- Elevance Health (Nashville, TN)
- …Clinical Validation Audit setting or hospital coding or quality assurance environment preferred . + Broad knowledge of medical claims billing/payment systems ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- CenterWell (La Vergne, 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
- CenterWell (Hermitage, 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
- CenterWell (Nashville, TN)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CVS Health (Nashville, TN)
- …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… 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
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Community Health Systems (Franklin, TN)
- …Bachelor's Degree in Healthcare Administration, Business Administration, or a related field preferred + 2-4 years of experience in medical coding, documentation, ... office/clinic working with evaluation management, diagnostic and procedures coding, and/or medical billing preferred **Knowledge, Skills and Abilities** +… more
- CVS Health (Nashville, TN)
- …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. ** Preferred Qualifications** ... every day. **Position Summary** + Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
- Elevance Health (Nashville, TN)
- …** Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred .** + Expert level knowledge of ICD-10 CM, CMS ... diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability… more