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.
Sr. Solution Executive, L&F, Revenue Cycle HealthStream, Inc.Sr. Solution Executive, L&F, Revenue CycleNashville, TN$70,352–$90,000 / yearThis individual will have ultimate responsibility for all elements of the sales process, including prospecting, qualifying, positioning, demonstrating, objection handling, and contract negotiating through sale closure, in order to meet or exceed the assigned sales quota. Solution Executive seeks to align our customers' and prospects' staff development needs with HealthStream's Revenue Cycle product offerings by building relationships and credibility with key stakeholders effectively.
NewTier 1 Business Services Specialist II Campbell ClinicTier 1 Business Services Specialist IICookeville, TNCampbell Clinic Benefit Summary:Campbell Clinic offers a lucrative benefit package to support employees and their families. Basic computer skills required.
NewSpecialist, Revenue Recovery Ovation HealthcareSpecialist, Revenue RecoveryBrentwood, TNAs a specialist, you will leverage your existing accounts receivable expertise and our advanced technology platform, Health Innovas Pulse, to uncover hidden revenue opportunities and ensure our clients are reimbursed fully and accurately for the care they provide. This role is focused on maximizing revenue for our Insource hospital clients by meticulously investigating, analyzing, and resolving technical claim denials and complex contractual underpayments.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)TN$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.