- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive… more
- Community Health Systems (Franklin, TN)
- …RAC and non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes ... coding experience required + 2-4 years Inpatient acute care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or… more
- Prime Therapeutics (Nashville, TN)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial . + Monitors telephone system to ... of pharmacy with us. **Job Posting Title** Pharmacy Technician II - MCP Clinical Liaison - Remote **Job Description** Evaluates and authorizes approval of prior… more
- WestCare Foundation (Dandridge, TN)
- …to the appropriate accounts, ensuring accuracy in the allocation of funds. + Denial Management: Review and analyze claim denials, identify the reasons for ... into the billing system based on patient services and coding information. + Payment Posting: Post payments received from... denial , and take appropriate action to correct and resubmit… more
- Public Consulting Group (Nashville, TN)
- …other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics. ... other contractual deliverables when needed. Ensures accurate system support through review and updating reference data, contractual metrics, and compliance metrics.… more
- Cardinal Health (Nashville, TN)
- …position requires strategic leadership, operational excellence, and collaboration across clinical , operations, and financial teams while spearheading the development ... cycle operations for radiation oncology and imaging, including charge capture, coding , billing, and collections + Ensure all oncology-related claims are submitted… more