- Vanderbilt University Medical Center (Clarksville, TN)
- …Clinician (NP/PA) is service/physician aligned, managing a distinct patient population. The APC may be required to perform some outpatient and inpatient care and ... facilitate discharges/outpatient follow up. The APC has a strong foundation in evidenced based practice/education...and ensures an environment of safe quality care. The APC demonstrates advanced level of medical and nursing knowledge,… more
- Datavant (Nashville, TN)
- …utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify ... need for additional documentation. Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare… more
- Datavant (Nashville, TN)
- …Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. + Be responsible for tracking ... continuing education credits to maintain professional credentials. + Attend Datavant Health sponsored education meetings/in-services. + Demonstrate initiative and judgment in the performance of job responsibilities. + Communicate with co-workers, management,… more
- Humana (Nashville, TN)
- …experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2+ years of experience with Optum Rate Manager ... + 2+ years of experience with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic data analysis and utilizing pivot tables or various formulas or functions… more
- Baylor Scott & White Health (Nashville, TN)
- …references ensure accurate coding and grouping of classification assignments (eg, MS-DRG, APR-DRG, APC , etc.). The Coder 2 will abstract and enter required data. The ... pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and… more
- Baylor Scott & White Health (Nashville, TN)
- …to ensure accurate coding and grouping of classification assignment (eg, MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL ... FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to… more
- Cardinal Health (Nashville, TN)
- …of Medicare/Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/ APC documentation coding rules; medical terminology; E/M rules; healthcare ... compliance audit methodology, principles and techniques; ability to interpret medical record progress notes, handwritten and electronic chart entries, provider orders and other related documentation during audit reviews. + Ability to communicate complex and… more