- CenterWell (La Vergne, TN)
- …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential growth opportunities for new or existing services within the Center. + Participates in the local primary care… more
- CVS Health (Nashville, TN)
- …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + ... Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). + Experience with International Classification of Disease (ICD) codes. + Experience with Medicare and/or… more
- Elevance Health (Nashville, TN)
- …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
- CenterWell (Nashville, TN)
- …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure, and records issues. + Assures personal compliance with licensing, certification, and accrediting bodies. + Use your skills to make an impact **Use your skills to… more
- CenterWell (Nashville, TN)
- …medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential growth opportunities for new or existing services within the Center. + Participates in the local primary care… more
- CVS Health (Nashville, TN)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct coding and… more
- Datavant (Nashville, TN)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a… more
- Humana (Nashville, TN)
- …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines + Prior ... experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes + Proficient in Microsoft Word, Excel, and PowerPoint + Ability to resolve complex problems + Excellent… more
- Elevance Health (Nashville, TN)
- …. **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert level knowledge of ICD-10 CM, CMS guidelines ... including Risk Adjustment payment model, STARS and HEDIS highly preferred. + Clinical review experience. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
- Meta (Nashville, TN)
- …systems, systems analysis, and computer programming. 2. Be both a highly technical, hands-on coder and an effective people manager. 3. Be a subject matter expert in ... at least one specific domain. 4. (examples: product, product infrastructure, infrastructure, machine learning) Lead teams that deliver on multiple projects of increasing dependencies in an ambiguous or high-impact area. 5. Work with team and cross functional… more