Newsenior manager, Data Science (Nashville, TN) Starbuckssenior manager, Data Science (Nashville, TN)Nashville, TN$146,400–$244,300Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation from date of hire*, sick time (accrued at 1 hour for every 25 hours worked), eight paid holidays, and two personal days per year.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Trauma 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.
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. Systems Analyst -Resolute Hospital Billing Methodist Le Bonheur HealthcareSr. Systems Analyst -Resolute Hospital BillingTNRequired - Prelude Certification - EPIC Systems Corporation • Preferred - Epic Dorothy Certification - EPIC Systems Corporation • Preferred - Epic Haiku Certification - EPIC Systems Corporation • Preferred - HIM Deficiency Tracking - EPIC Systems Corporation • Preferred - Epic MyChart Certification - EPIC Systems Corporation • Preferred - Referrals and Authorizations Certification - EPIC Systems Corporation • Preferred - Epicare Ambulatory Certification - EPIC Systems Corporation • Preferred - Patient Access Principal Trainer - EPIC Systems Corporation • Preferred - Epic Care Everywhere Certification - EPIC Systems Corporation • Preferred - Epic Phoenix Certification - EPIC Systems Corporation • Preferred - HIM Hospital Coding - EPIC Systems Corporation • Preferred - Epic MyChart Care Companion Certification - EPIC Systems Corporation • Preferred - Charge Router - EPIC Systems Corporation • Preferred - Epic Dermatology Certification - EPIC Systems Corporation • Preferred - Security - EPIC Systems Corporation • Preferred - Epic Compass Rose Certification - EPIC Systems Corporation • Preferred - Epic Kaleidoscope Certification - EPIC Systems Corporation • Preferred - Epic Healthy Planet Certification - EPIC Systems Corporation • Preferred - Resolute Hospital Billing - EPIC Systems Corporation • Preferred - EPIC Bones Certification - EPIC Systems Corporation • Preferred - Identity - EPIC Systems Corporation • Preferred - Cadence Certification - EPIC Systems Corporation • Preferred - Epic MyChart Bedside Certification - EPIC Systems Corporation • Preferred - Grand Central Certification - EPIC Systems Corporation • Preferred - Cogito - EPIC Systems Corporation • Preferred - Epic Comfort Certification - EPIC Systems Corporation • Preferred - HIM Release of Information - EPIC Systems Corporation • Preferred - Epic Wound Care Certification - EPIC Systems Corporation • Preferred - Epic Welcome - EPIC Systems Corporation • Preferred - Real Time Eligibility Certifications - EPIC Systems Corporation • Preferred - Clinical Informatics Certification - EPIC Systems Corporation • Preferred - Resolute Professional Billing Claims and Electronic Remittance Administration - EPIC Systems Corporation • Preferred - Data Courier Mover Badge - EPIC Systems Corporation. • Required - Bachelors Degree Computer sciences • Preferred - Associates Degree • Preferred - Bachelors Degree Business Administration/Management • Preferred - Bachelors Degree Healthcare • Preferred - High School Diploma or Equivalent.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateNashville, TNOur Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients. At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives.
Revenue Cycle Specialist Matthew Walker Comprehensive Health CenterRevenue Cycle SpecialistNashville, TennesseeSUMMARY: Reporting to the Revenue Cycle Manager, this task-oriented individual is responsible for ensuring the organization meets its desired patient revenue goals by maintaining weekly claims processing, monitoring aging reports, monitoring unprocessed/denied claims and collections of private pay, insurance, and fee for service claims. Maintaining claims processing productivity through accurate and complete claim submissions Ability to analyze EOB denials and determine steps necessary to correct claims.
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.
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.
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.
Accurate Clinical Documentation Provider Educator Wellvana Health LLCAccurate Clinical Documentation Provider EducatorTNClarity on the Role: The Accurate Clinical Documentation Provider Educator partners with Wellvana affiliated practices and health systems on all aspects of risk adjustment coding, regulatory requirements, and proper documentation procedures for attributed patients in Medicare Advantage, MSSP, and ACO LEAD programs. Build and maintain professional relationships with providers and their staff within assigned region, performing monthly in person, or virtual, visits to assigned offices depending on practice size, location and practice's demonstrated understanding of clinical documentation guidelines.
NewPatient Coordinator AscensionPatient CoordinatorNashville, TennesseeFull timeOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
Field Reimbursement Manager - Tennessee Ocular 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.
Front 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.
Field Reimbursement Manager - Tennessee Ocular Therapeutix IncField Reimbursement Manager - TennesseeNashville, TN$200,000–$220,000 / yearCustomers will include Healthcare Providers (HCPs) and staff within offices, ambulatory surgery centers (ASCs), hospital outpatient departments (HOPDs), and other appropriate site-of-care facilities. Ocular Therapeutix, Inc. (NASDAQ:OCUL) is a biopharmaceutical company focused on the formulation, development, and commercialization of innovative therapies for diseases and conditions of the eye using its proprietary bioresorbable hydrogel-based formulation technology, ELUTYX.
Director, RCM Analytics & Insights OneOncology IncDirector, RCM Analytics & InsightsNashville, TNThis leader will work daily with the VP-Analytics and Data Products and the overall analytics team, the Chief Revenue Officer, RCM leadership and Finance leadership to use data on enterprise-level RCM performance trends and root-cause assessments to identify operational improvement opportunities related to registration accuracy, billing accuracy, payer denials, underpayments, and revenue leakage, while driving sustainable improvements in cash flow, reimbursement accuracy, and operational efficiency. Job Description: The Director, RCM Analytics and Insights, is a newly created position responsible for leading the development, communication and insights surrounding advanced RCM KPIs, analytics and other metrics identifying actionable opportunities to optimize all aspects of RCM performance.
Senior 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.
Director, RCM Analytics & Insights OneOncologyDirector, RCM Analytics & InsightsNashville, TennesseeThis leader will work daily with the VP-Analytics and Data Products and the overall analytics team, the Chief Revenue Officer, RCM leadership and Finance leadership to use data on enterprise-level RCM performance trends and root-cause assessments to identify operational improvement opportunities related to registration accuracy, billing accuracy, payer denials, underpayments, and revenue leakage, while driving sustainable improvements in cash flow, reimbursement accuracy, and operational efficiency. The Director, RCM Analytics and Insights , is a newly created position responsible for leading the development, communication and insights surrounding advanced RCM KPIs, analytics and other metrics identifying actionable opportunities to optimize all aspects of RCM performance.
VP, RCM Business Operations OneOncology IncVP, RCM Business OperationsNashville, TNJob Description: This individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer ("CRO") and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
VP, RCM Business Operations OneOncologyVP, RCM Business OperationsNashville, Tennessee$180,000–$230,000 / yearThis individual will be responsible for helping coordinate the day-to-day execution of all RCM functions, working with the Chief Revenue Officer (“CRO”) and the other RCM Vice Presidents to optimize performance, ensure proactive communication with practices, manage risks and issues along with the overall OO RCM team. OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystNashville, TNRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Manager, Account Follow-Up Services Harris Computer SystemsManager, Account Follow-Up ServicesTN$70,000–$90,000 / yearSkills: • Revenue Cycle Management (RCM) Expertise: Good understanding of all RCM steps: front-end, coding, billing, accounts receivable (AR), denial management, and collections. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms.
Field Reimbursement Manager Immunology Gastroenterology - Nashville TN AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Nashville TNNashville, TNThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
NewInpatient Audit Specialist FT Sign on Bonus DatavantInpatient Audit Specialist FT Sign on BonusNashville, TNRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. What you will bring to the table:3-5 years experience auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
Manager, Account Follow-Up Services MEDHOST, Inc.Manager, Account Follow-Up ServicesNashville, TNFull timeSkills:Revenue Cycle Management (RCM) Expertise:Good understanding of all RCM steps: front-end, coding, billing, accounts receivable (AR), denial management, and collections. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms.
Reimbursement Business Manager - Dermatology (Nashville N, TN) Regeneron Pharmaceuticals IncReimbursement Business Manager - Dermatology (Nashville N, TN)Nashville, TN$165,600–$209,600 / yearA typical day may include the following: Work cross-functionally and collaboratively with Regeneron and Alliance sales organizations (Sales Directors and Medical Specialists) to act as a process and payer subject matter expert, in efforts to support the healthcare provider segment. Provide appropriate process, payer and specialty pharmacy support services/activities in concert with District Managers/Medical Specialists (field sales), to educate physician offices regarding coverage of alliance products (Dupixent).
(Remote) Account Follow-Up Representative I Harris Computer Systems(Remote) Account Follow-Up Representative ITNRemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
NewBilling Readiness Specialist BrightSpring Health ServicesBilling Readiness SpecialistNashville, TNThe Billing Readiness Specialist serves as a critical bridge between front office operations, authorization workflows, and the billing department by ensuring patient accounts are accurately configured and financially ready to support timely clean claim submission and continuity of care. The Billing Readiness Specialist plays a key role in preventing avoidable denials, improving claim accuracy, reducing patient balance discrepancies, and supporting efficient reimbursement workflows through proactive account review and issue resolution.
DRG Validation Specialist Nadia GruzdDRG Validation SpecialistNashville, TennesseeLeads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient coding across multiple HSCs. Demonstrates and applies expert level knowledge of medical coding practices and concepts.
Director, Revenue Cycle Meharry Medical CollegeDirector, Revenue CycleNashville, TennesseeCollaborates 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. Establishes accounts receivable policies and practices aimed at billing and collecting patient accounts and other revenue sources in a timely manner, reducing uncollectible accounts, maximizing cash flow, and preserving community goodwill.
Director, Revenue Cycle and Operations Meharry Medical CollegeDirector, Revenue Cycle and OperationsNashville, TennesseeCollaborates 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. Establishes accounts receivable policies and practices aimed at billing and collecting patient accounts and other revenue sources in a timely manner, reducing uncollectible accounts, maximizing cash flow, and preserving community goodwill.
Hospice Nurse Practitioner Gentiva Health Services Inc (Inactive)Hospice Nurse PractitionerNashville, TNComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.