- Datavant (Nashville, TN)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing 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
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... from prescribers received by telephone and/or facsimile using client clinical criteria. **Responsibilities** + Determines appropriateness for medications. Communicates… more
- WestCare Foundation (Dandridge, TN)
- Billing and Credentialing Specialist Job Details Job Location Dandridge - 207 W Main - Dandridge, TN Position Type Full Time Education Level High School Salary Range ... $60000.00 Salary/year Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing… more
- Banner Health (TN)
- …our award-winning patient care. POSITION SUMMARY Evaluates medical records, provides clinical and surgical abstraction and assigns appropriate clinical diagnosis ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Banner Health (TN)
- …physician practices by evaluating medical records and validating that appropriate clinical diagnosis and procedure codes are assigned in accordance with nationally ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Highmark Health (Nashville, TN)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Houston Methodist (TN)
- …utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG ... Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient… more
- STG International (Savannah, TN)
- …Nurse Practitioner (NP) or Physician Assistant (PA) is to provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) ... patients under a limited scope of Current Procedural Terminology ( CPT ) codes and within his/her skills and training. +...ie, walk in patients. + Provides a model for clinical practice within the clinic setting. + Sets up… more
- STG International (Savannah, TN)
- …The primary purpose of this position is to serve as the Patient Relations Specialist , who represents the interests of Veteran patients in all areas of the clinic ... duty of the Clinic Manager is to provide professional clinical services under the direction of the Community Based...patients under a limited scope of Current Procedural Terminology ( CPT ) codes and within his/her skills and training. +… more
- Houston Methodist (TN)
- …departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in ... Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
- Vanderbilt University Medical Center (Franklin, TN)
- …VIS Admin Cool Springs **Job Summary:** JOB SUMMARY: Patient Services Specialist (PSS) provides customer service, including telephone etiquette, cash management, ... Forwards messages to the appropriate recipient in a timely manner following clinical protocol. Respond to all messages using correct spelling, grammar, and… more