NewCoding Quality Review Specialist Sterling Inspired Staffing.Coding Quality Review SpecialistNashville, TennesseeLead and coordinate all functions of coding quality reviews (routine, pre-bill, policy-driven, and incentive plan-driven) for inpatient and outpatient coding across multiple HSCs. Extensive experience auditing MS-DRG inpatient coding: 3+ years of hands-on MS-DRG auditing in a hospital setting.
NewCoding Client Success Specialist WellSky CorpCoding Client Success SpecialistTNRemoteWork with internal teams to support quality plans and assist with providing the appropriate tools and resources to internal coding teams and global partners. The Coding Client Success Specialist is responsible for serving as a trusted partner for clients by providing training and addressing issues related to medical coding.
Coding Quality Auditor Houston Methodist HospitalCoding Quality AuditorTNHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Senior Coding Specialist (Gastroenterology Procedure Coding Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist (Gastroenterology Procedure Coding Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Coding Quality Reviewer RightWorksCoding Quality ReviewerNashville, TennesseeYou will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs.
NewSenior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsTN$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
NewCoding Quality Reviewer Team Lead HCA HealthcareCoding Quality Reviewer Team LeadNashville, TNOur services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. Assists the Coding Quality Review Manager with monitoring overall review completion to established daily, weekly and monthly goals, identifying barriers and implementing appropriate resolutions.
Senior Coding Specialist (Gastroenterology Procedure Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Gastroenterology Procedure Coding exp required) - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
NewCentral 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.
Coding Specialist (Cardiology E/M Coding Exp Required) - Remote Vanderbilt HealthCoding Specialist (Cardiology E/M Coding Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist, PRN (Inpatient Coding Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist, PRN (Inpatient Coding Exp Required) - RemoteNashville, TNRemoteDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
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.
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.
WVUH - Professional Coding Auditor-Educator West Virginia University MedicineWVUH - Professional Coding Auditor-EducatorTNCertification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders. EXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred.
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.
NewAssociate Director Of Inpatient Coding (Ccs, Rhit, Or Rhia Cert Required) - Remote Vanderbilt HealthAssociate Director Of Inpatient Coding (Ccs, Rhit, Or Rhia Cert Required) - RemoteNashville, TNRemoteThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist (Plastic Surgery Exp Required) - Remote Vanderbilt HealthSenior Coding Specialist (Plastic Surgery Exp Required) - RemoteNashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate- American Health Information Management Association (AHIMA), Certified Coding Specialist- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physician- American Health Information Management Association (AHIMA), Certified Outpatient Coder- American Academy of Professional Coders, Certified Professional Coder- Outpatient- American Academy of Professional Coders, Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Coding Specialist (Cardiology E/M Coding exp required) - REMOTE Vanderbilt University Medical CenterCoding Specialist (Cardiology E/M Coding exp required) - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Nashville, TNIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Senior Coding Specialist (Ortho Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Ortho Coding exp required) - REMOTENashville, TNRemotePosition Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA). Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
Senior Coding Specialist, PRN (Inpatient Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist, PRN (Inpatient Coding exp required) - REMOTENashville, TNRemoteDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystNashville, TNRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
Profee Coding Auditor HCA HealthcareProfee Coding AuditorBrentwood, TNOur services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
NewAssociate Director of Inpatient Coding (CCS, RHIT, or RHIA cert required) - REMOTE Vanderbilt University Medical CenterAssociate Director of Inpatient Coding (CCS, RHIT, or RHIA cert required) - REMOTENashville, TennesseeRemoteThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Senior Coding Specialist (Plastic Surgery exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Plastic Surgery exp required) - REMOTENashville, TennesseeRemoteCertified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.
NewVendor Resource Management Coding Manager HCA HealthcareVendor Resource Management Coding ManagerNashville, TNThe VRM Pro-Fee Manager ensures Vendor inventory is monitored daily; ensures queue concerns or resource changes are communicated to CCU as needed; ensures coder productivity and daily/weekly/monthly completion volumes are tracked and monitored. The VRM Pro-Fee Manager plans, assigns and directs the coding workflow between Vendors and CCU; actively monitors employee and vendor performance; addresses complaints and resolves problems; and actively monitors production and quality control efforts.
Associate Director of Inpatient Coding Vanderbilt University Medical CenterAssociate Director of Inpatient CodingNashville, TNThe Associate Director also analyzes data to identify patterns of denials/errors, provides guidance to resolve coding issues, and effectively manages and resolves problems/issues within established time frames. Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.
Outpatient Coding Specialist - Surgery (Remote) LifePoint Health IncOutpatient Coding Specialist - Surgery (Remote)Brentwood, TNRemoteAssign diagnosis and procedure codes using the appropriate coding classification system on all episodes of care in the emergency department, same-day surgery, outpatient clinic, observation, inpatient OB/newborn hospital, specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of the information and resolve identified issues. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationTN$121,680–$182,520 / yearThe Director, Client Coding Integrations serves as a strategic leader responsible for driving successful onboarding, integration, and ongoing optimization of coding operations across assigned client partnerships. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerTN$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Program Facilitator - Computer Coding CoreCivic IncProgram Facilitator - Computer CodingTNPlan, conduct or facilitate workshops, and group activities specific to programs by facilitating group discussions, lecturing, demonstrating, and using audio and/or visual aids and other material to supplement program curriculum. The Program Facilitator conducts various programs in a group setting to inmates/residents assigned to residential and non-residential programs.
Director of Codes Engineering Amrize LtdDirector of Codes EngineeringNashville, TNEstablish and nurture strong working relationships with key departments across Elevate including R&D, Product Management, Field Technical Services, Marketing and Sales, as well as within Amrize BE, external test laboratories, and prominent industry associations. Reporting to the Senior Vice President of Technology, this position partners with other key departments throughout Elevate and Amrize BE to drive timely, sales-driven, and cost-effective execution; ensuring alignment with the organization's overarching strategic vision.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorHendersonville, TNRemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Remote Medical Biller SYDIERA Healthcare StaffingRemote Medical BillerNashville, TennesseeRemoteThis role supports healthcare providers by helping manage insurance claims, patient billing, coding processes, and revenue cycle operations. Previous medical billing, medical coding, healthcare administration, or customer service experience is a plus but not required.
NewBilling Integrity Analyst RN HCA Healthcare IncBilling Integrity Analyst RNBrentwood, TNCoordinates updates (activate, inactivate, modification) with Ancillary Departments as necessaryPerforms assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities. Submit your application for the opportunity below: Billing Integrity Analyst RN Job Summary and Qualifications The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation.
Trauma Surgical Profee Coder HCA HealthcareTrauma Surgical Profee CoderNashville, TNYou will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Oral Maxillofacial Surgery Profee Coder HCA HealthcareOral Maxillofacial Surgery Profee CoderBrentwood, TNYou will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistTN$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderTNRegistered Nurse with active license, unrestricted license • Bachelor of Science in Nursing from an accredited college/university • Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity • Certified Professional Coder (CPC) with coding experience across inpatient, outpatient, and professional services • Familiar with the revenue cycle process and facility and professional claims • Demonstrates excellent communication skills, both written and oral • Experience managing small projects and teams • Familiar with accessing and identifying clinical documentation in electronic medical record systems • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings • Ability to problem solve, multi-task, and prioritize assignments • Understands the importance of privileged and confidential communication • Willingness to travel when needed • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers.
Sr. Systems Analyst -Resolute Hospital Billing Methodist Le Bonheur HealthcareSr. Systems Analyst -Resolute Hospital BillingTNRequired - Prelude Certification - EPIC Systems Corporation • Preferred - Epic Dorothy Certification - EPIC Systems Corporation • Preferred - Epic Haiku Certification - EPIC Systems Corporation • Preferred - HIM Deficiency Tracking - EPIC Systems Corporation • Preferred - Epic MyChart Certification - EPIC Systems Corporation • Preferred - Referrals and Authorizations Certification - EPIC Systems Corporation • Preferred - Epicare Ambulatory Certification - EPIC Systems Corporation • Preferred - Patient Access Principal Trainer - EPIC Systems Corporation • Preferred - Epic Care Everywhere Certification - EPIC Systems Corporation • Preferred - Epic Phoenix Certification - EPIC Systems Corporation • Preferred - HIM Hospital Coding - EPIC Systems Corporation • Preferred - Epic MyChart Care Companion Certification - EPIC Systems Corporation • Preferred - Charge Router - EPIC Systems Corporation • Preferred - Epic Dermatology Certification - EPIC Systems Corporation • Preferred - Security - EPIC Systems Corporation • Preferred - Epic Compass Rose Certification - EPIC Systems Corporation • Preferred - Epic Kaleidoscope Certification - EPIC Systems Corporation • Preferred - Epic Healthy Planet Certification - EPIC Systems Corporation • Preferred - Resolute Hospital Billing - EPIC Systems Corporation • Preferred - EPIC Bones Certification - EPIC Systems Corporation • Preferred - Identity - EPIC Systems Corporation • Preferred - Cadence Certification - EPIC Systems Corporation • Preferred - Epic MyChart Bedside Certification - EPIC Systems Corporation • Preferred - Grand Central Certification - EPIC Systems Corporation • Preferred - Cogito - EPIC Systems Corporation • Preferred - Epic Comfort Certification - EPIC Systems Corporation • Preferred - HIM Release of Information - EPIC Systems Corporation • Preferred - Epic Wound Care Certification - EPIC Systems Corporation • Preferred - Epic Welcome - EPIC Systems Corporation • Preferred - Real Time Eligibility Certifications - EPIC Systems Corporation • Preferred - Clinical Informatics Certification - EPIC Systems Corporation • Preferred - Resolute Professional Billing Claims and Electronic Remittance Administration - EPIC Systems Corporation • Preferred - Data Courier Mover Badge - EPIC Systems Corporation. • Required - Bachelors Degree Computer sciences • Preferred - Associates Degree • Preferred - Bachelors Degree Business Administration/Management • Preferred - Bachelors Degree Healthcare • Preferred - High School Diploma or Equivalent.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateNashville, TNOur Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients. At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives.
Revenue Cycle Specialist Matthew Walker Comprehensive Health CenterRevenue Cycle SpecialistNashville, TennesseeSUMMARY: Reporting to the Revenue Cycle Manager, this task-oriented individual is responsible for ensuring the organization meets its desired patient revenue goals by maintaining weekly claims processing, monitoring aging reports, monitoring unprocessed/denied claims and collections of private pay, insurance, and fee for service claims. Maintaining claims processing productivity through accurate and complete claim submissions Ability to analyze EOB denials and determine steps necessary to correct claims.
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.
NewClinical Quality Improvement Coordinator - Eye Exam Specialist GuidehealthClinical Quality Improvement Coordinator - Eye Exam SpecialistNashville, TNRemote$60,000–$64,000 / yearSuccess in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, willingness to travel daily to provider practices and patient homes for scheduled eye exam appointments, knowledge of healthcare quality measures, comfort working with health data and multiple systems, strong communication skills, and the ability to manage deadlines in a field/remote hybrid environment. On days without scheduled eye exam appointments, this role supports the broader quality improvement initiatives across delegated entities and contracted Accountable Care Organizations (ACOs), including quality reporting, performance improvement, patient outreach, quality gap closure, and data abstraction activities across Medicare Advantage STAR, Commercial, Medicaid, and MSSP ACO quality programs.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementNashville, TNRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Director of Revenue Operations - Nashville (Hybrid) ForMotionDirector of Revenue Operations - Nashville (Hybrid)Nashville, TennesseeOur clinic is part of the ForMotion global network of Patient Care clinics owned by Embla Medical , which also owns Össur , a leading global provider of prosthetics and bracing and supports solutions; Fior & Gentz, an innovative developer of neuro orthotics; and College Park, creators of custom-built prosthetic solutions for people of all activity levels. ForMotion is a global network of Orthotic & Prosthetic patient care clinics providing exceptional care through award-winning mobility solutions and world-class healthcare professionals.
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.
NewDirector of Physician Practice Revenue Cycle AscensionDirector of Physician Practice Revenue CycleNashville, Tennessee$138,258.29–$195,187.61 / yearFull timeWhat minimum qualifications you'll need: Education: High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management. Provide strategic direction across the revenue cycle continuum (i.e. patient registration, coding, billing, denials management, and collections) with accountability for medical group KPI performance including net collection rate, days in A/R, denial rates, etc.
Physician Office Billing Coordinator Ascension HealthPhysician Office Billing CoordinatorNashville, TNRemote$19.73–$26.70 / hourOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Field Reimbursement Manager - Tennessee Ocular Therapeutix IncField Reimbursement Manager - TennesseeNashville, TN$200,000–$220,000 / yearCustomers will include Healthcare Providers (HCPs) and staff within offices, ambulatory surgery centers (ASCs), hospital outpatient departments (HOPDs), and other appropriate site-of-care facilities. Ocular Therapeutix, Inc. (NASDAQ:OCUL) is a biopharmaceutical company focused on the formulation, development, and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary bioresorbable hydrogel-based formulation technology, ELUTYX.