NewDRG Coder, Registered Nurse Pivotal Placement ServicesDRG Coder, Registered NurseBrentwood, TN$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in healthcare talent—from frontline staff to executive leadership—in both clinical and non-clinical roles. We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records.
Newsenior manager, Data Science (Nashville, TN) Starbuckssenior manager, Data Science (Nashville, TN)Burns, TN$146,400–$244,300 / yearAdditionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation from date of hire*, sick time (accrued at 1 hour for every 25 hours worked), eight paid holidays, and two personal days per year.
Hospital Coding Auditor Ardent HealthHospital Coding AuditorBrentwood, TennesseeFull timeExpert knowledge of ICD -10-CM coding including but not limited to; expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM). Overview: Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access.
Manager of Coding Operations Quorum Health CorporateManager of Coding OperationsBrentwood, TennesseeRemoteDemonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
Medicare Risk Adjustment Coding Specialist- Remote American Health PlansMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteFull timeReview medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. • Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment to include the review of regulatory announcements via educational sessions provided by regulatory entities and educational opportunities within the industry.
Manager of Coding Operations 2822-QHC ARM Shared ServicesManager of Coding OperationsBrentwood, TNRemotePart timeDemonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
Supervisor Coding TOA MiddleSupervisor CodingColumbia, TennesseeMonitors emails between coders and providers to ensure communication is timely, appropriate, consistent, complete and has the level of detail needed to resolve any outstanding issue, providing guidance and assistance where needed. Drives operation efficiency and sustains excellent in coding workflow with accountability for meeting and exceeding established TOA goals, recommending solutions or changes to processes when/if the need is recognized.
Hospital Coding Auditor Ardent Health Partners LLCHospital Coding AuditorBrentwood, TNArdent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.S. With a focus on people and investments in innovative services and technologies, Ardent is passionate about making healthcare better and easier to access. Through targeted feedback and education, the Hospital Auditor helps strengthen documentation quality, promote compliant billing, and safeguard reimbursement integrity, ultimately contributing to improved patient care and organizational compliance.
Central Coding Unit Operations Manager HCA HealthcareCentral Coding Unit Operations ManagerBrentwood, TNThe Operations Manager is responsible for supporting the development and evolution of the overall strategy for Parallon’s HIM, Coding and Abstraction Services Centralized Coding Unit (CCU). Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Profee Coding Auditor HCA Healthcare IncProfee Coding AuditorBrentwood, TNWhat you will do in this role: Perform regularly-scheduled quality reviews and audits per departmental policies and procedures Perform ad hoc quality reviews and audits as requested by management Assist team members with coding questions and provide resolution guidance Complete special projects as assigned by management Communicate appropriately with department manager Assist manager with developing team goals and action plans as it relates to quality Identify and communicate to management educational opportunities Maintain working knowledge of workflow, systems, and tools used in the department Assist in creation and maintenance of a positive working environment, including effective communication and setting an appropriate professional example Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" Other duties as assigned What qualifications you will need: High school diploma or GED preferred Minimum two years coding and/or reimbursement experience required. Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4722638','save-job','unsave-job');
Manager of Coding Operations Quorum Health CorpManager of Coding OperationsBrentwood, TNRemoteKnowledge, Skills and Abilities: Demonstrates extensive knowledge of Official ICD-10-CM/PCS Coding Guidelines, UHDDS, MS-DRG and APR-DRG assignment methodologies, OPPS, IPPS, APC reimbursement methodologies, Coding Clinic, CPT Assistant, HCPCS Level II, Medicare Claims Processing Manual, Medicare Benefit Policy Manual, National Correct Coding Initiative (NCCI) edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and commercial payer coding and reimbursement requirements. Collaborates with facility leadership, Revenue Integrity, Patient Financial Services, Clinical Documentation Integrity (CDI), Charge Description Master (CDM), ancillary departments, and clinical leaders to resolve coding discrepancies, conflicting documentation, charge capture issues, HCPCS assignment questions, and reimbursement concerns.
Coding and Medical Records Auditor- Remote American Health Companies IncCoding and Medical Records Auditor- RemoteFranklin, TNRemoteAssist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
DRG Auditor (REMOTE) EnableComp LLCDRG Auditor (REMOTE)Franklin, TNRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management.
DRG Validator/Reviewer (REMOTE) EnableComp LLCDRG Validator/Reviewer (REMOTE)Franklin, TNRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management.
Medical Billing and Collections Specialist Neuhaus Foot and AnkleMedical Billing and Collections SpecialistSmyrna, TNIf want to be in a positive work environment that feels like a work family and have a career that is impactful and important to those you serve, you'll want to join Neuhaus Foot and Ankle. The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.
PATIENT ACCOUNTS REP University Health Services IncPATIENT ACCOUNTS REPBrentwood, TNManages assigned projects related to obtaining appropriate and timely reimbursement of outstanding claims and performs various collection actions including contacting third party payers or patients by phone * Sign on Bonus: Apply today and earn a $1,500 sign on bonus after meeting employment requirements. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Director of Risk Management and Revenue Integrity American Health PlansDirector of Risk Management and Revenue IntegrityFranklin, TNFull timeThis role acts as the risk adjustment program subject matter expert and works closely with other areas of health plan operations and programs, ensuring risk adjustment data operations are administered accurately, timely and in compliance with CMS regulations. • Enjoy engaging in the outlining of program development and management processes, manages the overall scoping, planning, business requirements gathering and delivery of risk adjustment program activities from idea inception to ongoing support and enhancement.
Certified Coder/Billing Specialist WOMENS GROUP OF FRANKLIN PLLCCertified Coder/Billing SpecialistFranklin, TNFull timeInterested Candidates can fax resume to: 615-778-0715 Attn: Office Manager or e-mail resume to scannon@womensgroupfranklin.com. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment.
CENTRAL APPEALS SUPPORT SPECIALIST University Health Services IncCENTRAL APPEALS SUPPORT SPECIALISTBRENTWOOD, TNRemotePOSITION SUMMARY: Central Appeals Support Specialist This role is responsible for managing and supporting the behavioral health appeals process, including following up with insurance companies, refiling denied or underpaid claims, and maintaining detailed records of appeal outcomes. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Administrative Support Diverse Lynx, LLCAdministrative SupportBrentwood, TNLocation: 000 Health Park Drive, BLD 3 Suite 300C, Brentwood, TN 85306. Hospital: Comprehensive Services - Central Billing Department.