• 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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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    **Description** This is a fully remote role, but you must live within 60 miles of an HCA facility Introduction Do you want to join an organization that invests in ... all CDI functions, the Manager will: + Assure compliance with Official Coding Guidelines, Regulatory Compliance Guidelines and CDI policies + Manage day-to-day CDI… more
    HCA Healthcare (09/28/25)
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