- Vanderbilt University Medical Center (Clarksville, 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
- 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
- Humana (Nashville, TN)
- …Follows established guidelines/procedures. As a Medical Coding Auditor for the Hospital Outpatient/ APC Coding Team you will: + Verify and ensure the accuracy, ... criteria and correct coding guidelines specific to Ambulatory Payment Classification ( APC ) and Hospital Outpatient Facility coding + Utilize encoders and various… 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
- Humana (Nashville, TN)
- …experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2+ years of experience with Optum Rate Manager ... + 2+ years of experience with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis and utilizing pivot tables or various formulas or functions… 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)
- …references ensure accurate coding and grouping of classification assignments (eg, MS-DRG, APR-DRG, APC , etc.). The Coder 2 will abstract and enter required data. The ... pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and… 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
- Cardinal Health (Nashville, TN)
- …of Medicare/Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/ APC documentation coding rules; medical terminology; E/M rules; healthcare ... compliance audit methodology, principles and techniques; ability to interpret medical record progress notes, handwritten and electronic chart entries, provider orders and other related documentation during audit reviews. + Ability to communicate complex and… more