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.
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.
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.
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.
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.
Internal and Family Medicine - Certified Coding Specialist - Full Time Murfreesboro Medical Clinic PAInternal and Family Medicine - Certified Coding Specialist - Full TimeMurfreesboro, TNThis role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff. The Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.
Internal And Family Medicine - Certified Coding Specialist - Full Time Murfreesboro Medical ClinicInternal And Family Medicine - Certified Coding Specialist - Full TimeMurfreesboro, TNThis role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff. Position SummaryThe Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.
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.
Coding and Medical Records Auditor American Health Companies IncCoding and Medical Records AuditorFranklin, TNAssist 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.
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.
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 Compliance Coding Auditor Wellpath IncSenior Compliance Coding AuditorFranklin, TNTuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans. Demonstrated experience performing complex E/M, primary care, chronic disease management, behavioral health, and/or medication-assisted treatment (MAT) audits using AMA CPT, ICD-10-CM, HCPCS, and CMS guidance.
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.
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 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.
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.
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 AuditorMurfreesboro, 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.
NewDRG 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.
NewDRG Validator/Reviewer (REMOTE) EnableCompDRG Validator/Reviewer (REMOTE)United States - Remote, TennesseeRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. – Supervisor, Operations We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
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.
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.
Trauma Surgical Profee Coder HCA HealthcareTrauma Surgical 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.
NewCharge Master Analyst Sutter HealthCharge Master AnalystTN$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
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.
NewSDS/OBS Coder SavistaSDS/OBS CoderTennesseeSavista partners with healthcare providers to improve their financial strength by implementing integrated revenue cycle solutions that help control costs, improve margins and cash flow, increase regulatory compliance, and optimize operational efficiency. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Sr. Epic Analyst -Resolute Hospital Billing Memphis HospitalsSr. Epic Analyst -Resolute Hospital BillingTennesseeWorking at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. Ability to work varying hours due to the accessibility of individuals or equipment involved in different projects, the need to minimize system downtime or user interruption, or to recover from hardware or software failures.