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Remote Medical Records Scanner Jobs in Tennessee

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official ...

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official ...

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Navigate medical records efficiently, targeting specific sections (e.g., discharge summary ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... Review medical records to identify and code HCC-eligible diagnoses. * Assign ICD-10-CM diagnosis ...

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Showing results 1-20

Remote Medical Records Scanner information

What is the difference between Remote Medical Records Scanner vs Remote Medical Billing Specialist?

AspectRemote Medical Records ScannerRemote Medical Billing Specialist
Required CredentialsHigh school diploma or equivalent; certification optionalHigh school diploma; certification in medical billing preferred
Work EnvironmentHome-based, focusing on reviewing and digitizing medical recordsHome-based, handling billing, coding, and insurance claims
Industry UsageHealthcare facilities, medical offices, record management companiesHospitals, clinics, healthcare providers, insurance companies
Common Search/ComparisonYesYes

Remote Medical Records Scanners primarily focus on reviewing, digitizing, and organizing medical documents, requiring attention to detail. Remote Medical Billing Specialists handle billing, coding, and insurance claims, often requiring knowledge of medical coding and billing software. Both roles are essential in healthcare administration but differ in responsibilities and skill sets.

Can you work from home doing medical records?

Remote medical records scanner jobs typically allow employees to work from home, as they involve reviewing and digitizing patient records using computers and scanning equipment. These roles often require attention to detail, familiarity with electronic health record systems, and sometimes certification or training. Working remotely depends on the employer's policies and the specific job requirements.

What are the most commonly searched types of Medical Records Scanner jobs in Tennessee?

The most popular types of Medical Records Scanner jobs in Tennessee are:

What job categories do people searching Remote Medical Records Scanner jobs in Tennessee look for?

The top searched job categories for Remote Medical Records Scanner jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Medical Records Scanner jobs?

Cities in Tennessee with the most Remote Medical Records Scanner job openings:

Coding and Medical Records Auditor- Remote

American Health Partners

Franklin, TN • On-site, Remote

Full-time

Posted 3 days ago

New


Job description

JOB SUMMARY:
TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be
responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is
applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education
correspondence sent to providers
The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is applied for each member of the plan. Additionally, post-payment coding reviews may be performed with coding education correspondence sent to providers.
ESSENTIAL JOB DUTIES:
To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.
  • Review claims prior to billing to provide a proactive level of accuracy.
  • Assess trends; communicate appropriate education both individually to staff and collectively as an organization.
  • Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
  • Conduct pre-claim and post-claim coding audits to ensure accurate claims' denials.
  • Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment.
  • Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives.
  • Work assigned coding projects to completion.
  • Provide a high level of customer service to internal and external customers by consistently meeting and/or exceeding expectations including but not limited to quality and productivity.
  • Escalate appropriate coding audit issues to management as required and follow departmental/organizational policies and procedures.
  • Maintain required levels of production and quality standards as established by management.
  • Work directly with provider representatives and executive directors on Letters of Agreement (LOAs) to ensure appropriate coding methodology and reimbursement.
  • Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of coding standards.
  • Follow all appropriate Federal and State regulatory requirements and guidelines applicable to Health Plan operations or as documented in company policies and procedures.
  • Participate in and support ad-hoc coding audits as needed.
  • Other duties as assigned

EXPERIENCE:
  • 3 years HCC coding and/or coding and billing required
  • 5 years HCC coding and/or coding and billing preferred
  • 2+ years of complex claims processing and/or coding auditing experience in the health insurance industry or medical health care delivery system recommended.
  • 2 + years of experience in managed healthcare environment related to claims' and/or coding audits recommended.
  • 2 year(s): Knowledge of standard coding and reference materials used in a claim setting, such as CPT4, ICD10, HCPCS and others
  • 2 year(s): Knowledge of CMS requirements regarding claims processing and coding; especially Skilled Nursing Facility and other complex claim processing rules and regulations
  • 2 year(s): Coding/auditing claims for Medicare and Medicaid plans.
  • 2 year(s): Experience in managed healthcare environment related to coding audits
  • 2 year(s): Complex claims processing and/or coding experience in the health insurance industry or medical health care delivery system

LICENSE/CERTIFICATION: REQUIRED (any of the following):
  • Certified Professional Coder (CPC)
  • Certified Risk Coder (CRC) • Certified Coding Specialist (CCS)
  • Certified Documentation Integrity Practitioner (CDIP)
  • Certified Clinical Documentation Specialist ( CCDS)
  • Registered Health Information Technician (RHIT)

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 notice from the Department of Labor.

American Health Partners logo

About American Health Partners

Sourced by ZipRecruiter

American Health Partners is a family of six divisions staffed by outstanding employees who care deeply about others. Since our inception more than 45 years ago, we have been committed to bringing the highest quality healthcare available to our communities. That commitment continues to serve us, our patients, our customers and our partners well. Today, our diverse healthcare offerings serve nearly 12,000 individuals annually across multiple states. We operate in both urban and rural communities where people need healthcare close to home. By working closely with hospitals and other providers, we offer cost-effective options that give individuals greater control over their healthcare.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Franklin, TN, US

Year founded

1976

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