• Responsible for timely and accurate coding and abstracting of Inpatient visits • Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets • Ensures that revenue cycle, customer service, quality, individual, and team goals are met • Thoroughly review of inpatient encounter documentation for diagnoses, treatments, services • Performs daily coding and abstracting utilizing ICD-10 Code sets and DRG Grouping systems • Validates MS-DRG and APR-DRG assignment for appropriateness to encounter • Performs weekly coding of Inpatient Interim Bill Requests • Review of Clinical Documentation Specialists notes and queries to ensure capture of queried conditions • Validates admission diagnosis assignment and coordinates correction with Case Management personnel when appropriate • Identifies documentation issues that may lead to incorrect coding, billing, and quality metrics • Communicates issues to Clinical Documentation Specialists for clarification and/or resolution when appropriate • Facilitates accurate Hospital Acquired Conditions reporting with Infection Control and/or coordinates retrospective query with CDI team as appropriate • Performs research and/or seeks assistance from Nosology, CHA and American Hospital Association on complex coding cases • Documents findings and educates team on coding guidance • Makes recommendations on Epic coding and SVC edits to prevent coding, billing, IHA and claim edits • Maintains quality standards of AHA, AMA, CMS, OIG and TJC pertaining to coding and reimbursement • Stay current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management • Trains and orients new employees • Assists with testing and implementation of systems/product changes and upgrades • Performs other duties as assigned by the coding manager or the director

Role Description The Kidney Experts is seeking a full-time Scribe to join our team in Jackson, Dyersburg, or Union City, TN. This role involves documenting real patient encounters alongside nephrologists, providing a unique opportunity to learn about nephrology and build a solid clinical foundation for your healthcare career. - On-site during onboarding and training (travel between locations may be required). - All scribing is virtual via Google Meet, even when at the same location as the provider. - Remote work may become available based on demonstrated performance and accuracy. - Compensation starts at $12 – $15/hour, with performance-based increases. - Hospital scribing assignments pay a higher rate. Qualifications - Pursuing or interested in a career in healthcare (pre-med, pre-PA, nursing, or related). - Familiarity with medical terminology (training provided). - Strong typing speed and comfort with technology. - Previous experience in a clinical setting or as a scribe (a plus, not a prerequisite). Requirements - Precision in nephrology documentation. - Understanding and following established processes and protocols. - Ability to work best with clear expectations and thorough training. - Cooperative and supportive team player. - Serious approach to healthcare documentation. Benefits - 100% coverage of dental and vision insurance (effective the 1st of the month following your start date). - Health insurance — up to $500/month employer contribution (effective the 1st of the month following your start date). - 3% employer contribution toward your 401(k) after six months. - 1 week paid time off, accrued over the year (increases after your first year). - 1 week sick leave, accrued over the year (can be used for family members). - Short-term disability coverage after one month of employment. - Long-term disability coverage after one month of employment. - $50,000 life insurance policy. Company Description The Kidney Experts is a physician-led nephrology practice in West Tennessee on a mission to prove that preventing kidney disease is better medicine — and better business — than managing its consequences. - Our BHAG: "Ridding the World of the Need for Dialysis!" - We use evidence-based protocols, AI-assisted workflows, and a team-based care model to keep patients' kidneys functioning as long as possible. - Our culture: "Big Expertise. Small-Town Heart." — We treat every patient like family. - "Prevention Over Profit." — Our success is measured by patients who never need dialysis. - "AI Amplifies Human Impact." — We build tools that enhance human capabilities.

Prior Authorization Coordinator Full-Time | $19-21/hour | Monday–Friday | 8:00 AM–4:30 PM CST Location: Remote About DxTx Pain & Spine At DxTx Pain & Spine, we’re redefining how pain and spine practices thrive. As a physician-aligned partner organization, we empower independent, award-winning physicians across the country by combining clinical autonomy with strong operational support. Our model preserves each practice’s unique identity and decision-making freedom, while providing scalable resources in compliance, finance, ASC management, and marketing. Guided by our patient-first philosophy, we diagnose and treat pain at its source using non-surgical and minimally invasive options—reserving surgery as a last resort. The Opportunity As a Prior Authorization Coordinator, you’ll play a vital role in ensuring patients receive timely approval for the care they need. You’ll manage the entire authorization process for interventional pain management procedures—supporting both office-based and advanced outpatient treatments. This role is ideal for someone detail-oriented, collaborative, and dedicated to process accuracy and patient impact. What You’ll Do: Authorization Management & Compliance - Monitor advanced procedure trackers for each practice to identify authorization opportunities. - Collect all required documentation for prior authorizations. - Review medical necessity guidelines for procedures by Paycor. - Accurately and promptly submit prior and retro authorization requests to payors. - Document account activity, updating patient and claim information to ensure efficient claim processing. - Identify trends or issues that delay authorization or claims processing. Collaboration & Communication - Communicate with practices, vendors, insurance companies, patients, and management to secure necessary approvals. - Provide the highest level of customer service to internal teams. - Serve as a backup to the Contact Center Team during peak scheduling call times. - Perform other related duties as assigned to support smooth operations and patient care continuity. You’ll Thrive in This Role If You… - Excel at organization, accuracy, and time management. - Communicate clearly and professionally—both verbally and in writing. - Are a proactive problem-solver who enjoys navigating complex processes. - Value teamwork, adaptability, and supporting patient-centered care. - Are comfortable working remotely in a fast-paced, detail-driven environment. Qualifications - High School Diploma or GED (required) - Minimum of 1 year of prior authorization and clinical setting experience (required) - Experience working within Pain Management required - Proficient in Microsoft Office Suite - Strong analytical and problem-solving abilities - Excellent organizational skills and attention to detail - Knowledge of HIPAA privacy and security requirements - Basic understanding of medical terminology - Familiarity with payor portals and medical policy navigation - Must be able to sit for extended periods, communicate clearly, perform computer-based tasks, occasionally lift up to 25 lbs, and maintain close vision, depth perception, and focus adjustment. What We Offer - Health, Dental & Vision Insurance - Accident and Life/AD&D Insurance - Short & Long-Term Disability - Emergency Travel Assistance Program - ID-theft Protection Services - LifeMart Employee Discount Program - Health Savings Account (HSA) - Health Management Tools - Paid Time Off (PTO) - Company Paid Holidays - Paternal Leave - 401(k) Retirement Plan - Remote Stipend - Travel Reimbursement - Continuing Education Reimbursement - Bonusly (employee recognition platform) - DailyPay (on-demand pay access) Why You’ll Love Working at DxTx Pain & Spine At DxTx, you’ll join a supportive, mission-driven team that values transparency, innovation, and growth. You’ll have the opportunity to contribute to a national network that’s transforming pain care—while enjoying the flexibility of remote work and the satisfaction of meaningful impact. Ready to Make a Difference? If you’re detail-driven, patient-focused, and eager to play a key role in delivering exceptional pain care, we’d love to hear from you. Apply today and help patients access the care they deserve. An Equal Opportunity Employer We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors.

State of Location: New York Position Summary: At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab’s dedicated team where you’re not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient. Job Description: The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team Lead and will work in combination with front office teammates and any external authorization and verification vendors to ensure Ivy’s authorization and verification processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost revenue is minimized. In this role, you will be driving both internal and external customer satisfaction through a focus on faster and more efficient reimbursement. The ideal candidate will not only ensure a positive experience for patients, providers, and fellow teammates but will also be a key contributor in optimizing and standardizing authorization and verification workflows within Ivy. Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions related to work-related injury claims, compliance, and case management. This position has the opportunity to work remotely; however, candidates must reside in the Eastern or Central Time Zones (EST/CST). Your responsibilities will include: - Submit authorization requests timely within EMR, following payer and state specific guidelines - Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics - Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission - Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process - Address and respond to authorization or verification related queries from Ivy teammates and WC Payers - Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead - Accurately complete verifications for same day or walk-in patients by contacting the provided insurance via phone, fax, or online portal to obtain outpatient therapy benefits, eligibility, and authorization information - Request, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patients - Assist with training and education for new A&V teammates as well as ongoing training and education for established team members - Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows - Run EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team Lead - Attend and participate in Department and Organizational meetings to discuss departmental goals and progress - Perform other duties as assigned by leadership staff To excel in this role, you should possess: - 1 year+ of experience with Workers Compensation insurance in a healthcare environment required; experience with outpatient therapy preferred - Demonstrates flexibility in responding to priorities and organizational change - Demonstrates ability to work under pressure and follow through on assignments - 2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred - Ability to multi-task, prioritize needs to meet required timelines. - Customer service experience - Effective written and verbal communication skills. - Solution oriented mindset and ability to use critical thinking and analytical skills - Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications. - Open availability Monday through Friday from 8am-5pm EST - Ability to self-motivate and focus in a remote position - Proficient in Microsoft applications Why choose Ivy? - Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture. - Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes. - Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. - Empowering Values: Live by values that prioritize teamwork, growth, and serving others. Compensation ranges up to an hourly rate of $23.00 based on experience. #LI-remote #LI-ST1 We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits. ivyrehab.com