- CenterWell (Clarksville, TN)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) ... The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed… more
- Elevance Health (Nashville, TN)
- …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Coder Physician provides quality review and analysis of a wide range of patient medical records and ensures accuracy of coding. This role ... and procedure codes for services and treatments as documented in the medical record. This includes sequencing appropriately as per government and insurance… more
- Sharecare (Nashville, TN)
- …Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a ... utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,...present premier provider options, including but not limited to medical , dental, and vision plans + Support for spending… more
- Elevance Health (Nashville, TN)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more