- Elevance Health (Nashville, TN)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __...letter writing). + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
- WestCare Foundation (Dandridge, TN)
- …programs, and other payers. + Charge Entry: Accurately enter charges into the billing system based on patient services and coding information. + Payment ... regular audits of patient accounts to ensure accuracy in billing and coding , and identify any discrepancies...other key metrics for review by the Revenue Cycle Manager . + Collaboration: Work closely with the coding… more
- Covenant Health Inc. (Knoxville, TN)
- …state, and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... with federal, state, and private rules and regulations on data collection, coding , and reimbursement. CDI is responsible for provider education as needed, is… more
- Community Health Systems (Franklin, TN)
- …determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing . **Essential ... to include diagnosis clarification based on clinical indicators and coding specificity requirements. + Consults the Manager ,...and coding specificity requirements. + Consults the Manager , Corporate Coding or other available resources… more
- Covenant Health Inc. (Knoxville, TN)
- …state and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any...regards to audits and denials and subsequently adjusts to potential trends when reported. + Attends meetings and provides… more
- Elevance Health (Nashville, TN)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more