- Community Health Systems (Franklin, TN)
- …reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials and Appeals during any audit discrepancies. + Attends ... periodic quality monitoring and evaluation of work products by the Coordinator and/or Director, Coding Denials and Appeals. + Partners with peers and Director to… 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
- HCA Healthcare (Hermitage, TN)
- …and personal growth, we encourage you to apply for our Medical Necessity Coding Compliance Coordinator opening. We promptly review all applications. Highly ... you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current employer?...you will do in this role:** + Coordinate NCD/LCD/LCA review process at the Division level + Determine whether… 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
- HCA Healthcare (Nashville, TN)
- …Resolution Team for legal action. **What you will do in this role:** + Review technical and clinical denial arguments for reconsideration on top dollar accounts, ... both written and telephonically through resolution process. + Identify coding or clinical documentation issues and work...Identify contract protection that can be leveraged to overturn denials . + Overcome objections that prevent payment of the… more