- HCA Healthcare (Nashville, TN)
- …worth of each individual is recognized. Submit your application for the opportunity below: Clinical Denials Coding Review SpecialistParallon. **Benefits** ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure… 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 (Brentwood, TN)
- …Qualifications** As a Trauma Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. ... and other coders. You will also work with the denials team to resolve coding -related denials...will do in this role:** + Reviews and codes clinical notes and operative reports for assigned specialty/specialties. +… more
- HCA Healthcare (Nashville, TN)
- …in conjunction with Central Coding Unit on follow up and resolution of coding related denials and rejections to address any issues. + Assists in performing ... (eg, work queues, worklists, turnaround times) + Daily PRP review and resolution + Attends and/or leads meetings as...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …(SC)/Special Authority (SA) relatedness for revenue cases. Manages clinical denials for revenue. Performs legal case relatedness review for revenue ... of VHA and industry best standards. The Revenue Utilization review (RUR) Registered Nurse (RN) is an active member...established third-party payer criteria for reimbursement and appeal of clinical denials . Provides feedback as appropriate, for… 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
- Intermountain Health (Nashville, TN)
- …on the claim. + Interpret and accurately identify the true reason of the denial and review payer contracts, clinical data and other data to be able to appeal in ... a correct and concise way. + Assesses the appropriateness of clinical appeal requests by working with and using evidence- based utilization review criteria,… more