- Datavant (Nashville, TN)
- …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
- Cognizant (Nashville, TN)
- …requested by management. Qualifications: + 2+ years of experience in facility based inpatient coding . + Credentials: CCS , RHIT, RHIA (AHIMA) or CPC, CPC-H (AAPC) ... + Perform Peer Reviews of Company Health Information Management coding auditors and coders. + Maintain minimum accuracy rate...federal, state, and payer regulations. + Capable of interpreting medical records reports and chart entries. + Able to… more
- Elevance Health (Nashville, TN)
- …CDIP credential strongly preferred. + Extensive experience in DRG validation audits, medical coding or clinical documentation improvement strongly preferred. + ... + Develop, inspire, and retain and high-performing team of DRG coding validation, clinical validation, and readmission auditors through coaching, mentoring, and… more
- HCA Healthcare (Hendersonville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- CVS Health (Nashville, TN)
- …of three years Medicaid Fraud, Waste and Abuse investigatory experience. + Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) + Knowledge of ... waste, and abuse investigatory and audits required. + Knowledge of CPT/HCPCS/ICD coding + Knowledge and understanding of clinical issues. + Proficiency in Word,… more
- HCA Healthcare (Nashville, TN)
- …charging validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP,CPC or other recognized AHIMA certified coding credential, ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Baptist Memorial (Memphis, TN)
- …clinics to obtain additional documentation to support appeal, collaborate with coding /billing for formulation of appeal with corrected claims and denial resolution ... + Prepares response to denials based on supporting clinical information in the medical record, applicable payer policies, NCDs, LCDs, and state and federal rules and… more
- Baptist Memorial (Memphis, TN)
- …clinics to obtain additional documentation to support appeal, collaborate with coding /billing for formulation of appeal with corrected claims and denial resolution ... + Prepares response to denials based on supporting clinical information in the medical record, applicable payer policies, NCDs, LCDs, and state and federal rules and… more