- Intermountain Health (Nashville, TN)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for...of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on… more
- 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
- 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
- Stryker (Nashville, TN)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... Coding Hotline. + Research and interpret reimbursement codes and payer policies ( CPT , HCPCS, ICD-9/10). + Support providers and office staff with prior… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... related issue and activities to external departments (Cost Containment, Networks, Clinical ) for handling. + PACKAGING OF FINDINGS AND RECOMMENDATIONS: + Organize… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding ... team efforts in the achievement of accounts receivable performance goals. The Specialist performs daily activities related to the successful closure of aged accounts… more
- Vanderbilt University Medical Center (Clarksville, TN)
- …**Organization:** Vanderbilt Integrated Pediatric **Job Summary:** Patient Services Specialist (PSS) provides customer service, including telephone etiquette, cash ... Forwards messages to the appropriate recipient in a timely manner following clinical protocol. Respond to all messages using correct spelling, grammar, and… more
- Baptist Memorial (Memphis, TN)
- …based by state specified requirements. Ability to recognize and communicate to clinical staff or designee when insurance companies require additional review because ... to prioritize and multi task. Preferred/Desired + Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration… more
- Intermountain Health (Nashville, TN)
- …days not final billed (DNFB), and appropriate reimbursement. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or ... DRG assignment for inpatient encounters, ICD-10 diagnosis and procedure codes, CPT -4 procedure codes, and APC assignment for outpatient encounters. This is… 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
- Banner Health (TN)
- …who support our Facility-based Acute Medical Coding teams. **Experience in ICD-10-CM and CPT coding is a must.** **Requirements:** + **6 years recent experience in ... a knowledge resource for all staff. This may include monitoring and reviewing clinical documentation to ensure that coding is accurate for proper reimbursement and… more
- Baylor Scott & White Health (Nashville, TN)
- …give feedback to coders. The Coding Auditor 1 uses ICD-10-CM/PCS, HCPCS, CPT , and other coding references. These references ensure accurate coding and classification ... the coding and abstracting system. + Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
- Banner Health (TN)
- …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… 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
- Banner Health (TN)
- …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management… more
- Evolent (Nashville, TN)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… 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
- Baptist Memorial (Memphis, TN)
- …+ Completes assigned goals. + Serves as a resource to physican office staff, clinical documentation specialist , case managers, etc. + Act as lead for the ... (ancillary, emergency department, or outpatient surgery, etc) records utilizing ICD-9-CM and CPT -4 . Two years experience in an acute care facility, professional… more
- Baptist Memorial (Memphis, TN)
- …+ Completes assigned goals. + Serves as a resource to physican office staff, clinical documentation specialist , case managers, etc. + Act as lead for the ... (ancillary, emergency department, or outpatient surgery, etc) records utilizing ICD-9-CM and CPT -4 . Two years experience in an acute care facility, professional… 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