• Medical Director - Medicare Appeals

    CVS Health (Nashville, TN)
    …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...will focus primarily on review appeal cases for denied medical services . This includes First Level Appeals… more
    CVS Health (08/08/25)
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  • Senior Director Hospital Coding

    Intermountain Health (Nashville, TN)
    …and financial success across the integrated health system, including vendor-supported services . The leader ensures coding practices are accurate, compliant ... for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more...and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: +… more
    Intermountain Health (08/08/25)
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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 (06/21/25)
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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 (06/21/25)
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  • Physician Profee Coding Specialist…

    Community Health Systems (Franklin, TN)
    …for physician/professional fee services . + Understanding of modifier usage, place-of- service coding , and payer billing guidelines. + Experience with ... 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 (08/08/25)
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  • Coding Spec-Clinic

    Covenant Health Inc. (Knoxville, TN)
    …staff. Working directly with the physicians, Manager of Corporate Coding Services , Director of Registration/Admitting, and medical staff education ... 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85 outpatient and specialty services (http://www.covenanthealth.com/ services /) , and Covenant Medical more
    Covenant Health Inc. (08/04/25)
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  • Medical Director - Care Plus…

    Humana (Nashville, TN)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (06/28/25)
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  • Medical Director - South Central

    Humana (Nashville, TN)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (07/11/25)
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  • Director , Prospective + Concurrent Risk…

    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
    Datavant (08/08/25)
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  • Director Product Design

    HCA Healthcare (Nashville, TN)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for ... join an organization that invests in you as a Director Product Design? At HCA Healthcare, you come first....and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. +… more
    HCA Healthcare (08/01/25)
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