- HCA Healthcare (Nashville, TN)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals.… more
- 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 (Franklin, TN)
- … denials that are resulting in retractions. **Essential Functions** + Responsible for review and resolution of pre pay insurance denials , correlating with the ... SSC and ancillary departments all payor updates regarding billing and coding updates/changes, completes timely and consistently reports project status SSC leadership… more
- HCA Healthcare (Nashville, TN)
- …are high. **What you will do in this role:** + Coordinate NCD/LCD/LCA review process at the Division level + Determine whether new/revised NCDs/LCDs/LCAs apply to ... NCD/LCD/LCA reviews, action plans, successes/challenges related to implementation, volume of denials related to high priority NCDs/LCDs/LCAs, any issues that require… more
- Community Health Systems (Franklin, TN)
- …and analyze data to make recommendations + Work with financial and clinical departments collaboratively + Review contract validation, updates and interpretation ... Other duties may be assigned: + Identify trends in underpayment/overpayments, denials , revenue opportunities and revenue leakage + Evaluate trends and works… more