- HCA Healthcare (Nashville, TN)
- …Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting opportunity for ... group of colleagues. Do you want to work as an Inpatient Coding Denial Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Highmark Health (Nashville, TN)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Signature Healthcare (Nashville, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholders. + Assist and collaborate with… more
- HCA Healthcare (Nashville, TN)
- …regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity, ... Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal...) home health agency required + Competent in Federal ( Medicare ) and Local standards including Conditions of Participation and… more
- CenterWell (Bellevue, TN)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- HCA Healthcare (Nashville, TN)
- …regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity, ... Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal...) home health agency required + Competent in Federal ( Medicare ) and Local standards including Conditions of Participation and… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Technician Specialist is a certified Pharmacy Technician who acts as an intake for all calls from ... patients, pharmacies and providers. The Technician Specialist performs advanced administrative/operational/customer support duties that require independent… more
- LifePoint Health (Brentwood, TN)
- …procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. Achieve and maintain ... in an acute care hospital is preferred. Certifications: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred. **Job:**… more
- HealthEdge Software Inc (Nashville, TN)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- CenterWell (Nashville, TN)
- …assignments. The Clinical Programs Pharmacy Technician Representative 2 Community Resource Specialist works within the Maximize Your Benefits department to assist ... government sponsored support such as Low Income Subsidy (LIS) and the Medicare Savings Program (MSP) for medication assistance. Works within defined parameters to… more
- Merck (Nashville, TN)
- …Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** + ... oncology customers) will be hired at the S3 Oncology Sales Specialist level. \#MSJR \#EBRG \#oncologysales \#eligibleforerp Current Employees apply HERE… more
- Signature Healthcare (Nashville, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... survey team/team leader in compiling streamlined report. + Assist each facility's clinical specialist in formulating a plan of correction based on survey results, as… more
- HCA Healthcare (Nashville, TN)
- …leadership + Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Communicates coding revisions to the ... Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties + Periodically works with their Manager to review individual… more
- HCA Healthcare (Nashville, TN)
- …you to apply! **Job Summary and Qualifications** As an Inpatient Coding Specialist , you will be responsible for working inpatient coding related alerts/edits, ... leadership + Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim DRGs for in-house… more