- Abbott (Nashville, TN)
- …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist I, CPT -** **Nashville, TN** **Working at ... pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical ** ** Specialist I, CPT ** **in** **Nashville, Tennessee** . As a member… more
- Datavant (Nashville, TN)
- …to realize our bold vision for healthcare. As an **ProFee Audit Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
- Elevance Health (Nashville, TN)
- …our specialty pharmacies, our infusion centers, and the home setting. **Referral Specialist II - Paragon Healthcare** **Schedule:** Monday - Friday; 9:00am - 6:00pm ... accommodation is granted as required by law._ The **Referral Specialist II** is responsible for providing support to a... II** is responsible for providing support to a clinical team in order to facilitate the administrative components… more
- Molina Healthcare (Bowling Green, KY)
- …records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines, and provider contracts. + Devise clinical summary post review. ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- Molina Healthcare (Bowling Green, KY)
- …fashion and in accordance with quality reviews of appropriate ICD-10 and/or CPT codes, and accuracy of DRG or ambulatory payment classification (APC) assignments. ... process improvements, tools, etc. * Integrates medical chart coding principles, clinical guidelines, and objectivity in performance of medical audit activities.… more
- Molina Healthcare (Bowling Green, KY)
- …suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
- STG International (Hopkinsville, KY)
- …and emotional) of patients under a limited scope of Current Procedural Terminology ( CPT ) codes and within his/her skills and training. * Function as the point ... health care system. * Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more
- Datavant (Nashville, TN)
- …visits. Surgical knowledge is preferred. Must be familiar with Primary Care and a specialist . **What You Will Do:** + Review medical records and assign precise codes ... to ensure accurate coding aligned with client needs ( CPT , ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). + Conduct data quality reviews of records… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Pt Svcs - OHO **Job Summary:** JOB SUMMARY Patient Services Specialist (PSS) provides customer service, including telephone etiquette, cash management, scheduling ... Forwards messages to the appropriate recipient in a timely manner following clinical protocol. Respond to all messages using correct spelling, grammar, and… more