- CVS Health (Nashville, TN)
- …the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...up-to-date coding knowledge, including new changes to coding compliance and reimbursement. + Experience with… more
- Community Health Systems (Franklin, TN)
- … integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate ... This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party...field preferred + 2-4 years of experience in physician coding , professional fee coding , or medical… more
- Evolent (Nashville, TN)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… 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 ... Attends meetings and provides input as it relates to coding , medical documentation, and reimbursement issues specific... billing and regulatory requirements. + Increases awareness of compliance as it relates to coding and… more
- 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...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more
- Sumitomo Pharma (Nashville, TN)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more
- Datavant (Nashville, TN)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
- Community Health Systems (Clarksville, TN)
- …+ Manages and oversees the Health Information Management (HIM) staff, ensuring compliance with Medical Staff Rules/Regulations and Bylaws, Joint Commission ... **Job Summary** The Director , Health Information Management (HIM) is responsible for...appropriate committees. + Ensures the confidentiality and security of medical information in compliance with HIPAA policies… more
- Baptist Memorial (Union City, TN)
- … Director is responsible for facility-wide oversight of the compliance with regulatory and accreditation standards associated with Health Information Management, ... Overview Job Summary The Director of Health Information Management provides overall management...laws, our company and other applicable regulations related to Medical Records and reporting requirements. * Ensures compliance… 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