- HCA Healthcare (Hermitage, TN)
- …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
- CVS Health (Nashville, TN)
- …guidelines and regulations to meet compliance requirements, such as establishing medical necessity . + Identify clinically active vs. historical conditions. + ... and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as...Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or… more
- Datavant (Nashville, TN)
- …Monitor and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity . + Analyze denial ... denials across the entire revenue cycle to ensure optimal reimbursement and compliance with payer regulations. This role requires in-depth knowledge of healthcare… more
- Ascension Health (Nashville, TN)
- …and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy ... cases. + Assist departmental staff with issues related to coding , medical records/documentation, precertification, reimbursement and claim denials/appeals.… more