Coding Support Specialist
Found in: Lensa US P 2 C2 - 2 weeks ago
About Our Career Opportunity
Summit Medical Group
is seeking Risk Adjustment
Coding Support Specialist
to perform a comprehensive documentation review of the outpatient Progress Notes for assigning the appropriate ICD-10
d
iagnosis codes
for accuracy of disease burden
.
This is a
Full time
opportunity.
This is a Value Based Care organization that is rapidly expanding with room for growth and opportunities within. In compliance with CMS and the Official Coding Guidelines in ICD-10-CM, this position identifies conditions through clinical documentation reviews specific for HCC Risk Adjustment Data Validation. The goal is to accurately represent the patients fully documented disease burden in accurate diagnosis codes for communication to CMS for Risk Score Assignment. This is NOT a medical billing position, there is NO CPT code assignment, and NO revenue cycle management.. This is a position is in Risk Adjustment for CMS with HCC diagnosis coding.
Clinical knowledge and/or disease burden awareness and high level analytical skills are utilized in the clinical documentation reviews and diagnosis code assignment. Record review consists of reading and reviewing clinical documentation within the electronic health record for ICD-10 code assignment. You must like to read.
EXAMPLES OF DUTIES:
(List does not include all duties assigned)
Review of clinical documentation in the progress note for accuracy of diagnosis coding to the highest level of specificity in a timely and efficient manner.
Through progress note and electronic health record reviews, accurately correct/assign diagnosis codes to ensure ICD diagnosis coding and clinical documentation criteria, rules and guidelines have been met in accordance with policy.
Through progress note reviews, identify, and report trends observed for educational opportunities in clinical documentation specificity, diagnosis coding to the highest specificity in addition to reporting any documentation trending, provider feedback and/or communications for improvements, training, and educational opportunities for staff and/or providers.
Maintain continuous, effective, positive, and appropriate communication as a way to prevent risk for the organization.
Desire to read clinical documentation to accurately assign diagnosis code specificity for severity of illness to report disease burden to CMS via diagnosis codes meeting all documentation requirements as part of risk mitigation and risk prevention.
Actively participate in all applicable meetings, webinars and or communications as a way to remain updated on any diagnosis coding rules and/or documentation changes from appropriate credible sources for accurate diagnosis coding and clinical documentation rules in addition to independently seeking CEU’s if needed to maintain credentials with the AAPC/AHIMA.
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.
Take accountability as a certified professional to review all clinical documentation
ethically and thoroughly within the progress note(s) using all applicable tools and communications for capture of full disease burden.
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:
Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired
ICD-10 diagnosis coding experience in chart/progress note review.
Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes
Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
Must have proficient computer skills
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.
About Summit Medical Group
Summit Medical Group is East Tennessee’s largest primary care organization with more than 415 providers at 87 practice locations in 19 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, four express clinics, central laboratory, and sleep services center. Summit provides healthcare services to more than 370,000 patients, averaging over one million encounters annually. For more information, visit
In addition to our commitment to the health of our community, our organization is also committed to the health of our employees through our employee Wellness Program.
Employees receive a discounted monthly insurance premium if they actively participate in the wellness program. Furthermore, Summit Medical Group hires only non-tobacco users. Pre-employment drug testing will include testing for nicotine, and only candidates who pass the drug test will be considered eligible for employment.
-
IT Support Specialist
2 weeks ago
Knoxville, United States Copper Cellar Full timeJob DescriptionJob DescriptionThe Copper Cellar Support Center is looking for an IT Support Specialist to join our team. We support the hardware and software needs of our internal customers which include restaurant managers, operations, accounting, facilities, and others. Delivering exceptional technical support is crucial to the success of our teams in the...
-
District Support Specialist
1 week ago
Knoxville, United States Admiral Communities LLC Full time $40,000 - $48,000District Support Specialist - Property ManagementJob Summary:The District Support Specialist (DSS) position is a liaison between field operations and the Corporate office. The DSS is responsible for data entry and integrity of tenant and property information into the management software.The DSS works in close relation with both the COO and District Managers...
-
Coder Analyst Specialist
Found in: Lensa US P 2 C2 - 1 week ago
Knoxville, United States Covenant Health (Tennessee) Full timeAnalyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with co Coder, Specialist, Analyst, Operations Manager, Office Manager, Billing, Healthcare
-
Laboratory Claims
Found in: Lensa US P 2 C2 - 1 week ago
Knoxville, United States Integrity Laboratories Full timeJob Description Job Description The Laboratory Claims & Coding Supervisor is responsible for timely and accurate submissions of all laboratory claims. Job responsibilities include but are not limited to: managing employees, ensuring regulatory compliance, providing billing trends and guidance to supervisor(s) and staff, and monitoring collections and other...
-
Local Contract Outpatient Pharmacist
16 hours ago
Knoxville, United States Healthcare Support Full timeHealthcare Support is seeking a local contract Outpatient Pharmacist for a local contract job in Knoxville, Tennessee.Job Description & RequirementsSpecialty: PharmacistDiscipline: Allied Health ProfessionalStart Date: 05/13/2024Duration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: Local ContractPerks: Direct Access to your Payroll...
-
PYA Waltman Client Support Specialist
1 week ago
Knoxville, United States PYA Waltman Capital LLC Full timeJob DescriptionJob DescriptionPOSITION SUMMARY:PYA Waltman Capital, LLC is seeking a qualified Client Support Specialist candidate to join our growing team. The Client Support Specialist actively participates in the continuous improvement of the firm’s standardized processes, collaborates with teams throughout the firm, and ensures timely and accurate...
-
Laboratory Claims
1 week ago
Knoxville, United States Integrity Laboratories LLC Full timeJob DescriptionJob DescriptionThe Laboratory Claims & Coding Supervisor is responsible for timely and accurate submissions of all laboratory claims. Job responsibilities include but are not limited to: managing employees, ensuring regulatory compliance, providing billing trends and guidance to supervisor(s) and staff, and monitoring collections and other...
-
SHARP Program Support Services Specialist
Found in: beBee jobs US - 1 week ago
Knoxville, Tennessee, United States Department Of The Army Full timeSummary About the Position: Serves as the Sexual Harassment/Assault Response and Prevention (SHARP) Program Support Services Specialist (SAR WF) responsible for strategic business process management, change management, and management of administrative operations needed to support the SHARP program. DutiesAdvise program managers and other leaders on sexual...
-
Project Controls Specialist
1 week ago
Knoxville, United States Mesa Accosiates Full timeWe've got the power to energize Your career and spark YOUR Work/Life Balance through professional development and exceptional benefits.Don't delay, plug in today for an inclusive meaningful career in power, distribution, transmission, engineering, design, technology, or innovation at Mesa Associates, Inc.Mesa Associates, Inc. is currently searching for a...
-
Forklift Operator
2 weeks ago
Knoxville, United States Lifetime Products, Inc. Full timeJob DescriptionJob DescriptionLifetime Products, Inc., has applied innovation and cutting-edge technology in plastics and metals to create a family of affordable lifestyle products that feature superior strength and durability. As the world's leading manufacturer of folding tables, chairs, and basketball systems, Lifetime also manufactures storage sheds,...
-
Oncology Pharmacist Specialist
2 weeks ago
Knoxville, United States University of Tennessee Medical Center Full timePosition Summary: As the largest provider of cancer care in the region, the University of Tennessee Medical Center's Cancer Institute offers the broadest spectrum of cancer specialists and services to care for the adult population. The 83,000-square-foot cancer area is equipped with features that support and enhance the comprehensive services provided to...
-
Accounts Payable Specialist
1 week ago
Knoxville, United States StaffSource Full timeJob DescriptionJob DescriptionAccounts Payable Specialist Job DescriptionServes as a member of the Accounting/Credit/Finance Team with primary responsibilities focused on Accounts Payable processing, related reconciliations, and document organization and filingKey Roles & ResponsibilitiesChecks, codes, and approves invoices/vouchers and expense reports for...
-
Senior Education Specialist
Found in: beBee jobs US - 4 days ago
Knoxville, Tennessee, United States SAIC Full timeSAIC is actively seeking a Senior Education Specialist to join our team in Fort Knox, KY. The applicant will support the Junior Reserve Officer Training Corps (JROTC) School of Cadet Command (JSOCC) Education and Curriculum Division. The Senior Education Specialist will assist the staff with current and trending K-12 curriculum initiatives in the secondary...
-
Accounting Specialist
Found in: beBee jobs US - 2 weeks ago
Knoxville, Tennessee, United States HERC- Upper MidWest Full timeAccounting Specialist Retail, Hospitality, and Tourism Management College of Education, Health, and Human Sciences Market Range 05 Job Description: The purpose of this position is to assist the Business Manager with fiscal, office operations, and data management responsibilities, and provide advanced administrative support in the Department of Retail,...
-
Knoxville, United States University of Tennessee Full timeESSENTIAL JOB FUNCTIONS This position serves as the Human Resources specialist, providing support, and services for HR functions for the College of Social Work (CSW), Social Work Office of Research and Public Service (SWORPS) and the Center for Behav Human Resource, Public Service, Research, Specialist, HR Specialist, Operations, Administrative
-
Accounting Specialist
4 days ago
Knoxville, United States BGT Staffing Full timeJob DescriptionJob DescriptionWe are seeking multiple Accounting Specialists for several clients all over the Knoxville area! Current experience in an accounting role and/or recent graduate with associates OR bachelor's in accounting IS required. These positions pay $20-23/hour, depending on experience, and all are in office only. Monday-Friday 8a to...
-
Knoxville, United States Medsurg Sales Staffing Full timeJob DescriptionJob DescriptionClinical Specialist(RT, Nurse) for Medical Device CompanyBlue chip medical device manufacturer is looking to fill a "clinical specialist" position. Extensive healthcare and retirement benefits packages. Company will pay for your car, gas, expenses, cell phone, laptop, etc. Superior leadership and extensive support products....
-
Local Contract Outpatient Pharmacist
2 days ago
Knoxville, TN, United States Healthcare Support Full timeHealthcare Support is seeking a local contract Outpatient Pharmacist for a local contract job in Knoxville, Tennessee.Job Description & RequirementsSpecialty: PharmacistDiscipline: Allied Health ProfessionalStart Date: 05/13/2024Duration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: Local ContractPerks: Direct Access to your Payroll...
-
Local Contract Outpatient Pharmacist
Found in: Careerbuilder One Red US C2 - 2 days ago
Knoxville, TN, United States Healthcare Support Full timeHealthcare Support is seeking a local contract Outpatient Pharmacist for a local contract job in Knoxville, Tennessee.Job Description & RequirementsSpecialty: PharmacistDiscipline: Allied Health ProfessionalStart Date: 05/13/2024Duration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: Local ContractPerks: Direct Access to your Payroll...
-
Clinical Recruiting Specialist- Remote
6 days ago
Knoxville, United States TeamHealth Full timeClinical Recruiting Specialist- Remote in Knoxville, TN at TeamHealth TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We...