- HCA Healthcare (Brentwood, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
- Community Health Systems (Franklin, TN)
- …reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends ... periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers and Director to… more
- Banner Health (TN)
- …Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding ... diagnostic and procedure code assignments. Collaborates on DRG and coding denials , billing edits/rejections to provide ...to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and… more
- Intermountain Health (Nashville, TN)
- …for all payer and regulatory denials and downgrades and provides in-depth coding review , audit findings, and appeal strategies. + Develops and implements ... Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This… more
- Covenant Health Inc. (Knoxville, TN)
- …when required to assure that documentation is consistent and that diagnoses meet clinical definitions. + Assists the coding department with post discharge ... involved in patient's care. + Educates and assists physicians and clarifies coding versus clinical issues. + Identifies opportunities for intradepartmental and… more
- WestCare Foundation (Dandridge, TN)
- …appropriate accounts, ensuring accuracy in the allocation of funds. + Denial Management: Review and analyze claim denials , identify the reasons for denial, and ... Accurately enter charges into the billing system based on patient services and coding information. + Payment Posting: Post payments received from payers and patients… more
- Diversicare Healthcare Services & Diversicare Ther (Etowah, TN)
- …role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. ... oversees and audits medical records for new admissions/readmissions and maintains the clinical record throughout the resident's entire stay within the center. 2.… more
- Community Health Systems (Franklin, TN)
- …identify payment discrepancies, revenue opportunities, and performance metrics for management review . + Collaborates with financial, clinical , and operational ... to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue cycle processes and optimize payer relationships.… more