- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Returns all messages in a timely manner. + Maintains communication between medical providers, administrative staff, and/or patient/families. Business Services: + ... Responsible for correctly coding healthcare claims in order to obtain reimbursement...Services: + Answering and referring inquiries within scope of business services. + Telephone: Answers telephone, processes call, and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Provider-Based Business Office Manager Job Summary The Provider-Based Business Office Manager will be responsible for managing the Provider-Based ... Business Office department. The Manager will develop,...implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement processes and procedures.… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Highmark Health (Nashville, TN)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems... + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other… more
- Elevance Health (Nashville, TN)
- … Coding /Auditing)** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... Up to $5,000** **Location:** This position will work a hybrid model (remote and office ) which requires working in the nearest Elevance Health office 1-2 times… more
- Houston Methodist (Nashville, TN)
- … classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical record and imaging ... Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems **SUPPLEMENTAL REQUIREMENTS** **WORK… more
- Houston Methodist (Nashville, TN)
- … classification systems, DRG and APC systems, official coding guidelines and coding compliance + Knowledge of an electronic medical record and imaging ... Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems **SUPPLEMENTAL REQUIREMENTS** **WORK… more
- e CancerCare (Nashville, TN)
- …ad-hoc report requests from RCL in an efficient and accurate manner. The Business Analyst provides analysis regarding charges, collections, coding , and helps ... Job Purpose: The Business Analyst supports Revenue Cycle Leadership (RCL) by...identify trends and researches issues related to coding , reimbursement, billing, contracting and overall process. Essential Functions:… more
- Elevance Health (Nashville, TN)
- **JR127299 Business Consultant Sr (Analytical)** The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor ... This position will work a hybrid model (remote and office ) and must live within 50 miles of one...Partner with Program Director on end-to-end management of retrospective coding program + Collaborate with external vendors on contracting,… more
- e CancerCare (Nashville, TN)
- …tasks are essential. Knowledge of current and developing issues and trend in medical coding procedures and requirements. Working knowledge of ICD-9 and ICD-10 ... diagnosis codes, HCPCS, and CPT coding assignment. Preferred Skills Knowledge of medical ...in a team environment and enjoy multi-job functions. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong… more
- Highmark Health (Nashville, TN)
- …**Job Description :** **GENERAL OVERVIEW:** This job analyzes Individual and/or Group medical risk factors for new enrollment, yearly renewals, and amendments of ... component of the rates; prepares and presents first and second level medical underwriting appeals and applicable clinical records to physician advisors; and analyzes… more
- Humana (Nashville, TN)
- …or Corporate Medical Director, depending on size of region or line of business . The Medical Director conducts Utilization Management of the care received by ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Conviva (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... care center, and others. Requires familiarity with clinical operations, billing, and coding . Research analysis outcomes at the patient detail level using available… more
- Regions Bank (Nashville, TN)
- …into the careers section of the system. **Job Description:** At Regions, the Business Systems Analyst conducts business process analysis, needs assessments, and ... cost/benefits analysis in an effort to align information technology solutions with business initiatives. This position may function as liaison between the line of… more
- Elevance Health (Nashville, TN)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... operations. **Minimum Requirements** + Requires a AA/AS and minimum of 6 years medical coding /auditing experience, including minimum of 4 years in fraud, waste… more
- Elevance Health (Nashville, TN)
- …an equivalent background. **Preferred Skills, Capabilities and Experience:** + RN; Medical billing and coding certification strongly preferred + Outpatient ... Reimburse Admin Sr.** **Location:** This position will work a hybrid model (remote and office ). Ideal candidates must live within 50 miles of one of our PulsePoint… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Patient Access Representatives provide customer-service coverage in the centralized front office of Jennie Stuart Medical Center, and assume the responsibility ... and AccuReg * Medical terminology * ICD-10, CPT, HCPCS codes and coding processes * Hospital and professional billing processes and reimbursement * Various payer… more
- Vanderbilt University Medical Center (Nashville, TN)
- **Discover Vanderbilt University Medical Center:** Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, ... free drug and copay cards * Understand the major medical billing process * Pharmacy versus Medical ...Pharmacy billing and collecting. Work collaboratively with the Compliance office , Finance, Patient Accounting, and others to fulfill this… more
- e CancerCare (Nashville, TN)
- … coding credentials preferred but not required. Knowledge of medical terminology Familiar with Chemotherapy and Radiation Billing Required Competencies Ability ... customers. Essential Functions: Verification of insurance benefits if missed by front office Able to research denied CPT code/dx codes with comparison to the… more