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Associate Medical Coding Billing Jobs in Tennessee

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form. * Provides education to coding staff and physicians in ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form. * Provides education to coding staff and physicians in ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form. * Provides education to coding staff and physicians in ...

OneOncology

Manager, Coding

Nashville, TN · On-site

OneOncology is positioning community oncologists to drive the future of medical care through a ... Responsible for researching billing and coding guidelines for new or current service lines.

OneOncology

Manager, Coding

Nashville, TN · On-site

OneOncology is positioning community oncologists to drive the future of medical care through a ... Responsible for researching billing and coding guidelines for new or current service lines.

Parallon

Inpatient Coding Auditor

Lebanon, TN · On-site

... medical record to support code assignments. What you will do in this role:  * Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan ...

Parallon

Inpatient Coding Auditor

Franklin, TN · On-site

... medical record to support code assignments. What you will do in this role:  * Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan ...

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All JobsAssociate Medical Coding Billing JobsAssociate Medical Coding Billing Jobs in Tennessee

Associate Medical Coding Billing information

What is an associate medical coding billing professional?

Associate Medical Coding Billing professionals are entry-level specialists who work in healthcare settings to accurately assign standardized codes to diagnoses, procedures, and medical services for billing and insurance purposes. They review patient records, ensure coding compliance with regulations, and help healthcare providers receive proper reimbursement. Their work is critical for efficient healthcare operations, minimizing billing errors, and reducing claim denials. Typically, they work under the supervision of experienced coders or billing managers while gaining on-the-job experience.

What are the key skills and qualifications needed to thrive as an associate medical coding billing professional?

To thrive as an Associate Medical Coding Billing professional, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and insurance claim processes, often supported by a relevant certification like CPC or CCA. Proficiency with medical billing software, electronic health records (EHR) systems, and claims processing tools is typically required. Attention to detail, organizational skills, and the ability to communicate effectively with healthcare providers and payers are crucial soft skills. These competencies ensure accurate coding, minimize claim denials, and support efficient reimbursement processes for healthcare organizations.

Is an associate's degree in medical coding and billing worth it?

An associate's degree in medical coding and billing can improve job prospects and earning potential for medical coding and billing specialists by providing foundational knowledge of medical terminology, coding systems, and healthcare regulations. However, obtaining industry certifications like CPC or CCS can also be essential for career advancement and higher salaries. The degree is generally considered a valuable credential in this field, especially when combined with relevant certifications and experience.

What is the difference between Associate Medical Coding Billing vs Medical Coding Specialist?

AspectAssociate Medical Coding BillingMedical Coding Specialist
CertificationsCPB, CPC, or similarCPB, CPC, or similar
Work EnvironmentHealthcare facilities, billing companiesHospitals, clinics, billing firms
Job FocusCoding and billing processes, claim submissionAccurate coding, compliance, documentation
Common UsageEntry to mid-level roles in billing and codingSpecialized coding roles, quality assurance

Both roles require similar certifications and work in healthcare settings, but the Associate Medical Coding Billing focuses on both coding and billing tasks, often at an entry to mid-level, while the Medical Coding Specialist emphasizes precise coding and compliance, often with more specialized responsibilities.

Can I get an associate in medical billing and coding?

An associate degree in medical billing and coding is a common educational pathway that provides foundational knowledge of medical terminology, coding systems like ICD-10 and CPT, and healthcare regulations. While not always required, earning this degree can improve job prospects and may be complemented by certification such as the Certified Professional Coder (CPC).

What are some typical challenges faced by associate medical coding billing professionals, and how can they be managed?

Associate Medical Coding Billing professionals often encounter challenges such as keeping up-to-date with frequent changes in coding standards and insurance regulations, ensuring accuracy under tight deadlines, and resolving discrepancies between clinical documentation and billing codes. Managing these challenges involves continuous education, attention to detail, and proactive communication with healthcare providers and insurance representatives. Many organizations offer training sessions and encourage collaboration within coding and billing teams to address complex cases and minimize errors.
What are the most commonly searched types of Medical Coding Billing jobs in Tennessee? The most popular types of Medical Coding Billing jobs in Tennessee are:
What cities in Tennessee are hiring for Associate Medical Coding Billing jobs? Cities in Tennessee with the most Associate Medical Coding Billing job openings:
Associate Medical Coding Billing jobs near you

CODING SPEC-CLINIC

Covenant Health

Knoxville, TN • On-site

Full-time

Re-posted 18 days ago

Job description

Overview
Coding Specialist, Centralized Coding, Outpatient
Full Time, 80 Hours Per Pay Period, Day Shifts
Covenant Health Overview:
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:
This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines.
Responsibilities
  • Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.
  • Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
  • Educates and assists physicians and clarifies coding versus clinical issues.
  • Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.
  • Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.
  • Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.
  • Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.
  • Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
  • Increases awareness of compliance as it relates to coding and documentation.
  • Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.
  • Increases understanding of APCs, DRGs, case mix, and denials.
  • Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.
  • 13 Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.
  • Reviews records to verify if the correct code has been assigned.
  • Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.
  • Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.
  • Keeps current on local, state, and federal regulations to ensure compliance.
  • Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
  • Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
  • Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.
  • Analyzes denials and coordinates appeals.
  • Ensures corrective action is taken to prevent denials from reoccurring.
  • 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; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Five or more (5+) years coding experience.
Licensure Requirement:
RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.

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