 a year
- Full-time
- System design
- HIPAA
- Java
- AD&D insurance
- Health insurance
1d
Sr. Security & Compliance Engineer, AWS Security Assurance Services, LLC
AWS Security Assurance Services LLC —Nashville, TN
- $151,200 - $226,700 a year
- Full-time
- Computer science
- Computer Science
- HIPAA
- AD&D insurance
- Health insurance
2d
Site Reliability Engineering Lead
RELX —Franklin, TN
- $118,300 - $219,800 a year
- Full-time
- Mentoring
- Recruiting
- Senior level

I want to receive the latest job alert for risk adjustment coding in tennessee

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

risk adjustment coding jobs near tennessee

Analytics Consultant jobs in Nashville, TN

Coding Specialist jobs in Memphis, TN

Senior Security Engineer jobs in Nashville, TN

Health Information Technician jobs in Memphis, TN

Community Manager jobs in Clarksville, TN

Site Reliability Engineer jobs in Franklin, TN

Coding Specialist jobs in Knoxville, TN

Clinical Documentation Specialist jobs in Nashville, TN

Senior Accountant jobs in Nashville, TN

Physician jobs in Nashville, TN

Program Manager jobs in Memphis, TN

Revenue Cycle Specialist jobs in Nashville, TN

Analytics Consultant jobs in Lake Mary, Fl

Analytics Consultant jobs in Chicago, Il

Analytics Consultant jobs in Atlanta, Ga

Analytics Consultant jobs in Ada, Ok

Data Analytics jobs in Buffalo, Ny

Jury Consultant jobs in Remote

Entry Level Medical Billing Coding Specialist jobs in Michigan

Coding Specialist jobs in Syracuse, Ny

PreVisit Planning Coder - Summit Medical Group

Summit Medical Group, P.L.L.C. -
Knoxville, TN

Quick Apply

Job Details

Full-time

Qualifications

Anatomy knowledge
CMS
Medicare regulations
Data interpretation
Computer skills
Medical terminology

Full Job Description

Summit Medical Group is seeking a PreVisit Planning Coder to join their team. This is a full-time opportunity in the KNOXVILLE, TN area due to onsite requirements.

Examples of Duties (List does not include all duties assigned)

Medical Records review and abstractions for the assessment of HEDIS and CMS STARS quality measures and communications to improve compliance.
With use of specified reports, HCC database, Athena EHR, hospital portals, member summaries and Group Management, review all records, progress notes and diagnosis for accuracy and completeness of documentation to support ICD coding to the highest level of specificity.
Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive services and support code transitions for greater specificity and accuracy.
Ensure coding and documentation criteria, rules and guidelines are met.
Ensure effective, necessary tasking and communication through Athena via approved task note forms.
Through medical record reviews, identify and assist the provider to update the Active Problem List for accuracy (highest degree of specificity) by transitioning the
less/unspecified diagnoses codes to the most accurate diagnosis and appropriate code specificity in Athena.
Through medical record, progress note and CPT reviews, identify and report trends for educational opportunities in documentation and coding.
Maintain continuous, effective, positive, and appropriate communication with a focus on actionable elements.
Actively participate in Summit provided seminars for continuing education and remain up to date on rules and changes regarding coding and documentation from appropriate, credible sources. Independently seek CEUs as indicated to maintain Credentials with the AAPC/AHIMA.
Appropriately interact with Summit billing and compliance teams regarding proper coding and documentation requirements and processes. Present applicable questions, suggestions and/or information in a timely manner as appropriate and maintain awareness and understanding of internal processes.
Serve as a helpful, reliable resource for the sites and providers by continuously looking for ways to improve knowledge, processes, and communications. Build appropriate lasting relationships to reduce risk and support providers.
Process Comprehensive Medical Chart reviews for abstraction of ICD-10 codes and accuracy of diagnosis with focused attention on Risk Adjustment HCC coding.
Accurately and effectively communicate with the provider with specific information about conditions documented in medical record but not yet incorporated into Active Problem List.
Analyze progress notes to identify and/or assign accurate ICD-10-CM codes and appropriate level of service CPT codes in accordance with guidelines and procedures to ensure corporate and regulatory compliance with avoidance of errors and inaccuracies.
Actively participate in designated meetings and/or workshops, special projects and other activities associated with the Risk Adjustment program as needed.
Continuous use and awareness of ethical coding, the official coding rules, regulations, and coding conventions of the American Hospital Association (Coding Clinic), ICD-9/ICD-10-CM, Centers for Medicare, and Medicaid Services (CMS), and organizational/institutional coding guidelines.
Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.

Education

Associates degree, bachelors preferred with completion of college/accreditation level
coursework in ICD-9-CM, ICD-10-CM and CPT coding, anatomy and physiology, and
medical terminology.

Experience

Minimum Requirements:

Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.
Must have proficient computer skills.
The ability to interpret, analyze and abstract data/documentation.
Possess good problem-solving skills.
Be self-motivated, independent thinker with time management and organizational skills.
Review medical record information to identify all appropriate coding based on CMS HCC Categories in accordance with CMS RADV.

Preferred Requirements:

Two to five years’ experience, coding and demonstrating knowledge in the principals and practices of ICD-10 and CPT code conventions.
Certification as a RHIA, RHIT, CRC, CHDA, CCDIS (others may be considered)
Risk adjustment, HCC coding experience, awareness and/or demonstrated knowledge.
Experienced with CMS Medicare Advantage Risk Adjustment Data Validation
Prior medical chart auditing and quality reporting experience
Managed care experience
Experience with health plan Risk Adjustment processes and systems for CMS RAF assignment and acceptance helpful
Clinical experience beneficial.

Certification/License

Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

risk adjustment coding jobs in tennessee

PreVisit Planning Coder - Summit Medical Group

Community Manager

RTW Coordinator

Revenue Cycle Manager

Principal, Risk Adjustment Analytics Consultant - REMOTE

Health Technician

Medical Coder

Security & Compliance Engineer II, AWS Security Assurance Services, LLC

Director of Revenue Cycle - Professional Services

Quality & Stars Program Manager

Senior Accountant

Security & Compliance Engineer, AWS Security Assurance Services, LLC

Senior Security & Compliance Engineer , AWS Security Assurance Services

Senior Consultant - Clinical Documentation Specialist

Senior Software Engineer II

Site Reliability Engineering Lead

Physician - Virtual Health Assessment - Bilingual in Spanish (Part-time)

Security & Compliance Engineer II, AWS Security Assurance Services, LLC

Sr. Security & Compliance Engineer, AWS Security Assurance Services, LLC

Site Reliability Engineering Lead

I want to receive the latest job alert for risk adjustment coding in tennessee

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected