Job Description: WHO WE ARE AND WHAT WE DO: Join Premier Radiology, Transform your Career and Radiology! Who We Are: Discover Premier Radiology, the gateway to top-tier outpatient imaging in Tennessee! With access to hundreds of board-certified radiologists, we deliver state-of-the-art diagnostic care conveniently. Our mission is clear: providing high-quality, affordable imaging studies right where our patients live and work. From specialized radiologists to skilled technicians, accuracy and patient satisfaction drive us. Along with Radiology Partners, the leading practice in the U.S., we’re here to Transform Radiology. What We Offer: Radiology is a team sport, and Radiology Partners is building a community of physicians and support teammates who embody our practice values and believe in our bold mission to transform radiology. Here’s why you should join the RP / Premier Radiology team: - Community presence: 20+ clinics across Nashville - Flexible work environment, work/home life balance - Competitive compensation and benefits - Leading the pack in the development of AI tools and technology resources - Opportunities for professional development Position Summary: - Work to ensure insurance verification and authorization is obtained for medical services - Requires in-depth knowledge of billing, collections, insurance verification, and precertification experience - M-F 8:30a-5p CST - Remote DESIRED PROFESSIONAL SKILLS AND EXPERIENCE: - Minimum 5 years of experience in healthcare billing, AR, eligibility, and precerts preferred - Background with eClinicalWorks Practice Management System Preferred - Ability to meet deadlines and prioritize divers projects - Excellent communication skills to communicate with patients, physicians, clients, coworkers, and management staff WHy Radiology Partners: - Competitive Benefits package – Eligibility starts the month after hire, with tiered options to choose from. - Compensation Reviews, Career Growth Opportunities - Flexible Remote Schedules - Generous PTO Plans and Paid Holidays - Proudly Certified as a Great Place to Work for Five Consecutive Years FOR MORE INFORMATION: https://jobdescription.powerappsportals.com/PreImagingServicesRepI-PREIMGREPI-12-1-25/ COMPENSATION: The hourly range for this position is $18-$20. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. In addition to this range, Radiology Partners offers competitive total rewards packages, which include possible incentive and productivity programs, health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking or other financial information in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in “@radpartners.com.” If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please email Talent@radpartners.com to notify our team. RADIOLOGY PARTNERS OVERVIEW Radiology Partners, through its owned and affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion, and a healthy respect for differences. Radiology Partners participates in E-verify.

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Huron partners with healthcare organizations to drive growth, improve performance, and strengthen innovation. We help clients adapt to rapid industry change by optimizing operations, enhancing clinical outcomes, improving consumer experience, and increasing engagement across the enterprise. The Coder – Outpatient Surgery & Observation provides technical expertise in reviewing physician/provider documentation for outpatient surgery, observation, and potentially ambulatory clinic encounters (e.g., infusion, wound care, urology, cardiology, endoscopy). This role determines accurate diagnoses, procedures, APCs, modifiers, and identifies NCCI and LCD/NCD edits to ensure proper reimbursement. - Utilize encoder software and online tools to assign ICD-CM, CPT/HCPCS, and APC codes; resolve system edits and support timely claims submission. - Apply coding guidelines from CMS, AHA Coding Clinic, AMA CPT, and AHIMA Standards of Ethical Coding; adhere to all coding procedures. - Review patient records and related systems to determine all required codes, modifiers, and edits affecting reimbursement. - Interpret bundling/unbundling rules (NCCI), LCD/NCD edits, and payer policies. - Work internal/external outpatient claim edits; route non-coding edits to appropriate teams. - Meet organization standards for coding quality and productivity. - Use compliant query practices when documentation requires clarification; track missing documentation using EMR tools. - Collaborate with HIM, Revenue Integrity, Billing, and PFS on claims, denials, and appeals. - Maintain CEUs and current knowledge of changes in outpatient coding regulations. - Identify workflow or EMR issues impacting coding; escalate documentation or ethical concerns when needed. - Maintain knowledge of relevant laws, regulations, and ethical standards. - May abstract additional data; perform other duties as assigned. Core Qualifications - Permanent U.S. work authorization required. - CCS, CCA or COC Certifications - Three (3) years of current acute care outpatient surgery and observation coding experience required. - Extensive knowledge of medical terminology, anatomy and physiology, diagnostic/procedural coding, APC assignment, NCCI edits, and LCD/NCD edits. - Experience using encoder/grouping software and CAC preferred. - Ability to use standard computer applications, email, internet, and web-based tools. - Strong oral/written communication; able to work with diverse groups. - Ability to research, analyze, and integrate information from multiple sources. - Strong critical thinking, problem-solving, organization, and customer service skills; meets productivity requirements. - Adaptable, flexible, and able to prioritize in a virtual environment with minimal supervision. - Demonstrates integrity, professionalism, and alignment with Huron’s mission, vision, and values - Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred - Epic, Cerner, and Meditech experience preferred. Additional Job Description The estimated pay range for this job is $26.44 - $36.06 per hour. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The pay range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Analyst Country United States of America

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Medical Assistant, your role is to support the clinical team of RNs, NPs, PAs, and MDs in providing excellent member care through direct education, counseling, and clinical care to members. What You’ll Do: - Manage incoming messages in our message center (Zendesk); route messages to appropriate recipients and answer questions as allowed by scope of practice - Ensure timely follow-up on messages in your personal queue - Contact pharmacies either proactively or by returning pharmacy voicemails with questions regarding prescriptions - Code and fill out insurance forms; manage a queue of prior authorization requests - Prep clinical charts ahead of member appointments - Follow up on issues with member IDs and addresses, missing documentation, past due account status, and lab location issues - Review PHQ/GAD surveys and follow up with members with high PHQ scores - Proactively reach out to members scheduling ADHD appointments to verify documentation - Prep replacement medication orders for meds that fail internal checks - Update and fill out patient medical records, including documenting medical history - Arrange lab services and communicate with labs to retrieve results when necessary - Collaborate across teams on clinical and operational workflows - Complete any forms or paperwork deemed necessary by members, schools, or healthcare entities - Support and participate in Quality Assurance activities - Create member education materials (library articles, short FAQ, etc) - Learn new tools as needed to help deliver ongoing value to members - Complete other duties as assigned - Maintenance of active MA certification Qualifications - Clinical experience and expertise serving the trans and queer communities - Ability to communicate clearly and compassionately with a wide variety of patients and coworkers - Dedication to the FOLX mission and Informed Consent model of care--where radical transparency, collaboration, and empowerment of the individual are of utmost priority - Desire to ensure all questions from a patient are answered completely, and patient is linked with appropriate resources and referrals if beyond our scope - Excellent decision-making skills and communication - Great organizational and time management skills that allow for timely completion of tasks and patient follow-up, especially important in a remote work environment - Demonstrated experience in working with diverse groups, including diversity in race, ethnicity, economic status, and educational background. Requirements - Active MA certification (through the American Association of Medical Assistants preferred) Benefits - Salary: $60,000 (please note that this position is non-exempt for California residents) Company Description We are proud to be an equal opportunity employer, and do not discriminate on the basis of race, color, ethnicity, national origin, religious affiliation, sex, gender identity, sexual orientation, disability, or any other legally protected status. Here, diversity and inclusion means accepting that everyone’s perspective can teach you something. We’re eager to learn. Please note: There has been a recent increase in employment scams. FOLX posts all of our open positions on our careers page at www.folxhealth.com/careers and only contacts candidates from official "@folxhealth.com" email addresses.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Under indirect supervision, the Coding Compliance Audit/Education Specialist audits medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT, ICD-10, and HCPCS codes and guidelines. - Conduct audits (i.e. baseline, routine periodic, and focused) comparing medical record documentation to reported CPT/HCPCS and ICD-10-CM codes with consideration of applicable federal and state laws, regulations, and guidelines. - Research, interpret and communicate federal and state laws and guidelines pertaining to CMS and Medicare. - Acts as an internal expert on coding issues to ensure compliance with state and federal regulations. - Preparation of audit reports including summary of findings. - Conduct post-audit provider education with individual or large provider groups. - Schedule trainings with provider’s offices, individual providers and groups of providers. - Provides feedback, initial and ongoing education and training, and technical support with regard to proper documentation guidelines, service selection, charge capture, supervision, timely submission, healthcare data accuracy, and coding principles. - Communicates audit findings to providers to track education completion and escalation. - Interacts professionally and effectively with physicians, leaders, staff, and internal teams. - Provides coding assessment, consultation, education, and issue resolution to key stakeholders as requested. - Able to have honest, difficult conversations with providers about compliance, documentation, and code assignment. - Other duties as assigned. Qualifications - 5+ years of audit and provider education experience is preferred. - Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines. - Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required. - Experience working with MDAudit and Athena is a plus. - Must comply with all HIPAA rules and regulations. - Excellent communication skills and the ability to work independently. Requirements - The salary range for this role is $70,000.00 to $80,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). - This role is also eligible for an annual bonus targeted at 15%. - The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. Benefits - All your information will be kept confidential according to EEO guidelines. - Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.