• 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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  • 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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  • Hospital HIM Director - PRN - Travel

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Hospital HIM Director PRN - Travel? At Parallon, you come first. HCA Healthcare has committed up to $300 ... location._** **Job Summary and Qualifications** As the Facility HIM Director Float (FHIMD Float), you will be responsible for...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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  • National Medicaid Medial Director - Long…

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations to determine the medical ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
    Humana (01/25/25)
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  • Medical Director - Gulf South

    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 (12/03/24)
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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 (01/22/25)
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  • OP Coder SDS OBS OB Triage- Full TIme

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …such as observation, outpatient surgery and obstetrics. FUNCTIONAL DEMANDS Reports to: Coding Manager and/or HIM Director Inclement Weather: Non-essential JOB ... flexible and completes all other duties as needed by Coding Data Quality Manager or Director of...needed by Coding Data Quality Manager or Director of Health Information Management. Other duties as assigned.… more
    Jennie Stuart Medical Center, Inc. (01/19/25)
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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 (01/22/25)
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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 , 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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  • Director , SIU / Fraud Waste and Abuse…

    Molina Healthcare (Bowling Green, KY)
    …SAS, SQL other reporting software * ICD-10 CPT-4, HCPCS coding **Preferred License, Certification, Association** Professional certifications/accreditations, such as ... CFE, AHFI, HCAFA To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
    Molina Healthcare (01/21/25)
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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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  • Dialysis Program Manager Registered Nurse - RN

    Fresenius Medical Center (Bowling Green, KY)
    …+ Develops action plans for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison for patient care as per ... with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the...completion of the Annual Standing Order Review and ICD coding . + Checks correspondence whether electronic, paper or voice… more
    Fresenius Medical Center (12/31/24)
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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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  • Infection Data Abstractor

    HCA Healthcare (Nashville, TN)
    …as requested. + Attend educational activities as approved by Manager or Director . + Maintain clinical knowledge of various abstracted measures. + Communicate in ... lieu of formal education. + Completion of a certified coding or nursing program preferred + 1‐3 years in...program preferred + 1‐3 years in Health Information Management; Coding , Nursing, and/or Health Registry abstraction experience required +… more
    HCA Healthcare (12/05/24)
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  • Clinic Manager - Specialty Clinic (FT, Days)

    Community Health Systems (Clarksville, TN)
    …all day-to-day operations of the clinic and shall consult with the Director of Physician Practices prior to implementing critical changes in operational procedures. ... etc.) and vendors as the point-person for the clinic, along with the Director of Physician Practices. **BASIC KNOWLEDGE AND ABILITIES:** **Education / License /… more
    Community Health Systems (01/08/25)
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  • Data and Compliance Manager- TERA

    Vanderbilt University (Nashville, TN)
    …ensuring products are aligned to approvals. Reporting directly to the Executive Director , the Data Manager will work in partnership with the Tennessee Department ... A successful candidate will have strong organizational and project management skills, coding and data management experience, an entrepreneurial spirit, and a desire… more
    Vanderbilt University (01/17/25)
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  • Sales Specialist, Diagnostic Oncology

    Fujifilm (Nashville, TN)
    …Liaise with office and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned to strategic accounts with resource ... all capital equipment i30 placements as directed by the Director of Sales and Marketing. + The territory is...The territory is defined by and directed by the Director of Sales and Marketing and defined based on… more
    Fujifilm (01/25/25)
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