• APC

    Vanderbilt University Medical Center (Hendersonville, TN)
    …Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and ... facilitate discharges/outpatient follow up. The APC has a strong foundation in evidenced based practice/education...and ensures an environment of safe quality care. The APC demonstrates advanced level of medical and nursing knowledge,… more
    Vanderbilt University Medical Center (07/22/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG/ APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG/ APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (05/09/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    …improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification ( APC ) or ICD-10 assignments on health records. Provides guidance and ... System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification ( APC ) or utilized operational systems. Provides explanatory and reference information… more
    Banner Health (06/15/25)
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  • Senior Outpatient Coder

    Houston Methodist (TN)
    …of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital ... of positive language principles + Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an… more
    Houston Methodist (07/31/25)
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  • Coding Spec-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …Educates coding staff to proper documentation necessary to support a DRG/ APC /Medical Necessity/ROM/SOI. + Integrates documentation, coding, and proper oversight to ... information to supervisor related to inaccurate and/or missing documentation. + Reviews DRG/ APC classifications and educates to maximize level of care assignment for… more
    Covenant Health Inc. (06/14/25)
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  • Coder

    LifePoint Health (Winchester, TN)
    …Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification ( APC ). DragEditDelete *Required Skills* Certifications: CCS, CCS-P, or CPC ... required, within one year of hire date or date in position. DragEditDelete *Required Skills* Licenses: N/A **Job:** **Physician Services* **Organization:** **Southern Tennessee Mangru Szczarkowska* **Title:** *Coder* **Location:** *Tennessee-Winchester*… more
    LifePoint Health (08/01/25)
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  • Medical Coder

    Ascension Health (Niota, TN)
    …Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification ( APC ) orDiagnosis-Related Group (DRG) assignments. + Perform complex coding. + ... Obtain acceptable productivity/quality rates as defined per coding policy. + Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. + Maintain knowledge of, comply… more
    Ascension Health (08/01/25)
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  • Regional Transformative Controls Technology…

    Sylvamo (Memphis, TN)
    …the adoption of new technologies, updated processes (Advanced Process Controls - APC ), and systems replacements in line with global goals, collaborating closely with ... cross-functional teams: + Partner with global experts to develop detailed execution plans for pilots, trials and data collection. + Analyze data and feedback to identify opportunities for improvement and innovation. + Act as a change agent, supporting the… more
    Sylvamo (07/31/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (TN)
    …productivity and quality standards. Codes ICD CM and CPT4 for accurate APC assignment. Addresses National Correct Coding Initiative (NCCI) edits as appropriate. ... Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records,… more
    Banner Health (07/30/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Nashville, TN)
    …researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2+ years of experience researching MS-DRG, APR-DRG ... and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis in excel and utilizing pivot tables and various functions such as VLOOKUP) **Preferred… more
    Humana (07/29/25)
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