- familycarecenter (Hendersonville, TN)
- …in compliance with State and Federal regulations, clinical necessity , and appropriate coding standards. Performs pharmacologic treatment strategies, ... financial security. Enjoy a full suite of competitive benefits, including medical , dental, fertility, retirement, wellness, profit sharing and more. Annual… more
- HCA Healthcare (Nashville, TN)
- …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills,… more
- Covenant Health Inc. (Knoxville, TN)
- …Educates coding staff to proper documentation necessary to support a DRG/APC/ Medical Necessity /ROM/SOI. + Integrates documentation, coding , and proper ... staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical ... billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and… more
- Cardinal Health (Nashville, TN)
- …detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... field preferred. + 5+ years of experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work, with oncology… more
- Covenant Health Inc. (Knoxville, TN)
- …Applies knowledge related to proper documentation necessary to support MS-DRGs/APR DRGs/ Medical Necessity /ROM/SOI assignment. + Reconciles discharge and coded ... resource for physicians to help link ICD-10-CM and ICD-10-PCS coding guidelines and medical terminology to improve... billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and… more
- Covenant Health Inc. (Knoxville, TN)
- …when additional research is needed. + Contacts physicians for clarification and medical necessity . + Reviews all encounters for accurate documentation and ... coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for...to determine the most appropriate codes used for billing compliance and refers coding questions to the… more
- Vanderbilt University Medical Center (Tullahoma, TN)
- …for services performed, CPT coding changes or discrepancies, and questionable medical necessity Allied health is among the fastest growing occupations in ... **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and...**Job Summary:** 4- 10 hour shifts No weekends The Medical Laboratory Technician performs laboratory testing and related procedures… more
- Datavant (Nashville, TN)
- …Monitor and manage denials throughout the entire revenue cycle, including registration, eligibility, coding , billing, and medical necessity . + Analyze denial ... denials across the entire revenue cycle to ensure optimal reimbursement and compliance with payer regulations. This role requires in-depth knowledge of healthcare… more
- HCA Healthcare (Nashville, TN)
- …diem reimbursement models. + Knowledgeable about third party payer source criteria of medical necessity . + Organized and able to meet deadlines consistently. + ... and the United Kingdom. We are looking for a Medical Director for our Work from Home team where...the denial management team. + Educates physicians about ICD coding guidelines (eg, co-morbid conditions, outpatient vs. inpatient) and… more
- CVS Health (Franklin, TN)
- …and scope. + Assesses claims for accuracy and compliance with coding guidelines, medical necessity , and documentation requirements. + Documents ... of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. **Job Description Summary**… more
