- Cengage Group (Nashville, TN)
- …more, please see https://www.cengagegroup.com/about/inclusion-and-diversity/ . The **Program & Curriculum Manager , Medical Billing and Coding ** will help to ... other colleagues, the successful candidate will help the team deliver innovative, high- quality products and provide timely support to internal and external partners.… more
- Catholic Health Initiatives (Chattanooga, TN)
- …and submits to appropriate personnel for processing. + Acts as documentation and coding liaison to clinicians to include review , education and necessary ... across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote ...appropriate. + Reports areas of risk directly to the Coding Integrity Manager /Supervisor. + Maintains a high… more
- HCA Healthcare (Nashville, TN)
- …lead, manager , international log) + Periodically works with their manager to review individual work accomplishments, discuss work problems/barriers, discuss ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...compelling, we encourage you to apply for our Inpatient Coding Editor opening. We promptly review all… more
- Elevance Health (Nashville, TN)
- …performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG ... Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Covenant Health Inc. (Knoxville, TN)
- …with significant latitude for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate. Recruiter: Sarah Grey ... proper compliance stance. + Under the direction of Corporate Coding Manager and or CFO of CMG,...of the coding /CDI staff for ICD 10 coding . + Responsible for concurrent review process… more
- Community Health Systems (Franklin, TN)
- …Emergency Department (Diagnosis & Procedure), and Ancillary services. 4. Consults the Manager , Corporate Coding or other available resources and works out ... **Summary:** As a member of the HIM Central Services coding float pool, provides coding assistance for...and patient type complexities with proven ability to meet quality and productivity objectives. Reviews patient records and assigns… more
- Community Health Systems (Franklin, TN)
- …clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements 5. Consults the Manager , Corporate ... Summary: As a member of the HIM Central Services coding float pool, provides Inpatient coding assistance...and patient type complexities with proven ability to meet quality and productivity objectives. Reviews patient records and assigns… more
- CVS Health (Nashville, TN)
- …a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, ... internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews… more
- HCA Healthcare (Nashville, TN)
- …with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education, ... (eg, work queues, worklists, turnaround times) + Daily PRP review and resolution + Attends and/or leads meetings as...in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and… more
- HCA Healthcare (Nashville, TN)
- …If you find this opportunity compelling, we encourage you to apply for our Manager IGA Engineering opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Manager Identity Governance and Administration Engineering opening with HCA...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Covenant Health Inc. (Knoxville, TN)
- …state, and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Takeda Pharmaceuticals (Nashville, TN)
- …by these new activities and ways of working. **Additional Activities:** + Assists with quality review of above activities performed by a vendor, as needed. + ... so, be empowered to take charge of your future at Takeda. Join us a Manager , Clinical Data Validation Engineer in our Cambridge, MA office. At Takeda, we are… more
- Public Consulting Group (Nashville, TN)
- …and methodology. The consultant ensures all assessments and deliverables are high- quality and comprehensive and provide meaningful insights into the ERP Migration ... healthcare, finance, education, etc.), technical competencies (eg, big data, coding , and programming, project management, technical writing, cloud/SaaS services,… more
- Community Health Systems (Franklin, TN)
- …Emergency Department (Diagnosis & Procedure), and Ancillary services. 3. Consults the Manager , Corporate Coding or other available resources and works out ... ambulatory surgery centers. **Summary:** As a member of the HIM Central Services coding team, provides coding assistance for HIM Central Service supported CHS… more
- Community Health Systems (Franklin, TN)
- …clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements 4. Consults the Manager , Corporate ... and ambulatory surgery centers. **Summary:** As a member of the HIM Central Services coding team, provides Inpatient coding assistance for a set of HIM Central… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and VUMC leadership to respond to problems. Develops and implements solutions. * Review and apply regulatory and legal requirements to ensure compliance with all ... that relate to billing of drugs. These include CPT coding requirements, what drugs can or can not be...* Discusses continuing patterns of errors with the appropriate manager for resolution. * Works to catch and correct… more
- Cardinal Health (Nashville, TN)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... technology solutions for the Legal, Regulatory Compliance, Government Relations, & Quality (LRCGQ) organization. The team is comprised of various product-centric… more
- Covenant Health Inc. (Knoxville, TN)
- …state and federal regulations to ensure compliance. + Keeps current on coding guidelines and communicates to Health Information Manager . Implements corrective ... to promote consistency and efficiency in documentation and to facilitate data quality and compliance in hospital services. CDI is responsible for facilitating… more
- Cardinal Health (Nashville, TN)
- …or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... support talents that remain in compliance with standard call quality expectations. + Must communicate clearly and effectively in...Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to have a strong… more
- Elevance Health (Nashville, TN)
- …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more