- Intermountain Health (Nashville, TN)
- …may offer a sign-on and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: + Cultivate exceptional relationships and ... **Job Description:** The Senior Director of HIM (Health Information Management) holds a...best practices and expertise with process improvement to enhance coding quality, compliance and efficiency. + Lead… more
- Humana (Nashville, TN)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- Community Health Systems (Franklin, TN)
- …data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training ... integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate… more
- Evolent (Nashville, TN)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:**… more
- Covenant Health Inc. (Knoxville, TN)
- …directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as ... per UB 92 or HCFA 1500 form. + Provides education to coding staff and physicians in...awareness of compliance as it relates to coding and documentation. + Facilitates and coordinates education… more
- CVS Health (Nashville, TN)
- …elements. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with researching coding ... team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical,… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Sumitomo Pharma (Nashville, TN)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. +… more
- Elevance Health (Nashville, TN)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- Cardinal Health (Nashville, TN)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... of the adequacy and accuracy of documentation in support of services billed; compliance with other documentation and coding and billing standards; communication… more