• Denials Prevention Specialist…

    Datavant (Nashville, TN)
    …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...**What you will bring to the table:** + Two ( 2 ) years managed care experience in UM/CM/CDI Department preferred… more
    Datavant (11/12/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist , Clinical Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... to be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and hospital departments to promote… more
    Covenant Health Inc. (10/13/25)
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  • CDI Specialist Certified

    Covenant Health Inc. (Knoxville, TN)
    …issuing authority. Graduate from an accredited HIM program preferred. Minimum Experience: Two ( 2 ) years coding experience or relevant work with health systems ... Overview Clinical Documentation Integrity Specialist Certified Full Time, 80 Hours Per Pay...and updates to working DRGs and SOI/ROM for final coding and DRG assignment. + Prepares reports for any… more
    Covenant Health Inc. (10/13/25)
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  • Billing and Credentialing Specialist

    WestCare Foundation (Dandridge, TN)
    …Level High School Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing provider ... into the billing system based on patient services and coding information. + Payment Posting: Post payments received from...of funds. + Denial Management: Review and analyze claim denials , identify the reasons for denial, and take appropriate… more
    WestCare Foundation (09/04/25)
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  • Accounts Receivable Process Analyst

    BrightSpring Health Services (Nashville, TN)
    …for assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances. + Identify payor issues and ... the month for assigned Operations. + Timely follow up on insurance claim denials , exceptions, or exclusions. + Maintain open communication with Billing Specialist… more
    BrightSpring Health Services (10/29/25)
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