- Baptist Memorial (Union City, TN)
- … Director is responsible for facility-wide oversight of the compliance with regulatory and accreditation standards associated with Health Information Management, ... Overview Job Summary The Director of Health Information Management provides overall management and strategic leadership of the Health Information Management programs… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... contracts, and other payers. This role includes analyzing contract compliance , identifying revenue opportunities, and communicating discrepancies to relevant… more
- Community Health Systems (Franklin, TN)
- …provides training and education to CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state, and ... in developing, updating, and maintaining educational materials and resources to support compliance with coding and documentation regulations. + Remains current… more
- Evolent (Nashville, TN)
- …to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
- Baptist Memorial (Memphis, TN)
- …resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance based upon regulatory, coding , ... Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and… more
- Baptist Memorial (Memphis, TN)
- …resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance based upon regulatory, coding , ... also a plus. Clinical licensure or any type of coding certifications are also a plus in this role....delegated reports and completion from senior leadership and/or department director . Assist the Revenue Integrity Coordinator to ensure consistency… more
- Covenant Health Inc. (Knoxville, TN)
- …and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other payer ... and interprets Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so information can be… more
- Fresenius Medical Center (Memphis, TN)
- …vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... while maintaining cost-effective clinical operations in accordance with all legal, compliance , and regulatory requirements and programs. Adheres to all requirements… more
- Community Health Systems (Knoxville, TN)
- …accuracy, integrity, and accessibility of patient health records to support coding , reimbursement, physician chart completion, and regulatory compliance . This ... providers with incomplete medical records, monitoring deficiencies, and ensuring compliance with hospital and regulatory guidelines. + Processes unbilled accounts,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager, Research Operations is responsible for ensuring the compliance of the research program and associated research activities across the CHS ... tracks, and audits research activities across the CHS Enterprise for compliance with ethical, legal, financial, and reporting requirements. Prepares reports as… more