NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorMurfreesboro, TNRemote$57,400–$99,000The 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.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorMurfreesboro, TNRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Coding 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.
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 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.
Medicare Risk Adjustment Coding Specialist- Remote American Health Companies IncMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteReview 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. JOB REQUIREMENTS: 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 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.
Senior Coding Specialist (Gastroenterology Procedure Coding exp required) - REMOTE Vanderbilt University Medical CenterSenior Coding Specialist (Gastroenterology Procedure Coding 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.
Remote Coding Quality Education Review Specialist ($5k sign on bonus!) LifePoint Health IncRemote Coding Quality Education Review Specialist ($5k sign on bonus!)Brentwood, TNRemoteCertifications: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or other comparable nationally recognized acute care coding credential provided through AHIMA or AAPC. 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.
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.
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.
Inpatient 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, 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: 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.
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.
Remote 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.
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.
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.
Associate 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.
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.
Codes Enforcement Officer City of Spring Hill, TNCodes Enforcement OfficerSpring Hill, TN$21.96–$25.46 / hourThis position requires the use of various equipment including but not limited to a personal computer (word processing, spreadsheet generation), Microsoft Office and permitting software; cameras, telephone, facsimile machine, copy machine, postage machine, etc. Like other public employees in Williamson County, our employees can enroll in discounted membership with Williamson County Parks and Recreation, and enjoy using the Longview Recreation facility, as well as any other facility in the system.
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.
Medical 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.
Remote Medical Biller SydieraRemote 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.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorTN$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.
Compliance Analyst (Remote) WellpathCompliance Analyst (Remote)Franklin, TennesseeRemoteFull timeWellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.
Compliance Analyst Wellpath IncCompliance AnalystFranklin, 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. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
NewOral 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.
NewTrauma Surgical Profee Coder HCA HealthcareTrauma Surgical Profee CoderBrentwood, 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.
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.
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.
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.
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.
Patient Advocate Specialist Firstsource Solutions LtdPatient Advocate SpecialistFranklin, 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.
Special Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerTN$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorTN$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.
Medical Management Clinician Senior Elevance Health IncMedical Management Clinician SeniorNashville, TNConducts and may approve pre-certification, concurrent, retrospective, out of network and/or appropriateness of treatment setting reviews by utilizing appropriate medical policies and clinical guidelines in compliance with department guidelines and consistent with the members eligibility, benefits and contract. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
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.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)TNRemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
Certified Coder/Billing Specialist WOMENS GROUP OF FRANKLIN PLLCCertified Coder/Billing SpecialistFranklin, TNInterested Candidates can fax resume to: 615-778-0715 Attn: Office Manager or e-mail resume to scannon@womensgroupfranklin.com. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment.
CENTRAL APPEALS SUPPORT SPECIALIST University Health Services IncCENTRAL APPEALS SUPPORT SPECIALISTBRENTWOOD, TNRemotePOSITION SUMMARY: Central Appeals Support Specialist This role is responsible for managing and supporting the behavioral health appeals process, including following up with insurance companies, refiling denied or underpaid claims, and maintaining detailed records of appeal outcomes. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
NewIntake Specialist II TwelveStone Health PartnersIntake Specialist IIMurfreesboro, TNChronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn's Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others. Verify insurance coverage to determine patient OOP, obtain documentation to ensure the product(s) are being ordered meet(s) insurance requirements, coordinate with authorization counterparts to ensure all information required by insurance is successfully authorized, dispense and bill medication.
NewIntake Specialist 1 TwelveStone Health PartnersIntake Specialist 1Murfreesboro, TNChronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn's Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others. Verify insurance coverage to determine patient OOP, obtain documentation to ensure the product(s) are being ordered meet(s) insurance requirements, coordinate with authorization counterparts to ensure all information required by insurance is successfully authorized, dispense and bill medication.