- Vanderbilt University Medical Center (Lebanon, 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
- 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
- Datavant (Nashville, TN)
- …utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify ... need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare… more
- Health Care Service Corporation (Nashville, TN)
- …(eg IPPS, OPPS, etc) + Familiarity with medical and pharmacy claims, ICD10, DRG, APC , HCPCS and/or CPT + Experience with Teradata, Hadoop, or other big data ... platforms and ability to create dynamic and visually engaging dashboard leveraging data visualization tools such as Tableau or Power BI This is a Flex (Hybrid) role: 3 days in office; 2 days remote work. Sponsorship is not available. \#LI-PD1 \#LI-HYBRID INJLF… more
- Datavant (Nashville, TN)
- …hospital or large physician group setting. + Familiarity with DRG and APC reimbursement methodologies. + Knowledge of ICD-10-CM/PCS, CPT, and HCPCS coding systems.We ... are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will… more
- Datavant (Nashville, TN)
- …Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. + Be responsible for tracking ... continuing education credits to maintain professional credentials. + Attend Datavant Health sponsored education meetings/in-services. + Demonstrate initiative and judgment in the performance of job responsibilities. + Communicate with co-workers, management,… more
- Baylor Scott & White Health (Nashville, TN)
- …to ensure accurate coding and grouping of classification assignment (eg, MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL ... FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to… more
- Baylor Scott & White Health (Nashville, TN)
- …or inpatient records. Reviews records to validate diagnoses, procedures, modifiers, APC assignment, and/or DRG. Identifies high-risk areas in coding and ... documentation practices. + May conduct focused quality reviews on HIM coding staff. This is apart from those by the BSWH HIM Audit team. All coding must use official guidelines from AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and CMS… more
- M. C. Dean (Nashville, TN)
- …factory trained on most major UPS manufacturers of static equipment (eg, MGE/ APC , Liebert, Toshiba/Mitsubishi, and Powerware/Eaton to name a few). Our technicians ... perform preventive maintenance and equipment testing as well as emergency service calls at high profile government, institutional and commercial customer facilities. The Critical Power Group also provides engineering and technical support to customers and… more
- Cardinal Health (Nashville, TN)
- …and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/ APC documentation coding rules; charge capture and reimbursement methodologies; ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment;… more
- HCA Healthcare (Nashville, TN)
- …suite is equipped with two Ion robots, Cios 3D fluoroscopy, APC /Cryotherapy, endobronchial ultrasounds with rapid onsite cytology with pathologist available for ... all cases. + Access to hybrid OR with mounted fluoroscopy and strong collaboration with cardiac anesthesia and ECMO team for endobronchial stenting and debulking with both flexible and Storz rigid bronchoscopy. + Candidate will only practice interventional… more