- Community Health Systems (Franklin, TN)
- …Administration, or a related field preferred + 2-4 years of experience in physician coding , professional fee coding , or medical billing required + Experience ... CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service … more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- HCA Healthcare (Nashville, TN)
- …and support activities of the department, in conjunction with the Medical Director . + Structure technical fees and for coding and auditing within established ... and achieving goals, in conjunction with the COO, the Medical Director , and appropriate staff input. +...need:** + ARRT RT (R) or CNMT required. + Associate 's Degree required; Bachelor's Degree in Healthcare or Business… more
- Community Health Systems (Franklin, TN)
- …all policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information ... references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters...denial and appeal status. + Consults with Coordinator and/or Director , Coding Denials and Appeals during any… more
- Community Health Systems (Franklin, TN)
- …and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides ... centers. **Job Summary** As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of… more
- Datavant (Nashville, TN)
- …in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- CenterWell (Knoxville, TN)
- …and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports… more
- CenterWell (Old Hickory, TN)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more