- Community Health Systems (Franklin, TN)
- **Job Summary** The Senior Director , Physician Coding & Documentation is responsible for overseeing all Professional Fee Coding and Documentation services, ... services and coordinating educational and training programs for clinicians, ensuring compliance with regulations. The Senior Director also develops and… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies,… more
- Covenant Health Inc. (Knoxville, TN)
- …SIM chargemaster for CMG. + Receives and interprets Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO ... Overview Patient Account Billing Liaison, CMG Business Office Full Time, 80...communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and… more
- Covenant Health Inc. (Knoxville, TN)
- …specific to medical billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and documentation. + Facilitates and ... coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education… more
- Humana (Nashville, TN)
- …The Medical Director conducts post-service, inpatient care reviews for accurate billing of clinically valid diagnoses and care received. May also engage in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which… more
- Cardinal Health (Nashville, TN)
- …the Compliance Director , this position supervises and manages compliance audits to determine organizational integrity of billing for professional ... state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and...ACR-guideline knowledge a plus. + AAPC, AHIMA or HCCA Coding certification and or Auditing/ Compliance certification (CPC,… more
- Community Health Systems (Franklin, TN)
- …the revenue cycle. **Essential Functions** 1. Data Validation, Integrity, and Compliance (Critical Focus) + Healthcare Data Quality Assurance: Design and implement ... data (eg, supply usage, procedure charging, contract pricing) is accurate. + Compliance Verification: Develop reports and monitoring tools to detect anomalies and… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …Has basic understanding of managed care practices, including health care finance, billing , coding and documentation. Knowledge, ability and willingness to use ... most effective delivery of state-of-the-art care by meeting or exceeding compliance standards. Responsibilities This vacancy will remain open until filled.… more
- Community Health Systems (Clarksville, TN)
- …Ensures proper coding and accurate maintenance of charge logs for billing and compliance purposes. + Uses evidence-based techniques and positive ... documentation and record-keeping skills to ensure accuracy in patient records and billing . + Strong verbal and written communication skills to effectively educate… more