57 jobs found in Nashville

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve. Job Description: Role Summary The Medical Billing Specialist works under the direct supervision of the Director, Billing and AR. Responsibilities include all aspects of charge capture for Medical Oncology which entails accurate...

Become a part of our caring community The Medical Coder 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 Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates databases. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure correct...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Vanderbilt University Medical Center in Nashville seeks a skilled Medical Coder to review and code diagnoses and procedures from the electronic medical record. You will assign principal and secondary ICD-10-CM codes and ICD-10-PCS procedures, ensuring accuracy per AHIMA standards and regulatory guidelines. You will draft physician queries to clarify documentation for optimal coding and quality reporting. The role emphasizes handling mortality and high-dollar complex discharges, evaluating #J-18808-Ljbffr

Savista, LLC in Tennessee seeks a Coding Specialist to review clinical documentation and assign codes for Same Day Surgery and Observation visits to support hospital billing and data needs. You will validate APC calculations, abstract clinical data for regulatory compliance, and interact with client staff as needed. Requires active CCS/CCA/CPC or RHIT/RHIA credentials and at least 2 years' coding experience. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

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). 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). Company Overview Savista partners with healthcare providers to improve their financial...

Vanderbilt University Medical Center in Nashville seeks a professional coder to review, accurately assign, and abstract codes for diagnoses and procedures in professional and outpatient settings, independently using designated coding classifications. This role supports ongoing staff training and ensures regulatory compliance, with AHIMA certifications preferred and a minimum of four years of experience in medical coding. The position emphasizes accuracy, quality, and process improvement. #J-18808-Ljbffr

Evolving Solution Services in Nashville, TN is seeking a Medical Coder/Accounts Receivable Specialist to accurately code diagnoses, procedures, and services while managing AR tasks. The role requires CPC/CCS certification, 2+ years of coding/AR experience, and expertise with ICD-10, CPT, HCPCS, HIPAA, and EMR/billing software. In-person schedule is 8:00 AM–4:30 PM. Join a team focused on compliant coding practices and timely revenue collection. #J-18808-Ljbffr

Team Lead, Account Follow-Up Services The Account Follow-Up Services Team Leader is responsible for strategic oversight of Hospital Insurance Follow-Up Services, including multi-team performance, payer strategy, denial prevention initiatives, workforce planning, and operational scaling. This role drives measurable improvement in A/R aging, collections performance, and denial overturn rates through KPI leadership, cross-functional collaboration, training programs, and continuous process innovation. Key Responsibilities Operational & Performance Leadership Own performance across one or more Insurance Follow-Up teams (or multiple clients). Set daily/weekly/monthly targets for productivity, quality, and collections, ensuring adherence to service-level expectations. Lead KPI governance (Days in A/R, A/R > 90, denial rate, overturn rate, net collection rate, first-pass resolution, productivity per FTE, quality). Build and present performance reviews and executive-ready...

Location: Nashville, Tennessee, United StatesCompany: AccenturePosted: 2026-08-10Job SummaryYou are an experienced Epic Resolute Professional Billing Certified Consultant who will collaborate with the Accenture team, software vendor team, and client on the following areas:ResponsibilitiesDocument current state business workflows.Assist with the analysis and design of new business workflows.Identify and define detailed product requirements and use cases.Provide input into high level functional specifications.Work with project managers, architects, business analysts and other team members to define metrics and performance goals for the application.Participate in transitioning the requirements and use cases to ensure a clear and complete understanding of the requirements.Assist in translating requirements and use cases into test conditions and expected results for product, performance, and user acceptance testing.Participate in quality management reviews of the design and performance...

Location: Nashville, Tennessee, United StatesCompany: RevancePosted: 2026-08-08Revance is seeking an Associate Director, Medical Information to lead the Medical Information function and provide scientifically accurate responses across Revance products. Based in Nashville, TN, the role is hybrid with onsite requirements and relocation support available.The candidate will oversee operations, develop standard response materials, monitor inquiry trends, and collaborate with Medical Affairs, Field Medical, and regulatory teams to advance product priorities.#J-18808-Ljbffr

Job Summary:Reporting to the Vice President of Medical Affairs, the Associate Director, Medical Information will lead the Medical Information function and be responsible for the provision and oversight of high-quality Medical Information services to Revance internal and external customers. This role will manage Medical Information operations, ensure compliant and scientifically accurate responses, maintain standard response materials, monitor inquiry trends, and partner cross-functionally to support Medical Affairs priorities across Revance products.Reporting to: Vice President, Medical AffairsLocation:  Nashville, TN - Hybrid (onsite required - relocation support available)Salary Range: $160,000-$185,000 annually + performance bonus *The final salary offered will depend upon factors that may include but are not limited to the quality and length of experience, education, and geographic locationResponsibilities/Essential Duties:Lead the Medical Information function, including...

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.  If this is your profile, we want to hear from you.The Associate Director / Director, MSLs is responsible for the leadership, direction and management of MSLs in the region and works collaboratively with the Medical Affairs Senior management with strategic and tactical planning, working collaboratively with Medical Affairs and Clinical Development teams for support of clinical...

Location: Nashville, Tennessee, United StatesSalary: $176,100.00 - $287,300.00Company: Regeneron Pharmaceuticals, IncPosted: 2026-07-27As an Associate Director, Field Medical Affairs (Medical Science Liaison) you will engage in the exchange of our scientific data and medical information with KOLs, HCPs, researchers, pharmacists and population-based decision makers. We are expected to demonstrate a thorough understanding of B-Cell Malignancies (NHL and Multiple Myeloma) aligned with our strategic medical plans.TerritoryTennessee, Alabama, Mississippi and Arkansas (residency in the territory is required with a preference of TN and AL.)A typical day may include the followingIdentifying and maintaining a list of medical/therapeutic area experts, investigator targets and associated plans of action.Establishing, fostering, cultivating and maintaining relationships with KOLs in Hematological MalignanciesAct as the primary clinical/scientific resource for information pertaining to disease...

Direct Jobs in Nashville, TN, seeks a skilled medical coder proficient in coding classification systems. The role involves reviewing and assigning diagnostic codes, ensuring compliance, and supporting staff training. The ideal candidate will have at least 4 years of relevant work experience and a High School Diploma or GED. Candidates with licensure in a specific discipline are preferred. This role is crucial for maintaining high standards in patient care and documentation compliance. #J-18808-Ljbffr

Become a part of our caring community The Senior Medical Coding Professional, Inpatient supports payment integrity initiatives by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key Responsibilities Review inpatient records for coding accuracy and DRG validation Identify anomalies for audit targeting Apply ICD-10-CM/PCS coding guidelines and DRG logic Assess how coding impacts reimbursement and severity adjustment Conduct retrospective audits and document findings Recommend adjustments, recoveries, or provider education Collaborate with clinical reviewers and data analysts Use your skills to make an impact Required Qualifications Required: RHIA, RHIT, CCS, or CIC 5+ years inpatient coding experience Audit or validation experience Strong DRG knowledge (MS-DRG/APR-DRG) Understanding of CDI and severity of illness (SOI/ROM) concepts Preferred Qualifications 3M...

Description The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client/facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications. Essential Duties and Responsibilities Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience. Maintain a minimum coding productivity of 30 CPT units per hour. Ensure an average error rate of less than 2%. Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements. Apply working knowledge of oncology‑specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans. Utilize expertise in ICD‑10, CPT, and HCPCS codes, including rules for Technical/Professional/Global and Freestanding/HOPPS...

Vanderbilt Health in Nashville, Tennessee, invites applications for a Coding Specialist role focusing on professional and outpatient facility coding. The position requires advanced knowledge of medical terminology and coding classification, with AHIMA/AAPC certifications and at least four years of experience. Responsibilities include developing efficient workflows, enforcing compliance with regulatory standards, and guiding staff through complex coding scenarios. #J-18808-Ljbffr

Our mission is to set the pace in lower extremity care as the partner of choice for leading physicians delivering best‑in‑class patient outcomes. We seek to partner with established physician groups and practices with reputations for excellence in their communities. We invest in our partner practices to grow patient bases and improve quality of care. Team Our management team is built to ensure our partner practices’ lasting success. Founder and Principal, Lehrman Consulting, LLC Pacesetter Health is a practice management group focused on partnering with best‑in‑class lower extremity healthcare clinics throughout the United States. We look for physicians who are staples of their community; for doctors with leading practices who want to grow and further improve the businesses they have built – but need a helping hand to achieve these goals. By centralizing certain time‑consuming administrative functions, our operating model reduces the back‑office burden placed on independent...