• Senior Director , Coding Operations

    Community Health Systems (Franklin, TN)
    …practices. This role involves managing a team of professionals to provide coding services and coordinating educational and training programs for clinicians, ... **Job Summary** The Senior Director , Physician Coding & Documentation is...& Documentation is responsible for overseeing all Professional Fee Coding and Documentation services , including clinician education… more
    Community Health Systems (11/11/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    … Operations Director with the oversight and implementation of Coding Operations operational planning, service commitment, budgets, workflow processes and ... for assisting in the development and evolution of the overall strategy for Physician Services Coding Operations. The RCOM is responsible for oversight of all CSG… more
    HCA Healthcare (10/14/25)
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  • Coding Spec-Clinic

    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 ... Overview Coding Specialist, Centralized Coding , Intpatient Coder...top-performing healthcare network with 10 hospitals, outpatient and specialty services , and Covenant Medical Group, our area's fastest-growing physician… more
    Covenant Health Inc. (11/21/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …on reason for the denial and appeal status. + Consults with Coordinator and/or Director , Coding Denials and Appeals during any audit discrepancies. + Attends ... with periodic quality monitoring and evaluation of work products by the Coordinator and/or Director , Coding Denials and Appeals. + Partners with peers and … more
    Community Health Systems (12/09/25)
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  • Remote Physician Pro Fee Coding

    Community Health Systems (Franklin, TN)
    …for physician/professional fee services . + Understanding of modifier usage, place-of- service coding , and payer billing guidelines. + Experience with ... the medical record. This role ensures proper sequencing, modifier use, and place-of- service coding in compliance with governmental regulations, third-party payer… more
    Community Health Systems (12/10/25)
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  • PCO Medical Director - UM - Full Time

    CenterWell (Nashville, TN)
    …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    CenterWell (11/06/25)
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  • Senior Director Of Revenue Cycle

    BrightSpring Health Services (Nashville, TN)
    Our Company BrightSpring Health Services Overview The Sr. Director is responsible for management of the Revenue Cycle organization and process to ensure the ... timely and accurate billing of services provided and maximizing collections on all billings for...all billings for the rehabilitation business unit. The Sr Director 's responsibilities include identifying reimbursement issues, ensuring that claims,… more
    BrightSpring Health Services (10/29/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... 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 more
    Humana (10/25/25)
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  • Medical Director , Nat'l OP Medicare

    Humana (Nashville, TN)
    Director relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve moderately complex to ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,… more
    Humana (12/13/25)
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  • Medical Director -Payment Integrity

    Humana (Nashville, TN)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... the courage to innovate **Additional Information** Typically reports to a Lead Medical Director . The Medical Director conducts post- service , inpatient care… more
    Humana (12/11/25)
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