- Baptist Memorial (Memphis, TN)
- …activities related to denied claims such as obtaining authorizations, claims review, patient billing, appeal writing, auditing , and/or denial management; ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
- Elevance Health (Nashville, TN)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing , quality assurance, or recovery auditing . + Requires at ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (Nashville, TN)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing , quality assurance, or clinical documentation improvement, and a ... The **Diagnosis Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
- Highmark Health (Nashville, TN)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Coding Specialist , Centralized Coding Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million...Responsibilities + Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and… more