- HCA Healthcare (Nashville, TN)
- …worth of each individual is recognized. Submit your application for the opportunity below: Clinical Denials Coding Review SpecialistParallon. **Benefits** ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure… 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
- Baptist Memorial (Memphis, TN)
- …received by BMHCC. Physician Advisor communication may be necessary to provide further clinical review from the physician perspective as needed in preparation of ... to obtain additional documentation to support appeal, collaborate with coding /billing for formulation of appeal with corrected claims and...and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical… more
- HCA Healthcare (Nashville, TN)
- …in conjunction with Central Coding Unit on follow up and resolution of coding related denials and rejections to address any issues. + Assists in performing ... (eg, work queues, worklists, turnaround times) + Daily PRP review and resolution + Attends and/or leads meetings as...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …(SC)/Special Authority (SA) relatedness for revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue ... of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member...established third-party payer criteria for reimbursement and appeal of clinical denials . Provides feedback as appropriate, for… 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