- HCA Healthcare (Brentwood, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
- 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
- Catholic Health Initiatives (Chattanooga, TN)
- …action plans based on analysis. + Works collaboratively with Revenue Cycle Staff, Coding team, Clinical Informatics, and other MMS staff associated with HCC ... appropriate personnel for processing. + Acts as documentation and coding liaison to clinicians to include review ,..., education and necessary follow-up to help ensure that clinical documentation and coding services meet government… more
- HCA Healthcare (Nashville, 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
- Covenant Health Inc. (Knoxville, TN)
- …when required to assure that documentation is consistent and that diagnoses meet clinical definitions. + Assists the coding department with post discharge ... involved in patient's care. + Educates and assists physicians and clarifies coding versus clinical issues. + Identifies opportunities for intradepartmental and… more
- HCA Healthcare (Nashville, TN)
- …**Job Summary and Qualifications** The Medical Director serves as a clinical resource and consultant to hospitals by providing identification, facilitation, and ... resolution of denials . The Medical Director will be responsible for timely...payer requirements. + Performs data analysis related to utilization review (UR) metrics, works with hospital utilization management committees… more
- Robert Half Management Resources (Nashville, TN)
- …understanding of diverse care settings and billing structures. Key Responsibilities: + Review clinical documentation and charge data to ensure completeness, ... supports revenue optimization by analyzing data, identifying discrepancies, and collaborating with clinical and coding teams to improve processes and ensure… more
- WestCare Foundation (Dandridge, TN)
- …appropriate accounts, ensuring accuracy in the allocation of funds. + Denial Management: Review and analyze claim denials , identify the reasons for denial, and ... Accurately enter charges into the billing system based on patient services and coding information. + Payment Posting: Post payments received from payers and patients… more
- Diversicare Healthcare Services & Diversicare Ther (Etowah, TN)
- …role involves maintaining accurate and comprehensive active medical records, conducting clinical record audits, and educating our team on Electronic Health Records. ... oversees and audits medical records for new admissions/readmissions and maintains the clinical record throughout the resident's entire stay within the center. 2.… 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