- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (Nashville, TN)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… more
- HCA Healthcare (Brentwood, TN)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Elevance Health (Nashville, TN)
- **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... an accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of...and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred + BA/BS… more
- Covenant Health Inc. (Knoxville, TN)
- …contract management personnel in the review of contracts and other reimbursement or payment arrangements in relation to charging, coding and billing compliance. ... current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID… more
- Covenant Health Inc. (Knoxville, TN)
- …implementation that affect the area. Maintains optimal communication links with Integrity Office, Coding , Transcription, Quality Management, Case Management, ... seven times. Position Summary: The Manager of Clinical Documentation Integrity develops, implements and oversees all activities of daily...issues. Works on identified issues relative to denials of payment , as it relates to coding . +… more
- Community Health Systems (Franklin, TN)
- …valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and ... centers. **Job Summary** As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines for coding , charging, and billing; and with discernment for payment inducing decisions. + Leads discussions and efforts to resolve complex claim ... latitude for initiative and independent judgement. Maintains all organizational and professional ethical standards. Performs additional tasks necessary to assist in… more
- St. George Tanaq Corporation (Nashville, TN)
- …architecture diagrams, deployment/runbooks) in approved repositories. + Ensure secure coding , automated testing, CI/CD, and alignment with 508 accessibility and ... with CI/CD and DevSecOps integration. + Front-end development expertise designing and coding user interfaces with frameworks React.js and React + TypeScript. +… more