- HCA Healthcare (Nashville, TN)
- …This position is incentive eligible. **Introduction** Do you have the career opportunities as a Coding Quality Review Manager you want with your current ... caring group of colleagues. Do you want to work as a Coding Quality Review Manager where your passion for creating positive patient interactions… more
- Cengage Group (Nashville, TN)
- …more, please see https://www.cengagegroup.com/about/inclusion-and-diversity/ . The **Program & Curriculum Manager , Medical Billing and Coding ** will help to ... other colleagues, the successful candidate will help the team deliver innovative, high- quality products and provide timely support to internal and external partners.… more
- HCA Healthcare (Nashville, TN)
- …lead, manager , international log) + Periodically works with their manager to review individual work accomplishments, discuss work problems/barriers, discuss ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...compelling, we encourage you to apply for our Inpatient Coding Editor opening. We promptly review all… more
- CVS Health (Nashville, TN)
- …a Manager to lead our team of Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, ... internal and external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews… more
- HCA Healthcare (Nashville, TN)
- …with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education, ... (eg, work queues, worklists, turnaround times) + Daily PRP review and resolution + Attends and/or leads meetings as...in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and… more
- HCA Healthcare (Nashville, TN)
- …If you find this opportunity compelling, we encourage you to apply for our Manager IGA Engineering opening. We promptly review all applications. Highly qualified ... diversity and inclusion thrive? Submit your application for our Manager Identity Governance and Administration Engineering opening with HCA...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Takeda Pharmaceuticals (Nashville, TN)
- …by these new activities and ways of working. **Additional Activities:** + Assists with quality review of above activities performed by a vendor, as needed. + ... so, be empowered to take charge of your future at Takeda. Join us a Manager , Clinical Data Validation Engineer in our Cambridge, MA office. At Takeda, we are… more
- Public Consulting Group (Nashville, TN)
- …and methodology. The consultant ensures all assessments and deliverables are high- quality and comprehensive and provide meaningful insights into the ERP Migration ... healthcare, finance, education, etc.), technical competencies (eg, big data, coding , and programming, project management, technical writing, cloud/SaaS services,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and VUMC leadership to respond to problems. Develops and implements solutions. * Review and apply regulatory and legal requirements to ensure compliance with all ... that relate to billing of drugs. These include CPT coding requirements, what drugs can or can not be...* Discusses continuing patterns of errors with the appropriate manager for resolution. * Works to catch and correct… more
- Cardinal Health (Nashville, TN)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... technology solutions for the Legal, Regulatory Compliance, Government Relations, & Quality (LRCGQ) organization. The team is comprised of various product-centric… more
- Humana (Nashville, TN)
- …to derive insights + Experiencing leading projects through entire life cycle, from design, coding , code review and deployment + Proficient in root cause analysis ... Data Consulting, Data Visualization and Reporting. The Senior Data Manager acquires, cleans and develops datasets from internal and...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Cardinal Health (Nashville, TN)
- …or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... support talents that remain in compliance with standard call quality expectations. + Must communicate clearly and effectively in...Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to have a strong… more
- HCA Healthcare (Nashville, TN)
- … Integrity Specialist II (CIS-II) duties + Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...Summary and Qualifications** As part of our hospital outpatient coding team, you will work outpatient coding … more
- Elevance Health (Nashville, TN)
- …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides ... medical, and/or financial data + Basic to intermediate SAS coding skills + Previous experience in a client facing...ability to adjust focus **Reporting Structure** + Reports to Manager or Director in the Network Management, Consulting Analytics… more
- HCA Healthcare (Nashville, TN)
- …Office applications 7. Possess basic keyboard skills 8. Knowledge of medical terminology, quality measures and coding logic. EXPERIENCE: 1. 1 year in Trauma ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...as requested. 8. Attend educational activities as approved by Manager and/or Director to stay compliance with yearly educational… more
- Under Armour, Inc. (Nashville, TN)
- …email campaigns to drive seamless consumer experiences via custom HTML/CSS coding , scripting, proofing, quality assurance, targeting and advanced scheduling. ... excellent communicator. This role will report to our Senior Manager , Customer Marketing and play a critical role in...develop and execute test plans that confirm accurate email coding and optimal rendering. * You send proofs and… more
- HCA Healthcare (Nashville, TN)
- …for our team to ensure that we continue to provide all patients with high quality , efficient care. Did you get into our industry for these reasons? We are an ... as requested. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various...lieu of formal education. + Completion of a certified coding or nursing program preferred + 1‐3 years in… more
- Cardinal Health (Nashville, TN)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... Rebates & Incentives for Pharma IT performs configuration or coding to develop, enhance and sustain the organization's software...stable operations. + Complies and enforce adoption of Solution Manager , Charm Management, + HP ALM and other standard… more
- HCA Healthcare (Nashville, TN)
- …+ Provides general workflow direction to abstraction staff. + Assists Clinical Data Abstraction Manager in the review and improvement of processes and services + ... Completes quality control monitoring and reporting of completed abstracts for...as requested. + Attend educational activities as approved by Manager or Director. + Maintain clinical knowledge of various… more