- Sumitomo Pharma (Nashville, TN)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Associate Medical Director .** The Associate Medical Director ... products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), including… more
- Humana (Nashville, TN)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Nashville, TN)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- LifePoint Health (Gallatin, TN)
- …training related to improving clinical documentation. Reports to: Market Director of Health Information Management Minimum Education Associate 's or ... Work Experience 4 years nursing experience in adult inpatient clinical role or 4 years coding experience...adult inpatient clinical role or 4 years coding experience (CCS) - Required **Job:** **Nursing* **Organization:** **… more
- Evolent (Nashville, TN)
- …Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified ... authorization and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring,… more
- Community Health Systems (Franklin, TN)
- …to providers for documentation clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements. + Consults the ... and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides… more
- Baptist Memorial (Memphis, TN)
- …charges is a huge plus. A vast knowledge of the Epic system is also a plus. Clinical licensure or any type of coding certifications are also a plus in this role. ... Overview Full Time Remote Position. This position's main responsibility is to process clinical claim edits within the Epic system to ensure our initial claim to the… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role ... Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and… more
- Community Health Systems (Franklin, TN)
- …Oracle; knowledge of Medicare billing and coding including CPT, HCPCS, ICD coding , and clinical research services billable to payers versus clinical ... subjects during pre-award (eg budget preparation, study build in the Clinical Trial Management System, agreements, and Institutional Review Board submission) and… more
- CenterWell (Nashville, TN)
- …active participant and lead with the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a ... Access Nurse Practitioner, Virtual Care (VSP/PT) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Acute Access Nurse… more