- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager , Physician Coding oversees the daily management of all coding functions related to professional fee coding workflow, ... Posses a vast knowledge of current CPT, ICD and HCPCS coding and reimbursement issues for physician offices and clinics. + Strong knowledge of current Evaluation… more
- HCA Healthcare (Nashville, TN)
- …This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development ... and evolution of the overall strategy for Physician Services Coding Operations. The RCOM is...colleagues. Do you want to work as a(an) Regional Coding Operations Manager WFH where your passion… more
- HCA Healthcare (Nashville, TN)
- …This position is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development ... and evolution of the overall strategy for Physician Services Coding Operations. The RCOM is responsible for oversight of all CSG coding operational processes… more
- HCA Healthcare (Nashville, TN)
- …reviews of inpatient and/or outpatient records as needed (including concurrent coding ); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, ... **Introduction** Do you have the career opportunities as a Vendor Resource Management Coding Team Lead you want with your current employer? We have an exciting… more
- HCA Healthcare (Nashville, TN)
- …invested over 156,000 hours volunteering in our communities. As a Facility Outpatient Coding Editor with Parallon you can be a part of an organization that ... organization. We are looking for an enthusiastic Facility Outpatient Coding Editor to help us reach our goals. Unlock... revisions to the applicable party (eg, CIS, lead, manager , international log) + Completes MOCK abstracts as necessary… more
- HCA Healthcare (Brentwood, TN)
- …individual is recognized. Submit your application for the opportunity below:Profee Coding AuditorParallon **Benefits** Parallon, offers a total rewards package that ... may vary by location._** We are seeking a Profee Coding Auditor for our team to ensure that we...as assigned by management + Communicate appropriately with department manager + Assist manager with developing team… more
- Elevance Health (Nashville, TN)
- …issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician 's statement sent in by acute ... **DRG CODING AUDITOR** **Location** : _This position will work...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Nashville, TN)
- …for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physician 's statement provided by acute care ... **DRG Coding Auditor Principal** _Virtual: This role enables associates...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Nashville, TN)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. (Internal… more
- Community Health Systems (Franklin, TN)
- …and educational meetings for CHS-affiliated providers and staff, including the PPS Physician Coding and Documentation Seminar. + Reviews medical records to ... **Job Summary** The Physician Education Specialist provides training and education to...and education to CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state,… more
- CenterWell (Nashville, TN)
- …with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by ... in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets… more
- CenterWell (Franklin, TN)
- …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Nashville, TN)
- …on teamwork and providing a positive and welcoming environment for all. The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Datavant (Nashville, TN)
- …field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding , physician workflow, and/or electronic health record systems + Advanced ... life experiences to realize our bold vision for healthcare. The Client Success Manager is part of the Datavant organization and is responsible for successful… more
- Community Health Systems (Franklin, TN)
- …clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements. + Consults the Manager , Corporate ... and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides… more
- HCA Healthcare (Nashville, TN)
- …with case follow-up as requested. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various abstracted measures. + ... Communicate in a timely manner with manager to achieve measure compliance. + Submit data timely...+ 2+ years of experience in Health Information Management; Coding , Nursing, and/or Health Registry abstraction experience **required** +… more
- Community Health Systems (Franklin, TN)
- …verifying claim accuracy and making necessary updates per facility or coding liaison direction. + Maintains knowledge of billing regulations, payer policies, ... reports charging or edit trends, collaborating with internal teams (such as coding , patient access, and ancillary departments) to improve billing accuracy. +… more
- HCA Healthcare (Nashville, TN)
- …in support of ad-hoc and standing requests for monitoring and benchmarking of coding vendor performance + Determines and devises mechanisms for data collection and ... data for company initiatives such as data science project, Computer Assisted Coding , etc. + Analyzes integrity of data results to facilitate identification of… more
- Cardinal Health (Nashville, TN)
- …rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... including the insurance payers, specialty pharmacies, support organizations, and the patient/ physician to facilitate coverage and delivery of product in a timely… more
- Elevance Health (Nashville, TN)
- …whether clinical information presented meets medical necessity criteria or requires physician review or override. + Clearly and concisely documenting clinical review ... database in adherence to our standardized documentation style. + Assisting physician reviewers with clinical interpretation questions regarding medical necessity of… more