- Community Health Systems (Franklin, TN)
- …needs, or fulfill other payer requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and better be able to ... case management software system used by the hospital. This documentation includes, but is not limited to, clinical...+ In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Health Related Boards. * Provides targeted evidence based interventions into clinical practice with patients. * Facilitates transitions to appropriate levels of ... care via in person, telephone or telehealth contact. * Maintains professional documentation which meets department and VUMC standards as it relates to compliance. *… more
- Baylor Scott & White Health (Nashville, TN)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
- Highmark Health (Nashville, TN)
- …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and is designed to prepare the resident to sit for the Neurological Clinical Specialist (NCS) examination. . Job Description: Pi Beta Phi Rehabilitation ... and is designed to prepare the resident to sit for the Neurological Clinical Specialist (NCS) examination. PBPRI is the outpatient interdisciplinary neurological… more
- Vanderbilt University Medical Center (Nashville, TN)
- …day during the week for a total of 32hrs. Patient Services Specialist (PSS) provides customer service, including telephone etiquette, cash management, scheduling of ... Forwards messages to the appropriate recipient in a timely manner following clinical protocol. Respond to all messages using correct spelling, grammar, and… more
- Metro Nashville Government (Nashville, TN)
- …health professionals when more intensive services are required. + Collaboration and Documentation : + Collaborate with clinical staff, case managers, and other ... peer-to-peer support to individuals with opioid use disorder (OUD) or those at risk . + Share personal recovery experiences to inspire hope and motivation for… more