This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role requires a detail-oriented and proactive Medical Billing Associate to support billing and reimbursement operations for our Independent Diagnostic Testing Facility (IDTF). This role plays a critical part in ensuring accurate and timely billing for cardiac diagnostic services, including data derived from wearable and ambulatory cardiac monitoring devices. - Prepare, review, and submit professional and technical claims for cardiac diagnostic services in compliance with payer, CMS, and IDTF regulations - Ensure accurate CPT, HCPCS, ICD-10, and modifier usage related to cardiac monitoring and diagnostic testing - Validate completeness of physician orders, patient demographics, insurance eligibility, and supporting documentation prior to claim submission - Monitor claim status, identify delays, and follow up with commercial payers, Medicare, and Medicaid as needed - Research, analyze, and resolve claim denials, rejections, and underpayments; submit appeals with supporting documentation - Post payments, adjustments, and denials accurately and in a timely manner - Maintain compliance with CMS, HIPAA, and IDTF billing requirements - Identify trends in denials or reimbursement issues and proactively escalate concerns to leadership - Support internal and external audits by providing requested billing documentation and explanations - Work closely with clinical operations, device/data teams, and customer support to resolve billing discrepancies - Communicate professionally with providers' offices and patients regarding billing questions, when needed - Assist with process improvements to increase billing accuracy, turnaround time, and collections Qualifications - 2+ years of experience in medical billing, revenue cycle, or claims processing - Working knowledge of CPT, ICD-10, HCPCS coding and medical billing workflows - Experience billing Medicare and commercial payers - Strong attention to detail and ability to manage high volumes of claims accurately - Proficiency with billing systems, EHRs, or practice management platforms - NextGen preferred - Comfortable working in a fast-paced, regulated healthcare environment Requirements - Experience in cardiology, cardiac monitoring, diagnostics, or IDTF environments - Familiarity with ambulatory cardiac monitoring codes and workflows (e.g., Holter, patch monitors, event monitors) - Experience with denial management and appeals - CPC, CPB, or similar billing/coding certification - Prior experience working with a remote or distributed team Benefits - Optional Remote work opportunity - 401(k) - Dental insurance - Health insurance - Vision insurance - Life insurance - Paid time off Company Description Wearlinq is reimagining ambulatory cardiac monitoring with the first FDA-cleared, real-time, six-lead EKG designed to be easier for patients, clinicians, and health systems alike. We sit at the intersection of clinical cardiology, hardware, software, and data, building products that turn complex cardiac signals into clear, actionable insights.

Blew & Associates, P.A. is a leading national firm specializing in land surveying, engineering, and environmental services, boasting over 130 years of industry experience. We are seeking a Survey Crew Chief to meet the growing demands of our clients nationwide. The selected candidate will oversee survey activities conducted in the field and ensure the quality of all survey deliverables. Responsibilities - Responsible for collecting data to ensure the completion of a project: - Locating boundary, pins, improvements, utilities, etc., while performing various project types, including ALTA, boundary, construction staking, and topographic surveys. - Check and reduce raw field data, perform calculations, and download/file survey data. - Perform project research as needed. - Follow instructions and work orders from project managers. - Communicate daily with your Field Project Manager to confirm if you are on track to complete your field schedule and inform them when you are behind or ahead of schedule. - Physical work environment demands: - Ability to safely traverse and navigate rugged terrain in remote areas. - Ability to regularly work outside in all weather conditions, including extreme heat, cold, wet, and muddy conditions, with high/precarious places. - Ability to transport heavy equipment to various job sites (regularly lifting/moving up to 25 pounds, frequently lifting/moving up to 50 pounds, and occasionally lifting/moving up to 100 pounds). - Ability to travel regionally and nationally often. - Ability to work overtime, including weekends as needed. - Develop and maintain excellent relationships with clients, contractors, and team members - Ensure that projects are completed safely and efficiently, adhering to project schedules and budgets - Maintain survey equipment and troubleshoot issues that arise in the field #zr

Role Description University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians’ Association. - Performs coding services while meeting daily production and quality goals. - Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards. - Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services. - Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding. - Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities. - Participate in ongoing education and training to stay current with coding updates and guidelines. - Actively participates in designated team meetings. - Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. - Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation. - Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines. - Facilitates and supports a culture of compliance, ethics, and integrity. - Recognized as an expert in risk adjustment coding compliance. - Interacts effectively and builds respectful working relationships across the organization. - Maintains HIPAA Guidelines for privacy. - Respects the privacy of all patients 100% of the time. - Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times. - Obtains consent to release protected health information. - Reports all HIPAA issues to the Supervisor. - Remains current on coding rules and guidelines. - Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines. - Remains up to date with CMS and HHS HCC risk adjustment models. - Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications. Qualifications - Current CPC or RHIT certification required. - CRC required within 6-months of hire. - Preferred at least two years of professional medical coding experience in an ambulatory care setting. E/M coding experience a plus. - Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management. - Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills. - Must be initiative-taking, highly organized, and have excellent time management. - Must possess good problem solving and critical thinking skills. - Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint). - Demonstrates integrity by adhering to high standards of personal and professional conduct. Benefits - Full benefit package available, including PTO. - Medical, Dental, Vision. - STD/LTD. - Life Insurance. - 401k + Company Match. - And more!

Dane Street is seeking experienced Board-Certified Orthopedic Surgeons to join our growing team of expert clinical reviewers. In this role, you will apply your expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, participating in peer-to-peer discussions when appropriate, and responding to specific questions from our clients related to orthopedic care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.