- 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
- Cognizant (Nashville, TN)
- …auditing and coding experience. . Basic- Intermediate level of Microsoft Office (Word, Excel, Outlook) . Knowledge of Federal, state and payer regulations . ... We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United… more
- CenterWell (Nashville, TN)
- …to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner needs and develops solutions. + ... of management experience + 8 or more years of Medical Coding , IPA, or similar experience +...across multiple sites and geographies, with concrete impact on business outcomes + Ability to travel up to 20%… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- Humana (Nashville, TN)
- …operational practices with legal requirements while fostering collaborative relationships with business partners to uphold ethical standards and mitigate risks. The ... compliance related issues and communicate those requirements to high level business leaders within the PCO. **Key Responsibilities:** + Assesses the compliance… more
- Lamar Advertising Company (Nashville, TN)
- …the office . This includes processing invoices, recording pertinent information, coding invoices to the correct GL account, and submitting invoices to Corporate ... **Description** **_The Office Manager keeps the office spinning...leadership programs to maximize your career potential + Multiple medical plan options and health savings account + Hospital,… more
- Datavant (Nashville, TN)
- …risk adjustment charts + Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...effective training programs by assessing the needs of the business for new hires and project level based on… more
- Humana (Nashville, TN)
- …materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the...**WORK STYLE:** 100% remote/work at home **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. Some… 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
- 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
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that ... pertains to the compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where… more
- City National Bank (Nashville, TN)
- *NEW BUSINESS SPECIALIST* WHAT IS THE OPPORTUNITY? To support and facilitate the New Business Department's trust client onboarding process and to support the ... of new American Gift Fund accounts. Provide assistance and support to the New Business Officers and the New Business Manager. Interface with the Business… more
- Intermountain Health (Nashville, TN)
- …years of direct related experience in revenue cycle operations in an acute and medical office . **Preferred** Bachelors Degree is preferred Proficiency in EPIC is ... the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice… more
- Regeneron Pharmaceuticals (Nashville, TN)
- …Develop collaborative relationships with Regeneron colleagues (ex. Regional Directors and Medical Specialists) to educate physician offices in coverage/ coding of ... **Reimbursement Business Manager (RBM), Ophthalmology - KY/TN** The Reimbursement...positive working relationships with accounts (eg MD's, Administrators & office staff) and effectively manage product concerns. + Proactively… more
- Public Consulting Group (Nashville, TN)
- …their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Overall ... using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on...+ Gather, evaluate, and document customer use cases and business processes. + Create technical documentation for reference and… 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
- CVS Health (Nashville, TN)
- …**This role is responsible for ensuring the accuracy and compliance of medical claims, which involves applying various editing rules and guidelines to ensure ... proper coding and payment. The lead director manages a team...execution and delivery of new edits + Ensure that medical claims are reviewed and edited according to established… 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
- Intermountain Health (Nashville, TN)
- …with testing and validation. Supports and collaborates with revenue producing departments, business office , revenue practice teams, HIM, managed care, and ... **Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Demonstrated experience in revenue cycle and… more
- Highmark Health (Nashville, TN)
- …patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. This position ... will necessitate clinical informatics and medical knowledge. **ESSENTIAL RESPONSIBILITIES** + Leads the design, development, execution, dissemination and… more