- Gentiva (Jackson, TN)
- …follow-up under the direction of the Palliative Medical Director or Primary Care physician . + Role requires up to 80-90% statewide travel. + Requires regular travel ... launches) + Practice experience with Part B documentation and coding + Must have a collaborative agreement in place...have a collaborative agreement in place with a supervising physician agreeable to supervise work in palliative care program… more
- CenterWell (Madison, TN)
- …with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by ... in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets… more
- HCA Healthcare (Nashville, TN)
- …changes on a timely basis + Follow ACOS and state data standards and coding instructions to abstract all reportable cases + Attend state and national educational ... compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as… more
- Covenant Health Inc. (Knoxville, TN)
- …the patient service functions related to the check-out operations of the physician practice. Collects and processes encounter form data. Collects and totals ... on committees as directed. + Collaborates with the patient, physician and other care team members as part of...appointment scheduling, collection, and experience in ICD-9/10 and CPT-4 coding (charge entry) required OR minimum three (3) years… more
- Sedgwick (Nashville, TN)
- …claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period ... medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client… more
- Elevance Health (Brentwood, TN)
- …outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... and Experiences** : + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care, including HMO, PO and POS plans strongly… more
- Humana (Nashville, TN)
- …duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and ... The Medical Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market… more
- Humana (Nashville, TN)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Covenant Health Inc. (Knoxville, TN)
- …verification in the referral tracking database. + Knowledge of ICD-9 and CPT coding and basic computer skills. + Coordinates date, time and location of ... as required and participates on committees as directed. + Collaborate with the patient, physician and other care team members as part of a team based approach to… more
- e CancerCare (Nashville, TN)
- …of current laws, statutes, regulations, etc. that impact healthcare operations and physician relationships. . Serve as liaison with Senior Management and clinical ... clinical operations, healthcare revenue cycle systems, medical billing and coding and healthcare compliance issues/requirements. Certified in Healthcare Compliance… more
Recent Jobs
-
Insurance Risk Analyst
- Methodist Health System (Dallas, TX)
-
Sales and Service Overnight
- 24 Hour Fitness, INC. (San Diego, CA)
-
Sr. Principal Embedded Real-time Software Engineer
- Raytheon (Tucson, AZ)
-
O&M Sr. Field Engineer
- Raytheon (Aurora, CO)