- Highmark Health (Nashville, TN)
- …technical expertise for coding content and functions within the department. The supervisor is responsible for the analysis and assessment of data relating to ... coding . Acting as an internal consultant, the supervisor provides essential quality reports, advice and improvement recommendations to management along all… more
- The Cigna Group (Nashville, TN)
- …At MDLIVE, innovative ideas in healthcare are created every day. The Denials Supervisor is responsible for monitoring all denials related aging revenue by reviewing, ... reports and coach team to reach their goals + Develops and implements coding RCM procedures by analyzing current procedures, recommending changes, and creating SOP's… more
- e CancerCare (Nashville, TN)
- …Work an average of 40 to 80 denials per day based on supervisor requirements and accounts assigned. Works closely with insurance carriers for reimbursement ... Collection Processes. Understanding of Medicare, Medicaid, and third party billing/ coding guidelines. Experience with multiple billing and EMR Systems. Experience… more
- Datavant (Nashville, TN)
- …medical record systems and compile medical records to send to other parties for coding + Log all call transactions into the designated computer software system(s) + ... equivalent + 2+ year of experience in medical records, medical record coding or a related field, preferred + Prior outbound/sales/collections/call center experience… more
- Intermountain Health (Nashville, TN)
- …quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding ) at production standards, including timely follow-up on inquiries received and ... production in addition to completing reports and projects given by the supervisor . Effectively participates in meetings, training, and committees as designated by… more
- GovCIO (Nashville, TN)
- …responds to problems by diagnosing and correcting errors in logic and coding ; implements and/or maintains assigned portions of a scientific programming project, ... the user and consultation with and approval of the supervisor or higher-level staff + This Programmer may assist...programs under close direction of higher level staff or supervisor , and may assist higher level staff by independently… more
- Sedgwick (Nashville, TN)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or… more
- Sedgwick (Nashville, TN)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business… more
- CVS Health (Nashville, TN)
- …(30%) + Investigate and resolve any billing discrepancies and assist the Billing Manager/ Supervisor in analyzing monthly billing variances (20%) + Load new rates and ... specific coding relevant to the group plan and products sold. This set up information is critical for the import process from billing to accounts receivable/payable… more
- Cardinal Health (Nashville, TN)
- …standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The ... and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to have a strong attention to detail **TRAINING… more
- Cognizant (Nashville, TN)
- …bringing the closure on a given assignment | Performs analysis, design, coding , testing and implementation of quality solutions within the software development life ... customers and team to assess progress against plan and communicates progress with supervisor as necessary. Works to resolve issues in a timely and accurate manner… more
- SAIC (Nashville, TN)
- …tracking requirements. Recommend solutions for problems or unique situations to supervisor . + Assist Hiring Manager in preparing interview packages and ... differentials, hazard, recall and standby; reviewing and correcting calculations and coding completed by other staff. The Federal Aviation Administration (FAA) is… more
- Sedgwick (Nashville, TN)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **QUALIFICATION** + Performs other duties as assigned. + Supports the organization's quality program(s). **Experience** Six (6) years of claims management experience or equivalent combination of… more
- HCA Healthcare (Nashville, TN)
- …patient services. Under the supervision of the Business Office Manager/Business Office Supervisor , you will obtain payment from third party payers and self-pay ... perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will monitor… more
- Dialysis Clinic, Inc. (Nashville, TN)
- …suggest opportunities to improve or automate processes and workflows * Update supervisor and/or project managers * Provide time estimates for deliverables and tasks ... * Attend weekly team meetings * Follow all team secure coding standards * Follow documented work schedule policies * Adaptability and flexibility to support periodic… more
- Sedgwick (Nashville, TN)
- …professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and ... management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… more