Pivotal Placement ServicesNewDRG 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.
Lbmc Financial Services, LLCCoding Consultant Lbmc Financial Services, LLCCoding ConsultantBrentwood, TNWorks diligently building relationships with key stakeholders at client organizations to continue to foster a long-term partnership between the LBMC Healthcare Consulting Department and external clients. Maintains up-to-date knowledge of all coding guidelines and regulations, to include, but not be-limited-to, the American Medical Association (AMA) and CMS (collectively, Guidelines), and implements department-wide protocol changes when necessary.
Cooperidge Consulting FirmCoding Quality Review Specialist Cooperidge Consulting FirmCoding Quality Review SpecialistNashville, TennesseeRemotePerform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs). The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records.
Houston Methodist HospitalCoding Quality Auditor Houston Methodist HospitalCoding Quality AuditorTNSKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of an electronic medical record and imaging systems Working knowledge of medical terminology, anatomy and physiology Proficiency with electronic encoder application AHIMA designated ICD-10 Approved Trainer preferred. Houston 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.
Vanderbilt University Medical CenterSenior Coding Specialist (Facility Coding with experience in Observation and Emergency Medicine) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Facility Coding with experience in Observation and Emergency Medicine) - 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.
Vanderbilt University Medical CenterInpatient Facility Coding Specialist (Data Analytics & Trending Specialist) (Coding Certification Required) - REMOTE Vanderbilt University Medical CenterInpatient Facility Coding Specialist (Data Analytics & Trending Specialist) (Coding Certification Required) - REMOTENashville, TNRemoteCertified 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). + Analyze code assignment and sequence to assure proper DRG assignments; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG.
Vanderbilt University Medical CenterCoding Specialist (Multi-specialty Coding Edits) - REMOTE Vanderbilt University Medical CenterCoding Specialist (Multi-specialty Coding Edits) - 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.
Vanderbilt University Medical CenterInpatient Coding Specialist (Coding Certification Required) - REMOTE Vanderbilt University Medical CenterInpatient Coding Specialist (Coding Certification 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). Analyze code assignment and sequence to assure proper DRG assignments; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG.
Vanderbilt University Medical CenterSenior Coding Specialist, PRN (Multispecialty Coding exp) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist, PRN (Multispecialty Coding exp) - 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.
LifePoint Health IncRemote Inpatient Coding Specialist (Join Our Team and Earn a $5,000 Sign-On Bonus!) LifePoint Health IncRemote Inpatient Coding Specialist (Join Our Team and Earn a $5,000 Sign-On Bonus!)Brentwood, TNRemoteAs an Inpatient Coding Specialist, you will be responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. A Inpatient Coding Specialist who excels in this role: Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
West Virginia University MedicineWVUH - 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.
TNBR CareersAdjunct Instructor - Healthcare Management, Medical Coding Concentration (Pool) TNBR CareersAdjunct Instructor - Healthcare Management, Medical Coding Concentration (Pool)Nashville, Tennessee$650–$740Knowledge of and/or experience with a variety of instructional delivery modes, including synchronous and asynchronous online teaching. Work with course leads and/or program coordinators to ensure consistent and equitable student experiences.
LifePoint Health IncOutpatient 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. A Outpatient Coding Specialist who excels in this role: Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM, CPT, and HCPCS according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.
LifePoint Health IncRemote Inpatient Rehabilitation Coding Specialist - IRF LifePoint Health IncRemote Inpatient Rehabilitation Coding Specialist - IRFBrentwood, TNRemoteOur 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. Certifications: RHIT, RHIA or coding certification (CCA, CCS) by AHIMA (American Health Information Management Association) or coding certification (CPC, CIC) by AAPC (American Academy of Professional Coders) required.
Vanderbilt University Medical CenterSenior Coding Specialist (Facility Edits and Denials) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Facility Edits and Denials) - 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.
Accenture PlcEpic 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.
PricewaterhouseCoopers LLPNewManaged Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerNashville, TN$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.
Amrize LtdDirector 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.
VitalsearchgroupMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelNashville, TennesseeThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
United Neighborhood Health Services IncBilling and Patient Access Trainer United Neighborhood Health Services IncBilling and Patient Access TrainerNashville, TNThe Biling and Patient Access Trainer is responsible for developing, delivering, and maintaining high-quality training programs to ensure billing and customer service staff possess the knowledge and skills necessary for accurate, compliant, and efficient billing practices. This role combines expertise in medical billing and coding with strong instructional design and coaching skills to drive performance and compliance across the organization.
Deloitte Touche Tohmatsu LtdHospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorNashville, TN$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
HCA HealthcareProfee Coder HCA HealthcareProfee 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.
HCA HealthcareNewTrauma Surgical Profee Coder HCA HealthcareTrauma Surgical Profee CoderNashville, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. You 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.
HCA HealthcareOral 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.
HCA HealthcareVendor Resource Management Pro-Fee Lead HCA HealthcareVendor Resource Management Pro-Fee LeadNashville, TNThe Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution. The Vendor Resource Management Pro-Fee Team Lead supports the vendor production teams to ensure proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes.
Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderNashville, TNRegistered 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.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, TN$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNashville, TN$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.
Agape Community Health Center IncMedical Assistant Agape Community Health Center IncMedical AssistantNashville, TNadd, subtract) X Advanced mathematical concepts (fractions, decimals, ratios, percentages, graphs) X Abstract mathematical concepts (interpolation, inference, frequency, reliability, formulas, equations, statistics) Physical Requirements: (X = Required for job) X Sitting for extended periods X Lifting/carrying up to 20 pounds various items X Standing for extended periods Lifting/carrying more than 20 pounds various items X Extended periods viewing computer screen X Repetitive Motions X Walking X Pushing/Pulling X Reading X Bending/Stooping X Speaking X Reaching/Grasping X Hearing X Writing Other (List): Other (List): Hazards: (X = Required for job) X Normal office environment X Electrical current Toxic or caustic chemicals Housekeeping and/or cleaning agents Flammable, explosive gases Proximity to moving mechanical parts. 2) Performs directed procedures such as EKG, nebulizer treatments, ear irrigation, suture removal, wound dressings, PPD testing, HIV testing (if credentialed), venipuncture and other directed procedures in accordance with OSHA and CLIA guidelines 3) Administers medications under the supervision of the primary care provider; assist in the preparation of medications for patients as needed 4) Closes patient examination process by providing check out slips and required patient instructions 5) Prepares examination rooms and ensures rooms are stocked with needed supplies; maintains cleanliness of exam rooms and lab drawing area 6) Cleans and sterilizes instruments and disposes of contaminated supplies 7) Completes all relevant charting, documentation and follow-up.
Firstsource Solutions LtdPatient 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.
Methodist Le Bonheur HealthcareSr. 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.
Deloitte Touche Tohmatsu LtdHospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystNashville, TN$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Neuhaus Foot and AnkleNewMedical Billing and Collections Specialist Neuhaus Foot and AnkleMedical Billing and Collections SpecialistSmyrna, TennesseeIf 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.
2822-QHC ARM Shared ServicesAcute Surgery Coder 2822-QHC ARM Shared ServicesAcute Surgery CoderBrentwood, TNRemotePart timeThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
2822-QHC ARM Shared ServicesOutpatient Acute Care Coder 2822-QHC ARM Shared ServicesOutpatient Acute Care CoderBrentwood, TNRemotePart timeThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
2822-QHC ARM Shared ServicesNewOutpatient Acute Care Coder - Emergency 2822-QHC ARM Shared ServicesOutpatient Acute Care Coder - EmergencyBrentwood, TNRemotePart timeThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Quorum Health CorporateOutpatient Acute Care Coder - Emergency Quorum Health CorporateOutpatient Acute Care Coder - EmergencyBrentwood, TennesseeRemoteThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Quorum Health CorporateOutpatient Acute Care Coder Quorum Health CorporateOutpatient Acute Care CoderBrentwood, TennesseeRemoteThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Quorum Health CorporateAcute Surgery Coder Quorum Health CorporateAcute Surgery CoderBrentwood, TennesseeRemoteThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Tailored ManagementBilling Specialist Tailored ManagementBilling SpecialistNashville, TNRemote$22–$22 / hourThis role is responsible for preparing and submitting claims, resolving billing issues, and ensuring accurate and timely reimbursement while maintaining compliance with payer and regulatory requirements. We are seeking a detail-oriented Billing Specialist to support Revenue Cycle Management (RCM) operations for Urology, Radiation Oncology, and Imaging services.
University Health Services IncCENTRAL 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.
Quorum Health CorpOutpatient Acute Care Coder Quorum Health CorpOutpatient Acute Care CoderBrentwood, TNRemoteThe Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Quorum Health CorpOutpatient Acute Care Coder - Emergency Quorum Health CorpOutpatient Acute Care Coder - EmergencyBrentwood, TNRemoteJob Summary: The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.
Hughston Clinic OrthopaedicsFront Office Full-time Float Harding Place MRI Hughston Clinic OrthopaedicsFront Office Full-time Float Harding Place MRINashville, TNReview, enter, and edit daily bank deposits, charge data, and deposit report to ensure payments are posted accurately. We are looking for candidates who put the needs of patients above all else, are ethical and honest, treat everyone with dignity and courtesy, and do the right things in the right way.
Ocular TherapeutixField Reimbursement Manager - Tennessee Ocular TherapeutixField Reimbursement Manager - TennesseeNashville, TennesseeCustomers 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.
Centene Corporation GroupClinical Investigator I (Special Investigation Unit) Centene Corporation GroupClinical Investigator I (Special Investigation Unit)TNRemote$56,200–$101,000 / yearLicenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Ideal background includes reviewing medical records for fraud investigations, as well as experience from a specialist physician's office focused on record review and documentation quality.
Meharry Medical CollegeDirector, Revenue Cycle and Operations Meharry Medical CollegeDirector, Revenue Cycle and OperationsNashville, TNCollaborates with the Senior Vice President of Health Affairs to establish a working relationship with senior management staff at Metro General Hospital and other hospital systems to facilitate and coordinate billing, medical records, compliance, and physician-related issues concerning patient care and services. Keeps abreast of current medical trends and advancements in physician practice management and managed care; fosters relationships with counterparts in affiliated organizations to enhance quality, financial performance, information systems, and operational management.
Aegis Sciences CorpSenior Revenue Financial Analyst and Team Lead (A/R) Aegis Sciences CorpSenior Revenue Financial Analyst and Team Lead (A/R)NASHVILLE, TNThe Senior Revenue Financial Analyst and Team Lead (A/R) is responsible for analyzing and optimizing a healthcare organization's revenue cycle processes by reviewing financial data, identifying areas for improvement, and developing strategies to maximize revenue while ensuring compliance with regulations, often collaborating with various departments within the revenue cycle team to implement changes and monitor their effectiveness. Responsible for maintaining both contractual and bad debt rates for assigned payers including, but not limited to, forecasting changes in payer rates, expected vs actual variance review, identification of variance, communication, and resolution of variances.
Ocular Therapeutix IncField 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.
DaVita IncNewTechnical Lead, Corp Compliance (Lab) DaVita IncTechnical Lead, Corp Compliance (Lab)Brentwood, TN$78,000–$119,000 / yearProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.