52 jobs found in Nashville

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Quality System Compliance Auditor - REMOTE. In this role, you will be instrumental in ensuring quality standards across multiple business units through conducting thorough audits. You will identify opportunities for improvement, ensure compliance with industry standards, and work closely with various stakeholders to enhance quality processes. Your expertise will directly impact the organization’s ability to maintain high-quality practices that align with regulatory and company policies. This role offers the chance to make significant contributions to our partner's mission in the aerospace and defense sectors. Accountabilities Plan and conduct second-party QMS audits for compliance with standards and regulations. Perform lead auditor responsibilities, including audit planning and representation to site leadership. Ensure compliance of processes, products, and services with...

A leading pharmaceutical company located in Nashville, TN is seeking an Associate Director, Strategic Planning & Operations. This role is pivotal in enhancing operational excellence across the Global Medical Affairs organization. The successful candidate will work closely with cross-functional teams to develop and implement strategic plans while managing budgets and driving process improvements. Applicants should possess at least 7 years of relevant experience in Global Medical Affairs, with strong project management and leadership skills. Competitive benefits are provided. #J-18808-Ljbffr

Become 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 records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy...

A nonprofit healthcare organization in Nashville is seeking a Billing Specialist to manage accounts, handle billing processes, and maintain effective communication with patients and clinic personnel. This full-time position requires attention to detail and excellent communication skills. The ideal candidate will have advanced proficiency in Microsoft Office and at least 2 years of experience in medical billing. The organization offers competitive compensation ranging from $18-$20 per hour along with comprehensive benefits. #J-18808-Ljbffr

Overview Certified Coder, Medical Coders and billing professionals needed for multiple medical device, pharmaceutical, DME, and telemedicine/tele-health related companies. Hiring for part time, full time, contract, hourly, remote (from home), and on/off site facilities. Opportunities Entry level coders (USA, international companies) Senior Coders Director of Coding Manager, Coding and Abstracting (on site - 22 locations) Revenue Cycle Manager - Payments, Credits, Self Pay (1,500+ physician affiliates) Remote (home office) Medical Billing for multiple specialties Application guidance When applying please include in the message box an overview of your experience (specialty area), certifications, and specifics on the position you seek (contract, part time, full time, remote, on-site, Senior, entry level, billing, coding, etc.). Do not enter, see attached resume. Responsibilities Comply with all legal requirements regarding coding/billing procedures and practices Conduct audits...

A leading engineering and consulting firm is seeking an Environmental Compliance Inspector to conduct compliance audits and field inspections. The role involves verifying adherence to environmental regulations and preparing detailed reports. A Bachelor's degree in environmental science, engineering, or a related field, alongside 2 years of relevant experience, is required. The position offers a competitive salary based on experience and comprehensive benefits including health insurance and retirement savings plans. #J-18808-Ljbffr

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our...

A healthcare system in Tennessee is seeking a Coder II to work remotely. The ideal candidate should have proficiency in outpatient and inpatient coding, along with the necessary certifications like CCS or CPC. Responsibilities include examining medical records, ensuring accurate coding, and working closely with providers on documentation. A competitive salary is offered, ranging from $26.66 to $40.00 per hour based on experience. #J-18808-Ljbffr

A healthcare data company is seeking experienced inpatient coders to join their team. The ideal candidate has at least 3 years of inpatient coding experience and strong knowledge of medical terminology. This fully remote role offers the opportunity to work flexibly while impacting healthcare decisions. Responsibilities include coding, auditing, and collaboration with stakeholders. A competitive pay range of $32—$42 per hour is part of this position. #J-18808-Ljbffr

A leading healthcare provider in Nashville seeks an Inpatient Coder to ensure accurate diagnostic and procedure coding for inpatient encounters. The role involves maintaining compliance with established guidelines and working closely with medical professionals. Candidates need at least an associate's degree, relevant coding experience, and certification such as RHIT or CCS. The position requires strong communication skills and extensive knowledge in coding classification systems. Competitive salary offered, with opportunities for professional growth. #J-18808-Ljbffr

A leading health data exchange firm is looking for an Inpatient Auditing Specialist to improve coding quality and compliance. This fully remote role requires extensive experience in facility inpatient coding and auditing, alongside knowledge of various EMR systems like Epic and Cerner. With a strong focus on customer service and expertise in regulatory changes, you'll provide critical auditing services to ensure high standards. Comprehensive benefits and a flexible schedule offered. #J-18808-Ljbffr

A leading healthcare data firm is seeking an Inpatient Auditing Specialist to perform coding audits and provide education on coding quality. This fully remote role offers flexibility and requires over 5 years of experience in inpatient coding or auditing. Success will depend on maintaining regulatory knowledge and a high accuracy rate. The firm emphasizes a collaborative work culture and provides essential equipment and training for its employees. #J-18808-Ljbffr

divh2Inpatient Coder Opportunity/h2pDatavant is a data platform company and the worlds leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ph3What Were Looking For/h3pWere looking for experienced and credentialed inpatient coders to become an integral part of our...

divh2Baylor Scott White Health Job Posting/h2pHere at Baylor Scott White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:/pp+ We serve faithfully by doing whats right with a joyful heart./pp+ We never settle by constantly striving for better./pp+ We are in it together by supporting one another and those we serve./pp+ We make an impact by taking initiative and delivering exceptional experience./ppOur benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott White Benefits Hub to explore our offerings, which may include:/pulliEligibility on day 1 for all benefits/liliDollar-for-dollar 401(k) match, up to 5%/liliDebt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and...

A leading health insurance company seeks a Medical Coding Auditor to review claims and ensure coding accuracy. This remote role requires a minimum of 3 years post-certification experience and knowledge of coding guidelines. Responsibilities include verifying procedure codes, analyzing medical documentation, and conducting compliance reviews. The company offers competitive benefits, including health insurance and retirement plans, with a salary range of $59,300 to $80,900 annually. Flexible work hours available. #J-18808-Ljbffr

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

Senior Outpatient Coder Join to apply for the Senior Outpatient Coder role at Houston Methodist Come lead with us at Corporate At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA Status Non-exempt Qualifications Education Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications Must have one of the following: RHIT -...

Outpatient Coders Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Welbehealth Pace Coding Auditor And Educator WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews...