- Elevance Health (Nashville, TN)
- ** Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the ... through home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic… more
- HCA Healthcare (Brentwood, TN)
- …payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of… more
- Elevance Health (Nashville, TN)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical… more
- Evolent (Nashville, TN)
- …risk adjustment coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
- Elevance Health (Nashville, TN)
- …employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon ... Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary...medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team responsible for auditing… more
- HCA Healthcare (Nashville, TN)
- …actively engaged in continuous process improvement activities to enhance timely claims completion, financial performance, and corporate contribution. **What you will ... Leadership Team in addressing issues impacting accurate/timely coding and documentation + Responsible for ensuring staff/vendor coding personnel compliance with… more