- Intermountain Health (Nashville, TN)
- …record data using International Classification of Diseases Clinical Modification and Procedure Coding System (ICD-10-CM and PCS) at an advanced level of complexity. ... ICD-10 code Procedure Classification System (PCS) codes and Diagnosis Related Groups ( DRG ) to ensure accurate billing data for patient populations and publicly… more
- HCA Healthcare (Nashville, TN)
- …for this role.** Do you want to join an organization that invests in you as a Coding Quality Review Specialist? At Work from Home, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Review Specialist like you to be a part of our team. **Job… more
- Houston Methodist (Nashville, TN)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. ... Additional duties include participating in quality review and performance improvement projects throughout...DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training. + Assists with quality… more
- Vanderbilt University Medical Center (Nashville, TN)
- …will draft physician queries, to clarify documentation for optimal coding and quality reporting. . KEY RESPONSIBILITIES + Review , analyze and interpret the ... preeminent programs in patient care, education, and research. **Organization:** HIM - Coding 10 **Job Summary:** JOB SUMMARY Reviews documentation in the electronic… more
- HCA Healthcare (Nashville, TN)
- …Account Resolution Specialist III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and ... satisfaction and personal growth, we encourage you to apply for our Inpatient Coding Denial Specialist opening. We promptly review all applications. Highly… more
- Elevance Health (Nashville, TN)
- … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Houston Methodist (Nashville, TN)
- …to ensure points of clarification have been recorded in the patient's chart. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Demonstrates knowledge of DRG payor issues, ... experience caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate… more
- Houston Methodist (Nashville, TN)
- …ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic ... relative to job function. Contributes ideas to help improve quality of coding data and abstracting data....and application of positive language principles + Knowledge of coding classification systems, DRG and APC systems,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …* Coding Knowledge (Advanced): Ability to assign and interpret ICD-10-CM/PCS coding classification systems and MS- DRG and APR- DRG prospective payment ... * Manages the workflow within the systems to maintain timely and thorough review of documentation. * Performs analysis of charges generated from systems to verify… more
- LifePoint Health (Gallatin, TN)
- …staff regarding payer requirements, significant changes and developments Drag Edit Delete Ensure quality review measurements are in place at each facility Drag ... the various reimbursement systems that affect the facility. ie DRG 's, APC's, HCPCS, CPT, modifiers, etc. Oversees and coordinates...Delete Serves as a liaison and resource for the Quality Management and Utilization Review areas. Provides… more