- Evolent (Nashville, TN)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be Doing:** + Hires and… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies,… more
- CVS Health (Nashville, TN)
- …elements. + Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with researching coding ... coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record...contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop… more
- Covenant Health Inc. (Knoxville, TN)
- …coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education ... medical billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and...awareness of compliance as it relates to coding and documentation. + Facilitates and coordinates education of… more
- Datavant (Nashville, TN)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Growth Ortho (Nashville, TN)
- p>Job Title: Director , RCM Implementation Location: Remote (with limited travel as needed) Reports To: SVP, Revenue Cycle Organization: Growth Orthopedics - MSO ... Position Summary: Growth Orthopedics (GO) is seeking an experienced and dynamic Director of RCM Implementation to lead the execution of strategic Revenue Cycle… 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
- Growth Ortho (Nashville, TN)
- …the revenue cycle process, ensuring accuracy and efficiency in billing, coding , cash applications, contract compliance and collections. Responsibilities include ... p> Director of Revenue Cycle, ASC Company Description Growth...to revenue cycle staff. Qualifications Strong understanding of billing, coding , and collections in ASC revenue cycle - must… 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
- 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 ... Imaging and Chart Management, Forms, and Release of Information (ROI). The Director collaborates with the Facility Privacy Officer (FPO) to ensure compliance… more