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Manager, Physician Coding - Audit and Appeals (HIM) Job in Brentwood, Tennessee

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Job Title: Manager, Physician Coding - Audit and Appeals (HIM)

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)


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