- familycarecenter (Nashville, TN)
- …in compliance with State and Federal regulations, clinical necessity , and appropriate coding standards. Performs pharmacologic treatment strategies, ... financial security. Enjoy a full suite of competitive benefits, including medical , dental, fertility, retirement, wellness, profit sharing and more. Annual… more
- HCA Healthcare (Nashville, TN)
- …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills,… more
- Cardinal Health (Nashville, TN)
- …detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... field preferred. + 5+ years of experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work, with oncology… more
- Datavant (Nashville, TN)
- …Monitor and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity . + Analyze denial ... denials across the entire revenue cycle to ensure optimal reimbursement and compliance with payer regulations. This role requires in-depth knowledge of healthcare… more
- CVS Health (Franklin, TN)
- …and scope. + Assesses claims for accuracy and compliance with coding guidelines, medical necessity , and documentation requirements. + Documents ... of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. **Job Description Summary**… more
