- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Senior Care division at BCBST is looking to add a Risk Adjustment Medical Record Coder to our team\. Expertise in HCC Coding with a background in MA and ACA is ... a workweek per BCBST company policy\. **Job Responsibilities** + Maintain compliance with CMS risk adjustment diagnosis coding guidelines\. + Perform comprehensive… more
- CenterWell (Nashville, TN)
- …to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner needs and ... operational leaders to identify operational issues that impact clinician and coder performance. + Facilitate meetings with key partners, including Clinical,… more
- Highmark Health (Nashville, TN)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- HCA Healthcare (Nashville, TN)
- …intrinsic worth of each individual is recognized. Submit your application for our Inpatient Coder opening with Parallon today and find out what it truly means to be ... may vary by location._** We are seeking an Inpatient Coder for our team to ensure that we continue...codes/DRGs + Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate +… more
- Banner Health (TN)
- …ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers ... with maintaining system wide consistency in coding practices and ethical coding compliance . If applicable, initiates and follows through on physician queries to… more
- HCA Healthcare (Nashville, TN)
- …reporting of results to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends. Additionally, you will ... + Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder /auditor that need to be addressed + Prepares and presents coder … more
- Vanderbilt University Medical Center (Nashville, TN)
- …workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and hospital targets. + Utilize designated coding ... evaluation of an issue in order to form a judgment. + COMPLIANCE (ADVANCED): Understanding the rules, regulations, sanctions, and other statutory requirements,… more
- CenterWell (Nashville, TN)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical… more
- Houston Methodist (TN)
- …based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- Community Health Systems (Franklin, TN)
- …CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state, and local laws. This role involves conducting ... educational sessions, performing compliance reviews, and creating educational materials to promote adherence to regulatory standards and organizational policies.… more
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