• Registered Nurse - Clinical Documentation…

    Ansible Government Solutions (Memphis, TN)
    …Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient and outpatient services + Review health records concurrently to identify ... opportunities for improved documentation and coding accuracy using clinical knowledge and critical thinking skills + Support CDI activities by applying the nursing… more
    Ansible Government Solutions (08/08/25)
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  • Medical Director - Claims Management

    Humana (Nashville, TN)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
    Humana (09/17/25)
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  • Referral & Precert Spec

    Covenant Health Inc. (Knoxville, TN)
    …urology. Position Summary: Directs daily operation of scheduling for inpatient /outpatient procedures and services. Obtains any necessary referrals or ... pre-certifications. Recruiter: Bradley Sparks || ###@covhlth.com Responsibilities + Schedules inpatient /outpatient tests, procedures and appointments as directed by provider.… more
    Covenant Health Inc. (08/28/25)
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  • Appeals Specialist I - Denials/Appeals

    Community Health Systems (Franklin, TN)
    …authorization issues related to appeals, providing necessary data for resolving inpatient /clinical denials. + Performs other duties as assigned. + Maintains regular ... preferred **Knowledge, Skills and Abilities** + Basic knowledge of medical billing, coding systems, and insurance claim processes. + Strong communication skills for… more
    Community Health Systems (10/01/25)
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