• Medicaid Provider Hospital

    Humana (Nashville, TN)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (09/09/25)
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  • Dental Recontracting Professional - VSP

    Humana (Nashville, TN)
    …first** The Dental Recontracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a… more
    Humana (09/03/25)
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  • Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …audit methodology, principles and techniques; CMS manuals; professional and/or hospital services reimbursement and repayment; confidentiality standards. + ... organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and correction of documentation,… more
    Cardinal Health (08/27/25)
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  • Pro Fee Coding Quality Review Educator

    HCA Healthcare (Brentwood, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... CQR Educator will also collaborate with other external departments as needed to provide input on coding education opportunities and assist with creation of education… more
    HCA Healthcare (07/12/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (Nashville, TN)
    …CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
    HCA Healthcare (07/12/25)
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  • Facility Outpatient Coder Team Lead

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... Center (HSC) staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and education activities within… more
    HCA Healthcare (08/09/25)
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  • Payment Compliance Analyst

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support for Payment Compliance functions. Assists… more
    HCA Healthcare (09/07/25)
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  • Inpatient Coding Quality Auditor

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
    HCA Healthcare (08/28/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
    HCA Healthcare (06/21/25)
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