- Humana (Nashville, TN)
- …Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ... + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment) Certification + AAPC CDEO ( Certified Documentation Expert… more
- Elevance Health (Nashville, TN)
- …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- CVS Health (Nashville, TN)
- …more compassionate. And 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… more
- Elevance Health (Nashville, TN)
- …in applicable state(s)** . **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… more
- Datavant (Nashville, TN)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … 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 ... program from an accredited university + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine… 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 ... + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient… more
- 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 ... for TB **Preferred Qualifications:** + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine… more
- Datavant (Nashville, TN)
- …access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance ... Bring to the Table:** + Relevant Associate or Bachelor's degree, ideally from an AHIMA- certified HIM Program or Nursing Program. + At least **5 years of management… more
- CenterWell (Hermitage, 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 ... for TB. **Preferred Qualifications:** . Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine… more