• Remote Physician Pro Fee Coding Specialist…

    Community Health Systems (Franklin, TN)
    …Administration, or a related field preferred + 2-4 years of experience in physician coding , professional fee coding , or medical billing required + Experience ... CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service … more
    Community Health Systems (08/13/25)
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  • Associate Medical Director

    Sumitomo Pharma (Nashville, TN)
    …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Associate Medical Director .** The Associate Medical ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
    Sumitomo Pharma (08/15/25)
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  • Medical Director - National Medicare…

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
    Humana (08/13/25)
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  • Medical Director - South Central

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (07/11/25)
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  • Director HIM

    Community Health Systems (Clarksville, TN)
    **Job Summary** The Director , Health Information Management (HIM) is responsible for the overall development, management, and operational success of the HIM ... key HIM functions, including Unbilled/Revenue Cycle, Master Patient Index (MPI), Medical Record Imaging and Chart Management, Forms, and Release of Information… more
    Community Health Systems (08/08/25)
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  • Remote Coder III-IP Coder

    Community Health Systems (Franklin, TN)
    …and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides ... centers. **Job Summary** As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of… more
    Community Health Systems (06/20/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Nashville, TN)
    …Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder (CPC) + Certified ... of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and… more
    Evolent (07/18/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. Preferred/Desired Special Skills Minimum ... Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and… more
    Baptist Memorial (08/02/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …claim forms, fields, and values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. REQNUMBER: 33522 ... also a plus. Clinical licensure or any type of coding certifications are also a plus in this role....delegated reports and completion from senior leadership and/or department director . Assist the Revenue Integrity Coordinator to ensure consistency… more
    Baptist Memorial (07/23/25)
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  • Billing Specialist I - Payment Compliance

    Community Health Systems (Franklin, TN)
    …all policies and standards. **Qualifications** + HS Diploma or GED required + Associate Degree in Business, Healthcare Administration, Medical Billing, or a ... we serve. Our team members enjoy a robust benefits package including medical , dental and vision, insurance, and 401k. **Essential Functions** + Processes and… more
    Community Health Systems (08/13/25)
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