| Employer: | Quorum Health |
| Type: | FULL TIME |
| Required Certifications: | CPC or CCS-P |
| Preferred Certifications: | RHIA or RHIT |
| Required Experience: | 5 to 7 years |
| Preferred Experience: | 8 to 10 years |
| Location: | 1573 Mallory Lane, Suite 100 Brentwood 37027, TN, US |
| Date Posted: | 11/26/2018 |
General summary:
Manages Physician Coding Services Compliance, Focused
and Due Diligence audit reviews in accordance with Quorum Health
Compliance Review Plan for QHC affiliated providers. Coordinates and
tracks denials and appeals results to ensure a consistent response to external
audits for Medicare and Medicaid RAC audits, CERT reviews and other audits as
indicated.
This is an onsite position which will require all in state applicants
to commute into the corporate office in Brentwood TN and out of state
applicants to relocate to Tennessee
WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS:
- Minimum of 5-10 years’ experience working
with physician offices or clinics working with diagnostic and procedure coding
and/or medical billing
- Bachelors or Associates Degree in HIM
preferred
- Requires extensive knowledge of CPT, HCPCS,
ICD 10 CM coding, HCC, medical terminology and the AMA’s 1995 and 1997
Documentation Guidelines
- Certificates and Licenses:
-
RHIA or RHIT (Preferred)
-
CPC or CCS-P (Required)