- Highmark Health (Nashville, TN)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff… more
- Community Health Systems (Franklin, TN)
- …CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record . This role ensures proper sequencing, modifier use, and ... **Job Summary** The Physician Coder is responsible for reviewing, analyzing, and assigning...errors as needed. + Maintains strict confidentiality of patient records , provider information, and financial data, adhering to HIPAA… more
- Banner Health (TN)
- …researching authoritative reference information from a variety of sources. 2. Reviews medical records . Performs an audit of clinical documentation to ensure ... completed by the health care team for the health record (s) and for quality assurance in the alignment of...outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of… more
- Datavant (Nashville, TN)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Catholic Health Initiatives (Chattanooga, TN)
- …concepts, practices, policies, procedures, standards, systems and tools applicable to medical records coding; including documentation requirements and medical ... education on revenue capture, clinical documentation including Electronic Health Record (EHR) requirements, coding accuracy and denial management to clinicians… more
- Houston Methodist (TN)
- …to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and ... with nationally established rules and guidelines based upon documentation within the medical record . + Reviews discharge disposition entered by nursing and… more
- CVS Health (Nashville, TN)
- …the team in determining correct coding and appropriate documentation during the review of medical records . This role requires a strong focus on meeting state, ... Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to...providing training, guidance, and support in coding practices and medical record reviews. + Conduct regular audits… more
- Baptist Memorial (Memphis, TN)
- …based upon regulatory, coding, and billing guidelines by payer. + Review patient medical records for charge capture and resolution of charge department billing ... Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. Preferred/Desired Special Skills Minimum Required… more
- Evolent (Nashville, TN)
- …surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food ... review teams. + Demonstrate strong analytical abilities, with a proven track record of deriving valuable insights from both quantitative and qualitative data. +… more
- Elevance Health (Nashville, TN)
- …-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent… more