• Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division… more
    HCA Healthcare (12/27/25)
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  • Coding Spec-Clinic

    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 ... coding . + Educates and assists physicians and clarifies coding versus clinical issues. + Works closely...Attends meetings and provides input as it relates to coding , medical documentation, and reimbursement issues specific… more
    Covenant Health Inc. (11/21/25)
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  • Director of Engineering Clinical AI

    CVS Health (Nashville, TN)
    …from anywhere within the US** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in **developing ... Health Records (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience… more
    CVS Health (11/28/25)
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  • Medical Director - Medicaid (remote)

    Humana (Nashville, TN)
    **Become 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 work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
    Humana (12/07/25)
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  • MDS Coordinator - RN - RNAC/ Director

    Diversicare Healthcare Services & Diversicare Ther (Etowah, TN)
    …us! **Exciting Opportunity: Join Diversicare as an MDS Coordinator- RNAC and Director of Care Coordination.** Diversicare is seeking a dedicated MDS Coordinator ... Benefits:** Enjoy a competitive benefits package, including competitve salary, medical /dental/vision coverage, an excellent 401k plan, tuition reimbursement, and… more
    Diversicare Healthcare Services & Diversicare Ther (12/17/25)
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  • Medical Director - IP Claims…

    Humana (Nashville, TN)
    Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance,… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    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 (12/11/25)
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  • Medical Director , Medical

    Highmark Health (Nashville, TN)
    …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding more
    Highmark Health (12/24/25)
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  • Director of Physician Resource Group

    HCA Healthcare (Brentwood, TN)
    …for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ... **Introduction** Do you have the career opportunities as a ** Director of Physician Resource Group** you want with your...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (12/23/25)
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  • Director , Risk Bearing Provider Sales

    Datavant (Nashville, TN)
    …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be responsible for driving revenue growth, building… more
    Datavant (12/10/25)
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