- HCA Healthcare (Nashville, TN)
- …invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Editor Specialist with Work from Home you can be a part of an organization that ... We are looking for an enthusiastic Inpatient Coding Editor Specialist to help us reach our goals. Unlock your...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as a Clinical Denials Coding Review Specialist ? At Work from Home, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Clinical Denials Coding Review Specialist like you to be a part of our...in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process… more
- Baylor Scott & White Health (Nashville, TN)
- **JOB SUMMARY** The Internal Sales Specialist obtains new enrollments and facilitates community outreach in the assigned service area. **ESSENTIAL FUNCTIONS OF THE ... ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan to increase… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Elevance Health (Nashville, TN)
- **Be Part of an Extraordinary Team** **Medical Management Specialist I** **Location:** Remote, but candidates must reside within 50 miles or 1-hour commute each way ... **Build the Possibilities. Make an Extraordinary Impact.** The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
- TEKsystems (Goodlettsville, TN)
- …FOLLOW UP/COLLECTIONS EXPERIENCE Primary responsibilities will be working the Medicare /Medicaid AR accounts for a multi-physician Oncology practice. Including ... claims, Medical Terminology, Insurance Verification, patient collections, HMO, PPO, Medi-cal, medicare insurance, medicaid Pay and Benefits The pay range for this… 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 (Madison, 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
- 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
- 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
- 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
- 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
- LifePoint Health (Brentwood, TN)
- …and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. * Achieve and ... in an acute care hospital is preferred. *Certifications*: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred. *Why choose… 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