- 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
- 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
- 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 (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
- 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
- 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
- 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 (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
- 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
- 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