- 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
- Covenant Health Inc. (Knoxville, TN)
- …Works closely with co-workers to identify process improvement activities and to reduce denials . + Advises, educates, and acts as clinical /billing liaison between ... Forbes as a Best Employer. Position Summary: Responsible for supervision of clinical audit and appeals processes conducted by Revenue Integrity Department Auditors… 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
- HCA Healthcare (Brentwood, TN)
- …Qualifications** As a Trauma Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. ... and other coders. You will also work with the denials team to resolve coding -related denials...will do in this role: + Reviews and codes clinical notes and operative reports for assigned specialty/specialties. +… 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
- 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
- Covenant Health Inc. (Knoxville, TN)
- …audit projects for Covenant Health entities as they relate to charging, coding , documentation and billing compliance. This would include E/M, procedure, and ICD-10 ... Register, fraud alerts, OIG advisory opinions, and other publications relative to coding , billing and reimbursement compliance in order to ensure compliance. +… more
- Amgen (Nashville, TN)
- …supporting the entire reimbursement journey through payer prior authorization to appeals/ denials requirements and forms. + Review patient-specific information in ... and/or claims resolution. + Educate offices using approved materials. + Review patient insurance benefit options and alternate funding/financial assistance programs.… more