• Director - Coding

    HCA Healthcare (Nashville, TN)
    …you to be a part of our team. **Job Summary and Qualifications** As the Director , Coding you will be responsible for maintaining and supporting the company's ... join an organization that invests in you as a Director ? At HCA Healthcare, you come first. HCA Healthcare...compliance program as it relates to hospital coding . You will also be responsible for providing direction… more
    HCA Healthcare (12/19/24)
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  • Director of Coding

    HCA Healthcare (Nashville, TN)
    …with purpose and integrity. We care like family! Jump-start your career as a(an) Director of Coding today with Parallon. **Benefits** Parallon, offers a total ... for benefits may vary by location._** Come join our team as a(an) Director of Coding . We care for our community! Just last year, HCA Healthcare and our… more
    HCA Healthcare (11/16/24)
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  • Coding Quality Review Manager

    HCA Healthcare (Nashville, TN)
    …productivity monitoring and provide timely and consistent feedback to employees and Assistant Director and Director Coding Quality Review Responsible for ... assignments to achieve operational goals + Manage HSC/VRM customer (HSC COO, Coding Director , Coding Managers) expectations and ensure service is delivered… more
    HCA Healthcare (12/03/24)
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  • Medical Director - Commercial Appeals

    CVS Health (Nashville, TN)
    …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as well ... Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation.… more
    CVS Health (11/13/24)
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  • VRM Profee Assistant Director

    HCA Healthcare (Brentwood, TN)
    …where diversity and inclusion thrive? Submit your application for our VRM Profee Assistant Director opening with Parallon today and find out what it truly means to ... by location._** We are seeking a VRM Profee Assistant Director for our team to ensure that we continue...of staffing/resource management for Physician Service Center (PSC) Profee coding services and Abstraction services, to include MIPS and… more
    HCA Healthcare (11/29/24)
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  • Hospital Health Information Director

    HCA Healthcare (Nashville, TN)
    …want to join an organization that invests in you as a Hospital Health Information Director PRN - Travel? At Parallon, you come first. HCA Healthcare has committed up ... We are looking for a dedicated Hospital Health Information Director PRN - Travel like you to be a...staff. + Ensure all applicable EHR and Computer Assisted Coding (eg, HPF, MPF, Cerner, Epic, MEDITECH) workflow queues… more
    HCA Healthcare (11/30/24)
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  • Medical Director - Florida

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (12/14/24)
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  • Reviewing Medical Director

    Conviva (Nashville, TN)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Conviva (12/11/24)
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  • Medical Director - South Central

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/08/24)
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  • Director , Technology Consulting

    Public Consulting Group (Nashville, TN)
    …+ Business Enablement + Business Solutions + Project Assurance PCG is hiring a Director to manage a team and multiple public sector projects while continuing to ... and portfolio of projects in our Technology Consulting Practice Area. The Director will work with senior client executives implementing or advising on large-scale… more
    Public Consulting Group (11/07/24)
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  • Managing Director , Value Based Care…

    Evolent (Nashville, TN)
    …You'll Be Doing:** **What You'll Be Doing:** Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This role ... for Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care /...external partnerships used to ensure appropriate risk adjustment and coding . **Qualifications** - **Bachelor's degree in business or related… more
    Evolent (12/13/24)
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  • Director Foundational Infrastructure…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Director Foundational Infrastructure Services? At HCA Healthcare, you come first. HCA Healthcare has ... you have the opportunity to make a difference. We are looking for a dedicated Director Foundational Infrastructure Services like you to be a part of our team. **Job… more
    HCA Healthcare (12/07/24)
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  • Associate Director , Software Engineering

    Humana (Nashville, TN)
    …part of our caring community and help us put health first** As the Associate Director of Software Engineering, you will be at the heart of coding ... talented teams towards engineering excellence and operational synergy! The Associate Director , Software Engineering plays a pivotal role in enhancing our software… more
    Humana (12/24/24)
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  • Process Improvement Director -HEDIS

    Elevance Health (Nashville, TN)
    **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the ... posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
    Elevance Health (12/21/24)
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  • Associate Director , Postmarketing PV Case…

    United Therapeutics (Nashville, TN)
    …other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of end-to-end case ... work practices, and commit to defined changes + Working knowledge of MedDRA coding + Working knowledge of global regulations, guidelines and industry best practices… more
    United Therapeutics (12/14/24)
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  • Data Abstractor I WFH

    HCA Healthcare (Nashville, TN)
    …as requested. 8. Attend educational activities as approved by Manager and/or Director to stay compliance with yearly educational requirements 9. Communicate in a ... skills 8. Knowledge of medical terminology, quality measures and coding logic. EXPERIENCE: 1. 1 year in Trauma Registry/...logic. EXPERIENCE: 1. 1 year in Trauma Registry/ Injury Coding Experience Required -AIS 2008 or 2015 Injury … more
    HCA Healthcare (12/28/24)
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  • Data Abstractor I WFH

    HCA Healthcare (Nashville, TN)
    …as requested. 8. Attend educational activities as approved by Manager and/or Director to stay compliance with yearly educational requirements 9. Communicate in a ... skills 8. Knowledge of medical terminology, quality measures and coding logic. EXPERIENCE: 1. 1 year in Trauma Registry/...logic. EXPERIENCE: 1. 1 year in Trauma Registry/ Injury Coding Experience Required -AIS 2008 or 2015 Injury … more
    HCA Healthcare (12/17/24)
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  • Burn Data Abstractor

    HCA Healthcare (Nashville, TN)
    …reorientation + Attend educational activities as approved by Manager and/or Director Knowledge Skills and Abilities + Familiar with medical record documentation ... Undergraduate (Associates or Bachelor's) degree or successful completion of a certified coding program preferred. + Burn abstracting experience highly preferred. + 1… more
    HCA Healthcare (12/21/24)
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  • Revenue Integrity Charge Analyst

    HCA Healthcare (Nashville, TN)
    …and collaborates with the Revenue Integrity Clinical Analysts and/or Facility Director to resolve identified issue. + Monitors total charges associated with ... + Minimum 1 year directly related Healthcare experience or coding experience required. Knowledge of CPT/HCPCS codes or experience...as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be… more
    HCA Healthcare (12/19/24)
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  • Business Consultant Sr (Analytical)

    Elevance Health (Nashville, TN)
    …office locations. **How will you make an impact:** + Partner with Program Director on end-to-end management of retrospective coding program + Collaborate with ... business needs. + Identify opportunities within Prospective, Concurrent and/or Retrospective Coding Programs **Minimum requirements:** + Requires a BA/BS and minimum… more
    Elevance Health (12/12/24)
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