• Clinical Denials Coding

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, ... and you have the opportunity to make a difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our… more
    HCA Healthcare (01/18/25)
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  • Remote Physician Pro Fee Coding Specialist…

    Community Health Systems (Franklin, TN)
    …as documented in health records. + Provides training, mentoring and direction to medical coding staff in the department. + Works with clinics to resolve denials ... or inadequate medical record information required to complete the coding assessment and adhere to documentation and billing requirements....to deal with periods of high stress + Possess clinical knowledge and ability to evaluate and summarize … more
    Community Health Systems (01/19/25)
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  • Prior Authorization Specialist RN PRN

    Intermountain Health (Nashville, TN)
    …Perform in depth clinical research on patient authorization issues and/or payment denials related to no authorization + General coding , billing, and claims ... provides timely review of authorization requests and/or review of denials to ensure medical necessity,...retro authorization, appeals or reconsiderations related to no authorization denials + Perform clinical reviews and submission… more
    Intermountain Health (01/18/25)
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  • Vendor Resource Management Team Lead

    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
    HCA Healthcare (12/07/24)
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  • Medical Coder Onsite in Waverly

    R1 RCM (Nashville, TN)
    …intelligent automation, and workflow orchestration. As our **Medical Coder,** you will review clinical documentation and diagnostic results to accurately assign ... have an active CPC or CCS, RHIT or RHIA coding certificate. **This is a full-time, onsite position in...modifiers) for diagnoses, treatments, and procedures for new charges, denials , and claim edits while meeting daily quotas with… more
    R1 RCM (12/03/24)
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