Medical coder jobs in Nashville, TennesseeCreate job alerts

We are looking for a "Value Architect" to serve as the strategic engine behind our Health Plan's growth. You will be the primary translator for our most sophisticated buyers: Commercial leaders looking for a competitive edge, Product owners managing complex lifecycles, and Finance teams focused on the bottom line. You aren’t just identifying market needs; you are building the economic and operational case for why our solution belongs in a Payer’s core portfolio. You are the bridge between Payer’s P&L challenges and our technical capabilities. Core Responsibilities • Commercial serves as the strategic engine behind our Health Plan,t" alongside our Health Plan sales teams. You will participate in meetings throughout the sales process, peeling back the layers of a Payer’s objection to determine whether the root cause is Financial (actuarial risk), Commercial (market-share loss), or Operational (implementation friction)., • Market-to-Product Synthesis: Act as the "voice of the health plan" within the internal product organization. You will synthesize market needs, objections, and trends into structured recommendations for the collective roadmap., • Financial & Actuarial Advocacy: Partner with Payer Finance and Actuarial teams to build and validate the "value story." You will build business cases that demonstrate how our product impacts the cost of care, reduces administrative spending, or improves ROI for medical benefit programs., • Product Lifecycle Collaboration: Work as a key stakeholder alongside our Engineering and Payer Product teams to ensure our roadmap aligns with the "Payer Calendar" (e.g., filing cycles, bid cycles, and open enrollment readiness)., • Solution Engineering (The "Technical Closer"): Serve as the subject matter expert in deep-dive sessions with Payer leadership. You must be able to explain how our solution integrates with their claims engine and "Digital Front Door" while defending the product’s financial impact., • Cross-Functional Liaison: Serve as the "connective tissue" between Sales, Actuarial/Legal, and Engineering to ensure that what we promise in a Payer contract is operationally sound and financially viable. Required Qualifications and Experience: 1. Professional Experience • 8–12+ Years in Health Plan Operations or Strategy: Experience specifically within Commercial Markets, Product Development, or Actuarial/Finance divisions of regional or national Payer., • The "Payer-Side" Track Record: Proven history of managing or influencing a health plan P&L. You should have experience with how a plan is priced, filed with regulators, and sold to groups., • Cross-Functional Solutioning: Demonstrated experience sitting between "The Field" (Sales/Brokers) and "The Build" (IT/Operations) to launch a new insurance product or a high-stakes clinical program., • B2B Enterprise Value Modeling: Experience building formal ROI models or "Value Stories" that have successfully convinced a Finance/Actuarial team to approve a new vendor or internal initiative. 2. Domain Expertise & Technical Literacy • Payer Financial Mechanics: Deep fluency in MLR (Medical Loss Ratio) drivers, PMPM (Per Member Per Month) cost structures, and the "Administrative Credit" logic used by payers to justify technology spend., • Regulatory & Filing Knowledge: High-level understanding of the Payer Product Lifecycle, including state filing requirements (SERFF), CMS compliance, and the 12–18-month lead times required for benefit design changes., • Technical Interoperability: While not a coder, you must understand how data moves in a Payer environment—specifically Claims Data (EDI 837/835), Eligibility feeds (834), and the basics of FHIR/HL7 integration., • Segment Knowledge: Ability to differentiate product needs across Commercial Fully-Insured, ASO (Self-Funded), and Medicare Advantage segments. 3. Strategic "Soft" Skills • Advanced Diagnostic Listening: The ability to conduct "Discovery" interviews with Payer stakeholders and distinguish between a technical hurdle (IT), a financial hurdle (Actuarial), and a Political hurdle (Executive)., • Synthesis & Narrative Building: The skill to take 50 pages of actuarial data and "Market Noise" and distill it into a 5-slide "Value Story" that a Payer VP can use to sell the solution internally., • Collaborative Diplomacy: A "low-ego, high-influence" approach. You'll need to advocate for market needs to the Engineering team without "ordering" features; instead, use data and business cases to earn priority.

Perform in-depth DRG quality audits of inpatient medical records. DRG Coder / Clinical Auditor (RN). DRG quality and validation audits of inpatient medical records.

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. Organization: Coding-Cardiology, Cath Lab Job Summary: JOB SUMMARY Reviews, accurately assigns, and abstracts professional and outpatient facility diagnostic and procedural codes to encounters using designated coding classification independently. Supports ongoing training and development of staff. . KEY RESPONSIBILITIES * Develop efficient workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and hospital targets. * Utilize designated coding classification systems and guidelines to ensure accurate code selection; consider the utilization of resources during patient encounters to reflect the appropriate codes. * Proactively identify documentation gaps or inconsistencies that may impact code assignment; initiate coding queries or tasks to clarify documentation and ensure accurate code assignment. * Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise. * The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES * MEDICAL PROFESSIONAL AND OUTPATIENT FACILITY CODING (ADVANCED): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. * MEDICAL TERMINOLOGY AND DOCUMENTATION (ADVANCED): The ability to comprehend medical terminology and documentation in an office, or surgical setting. * CRITICAL THINKING (ADVANCED): The objective analysis and evaluation of an issue in order to form a judgment. * COMPLIANCE (ADVANCED): Understanding the rules, regulations, sanctions, and other statutory requirements, guidelines, and instructions relating to governing bodies and organizations, both internally and externally. Key Words: Gastrointestinal, Digestive, Endoscopy, Colonoscopy, EGD, Biopsy, CGIC, Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose. Core Accountabilities: Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams. Core Capabilities : Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas. - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships. - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services: - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them. - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions. - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly. - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure. - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area. - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation: - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches. - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges. - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: Relevant Work Experience Experience Level: 4 years Education: High School Diploma or GED This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

We are looking for a Value Architect to serve as the strategic engine behind our Health Plan's growth. You will be the primary translator for our most sophisticated buyers: Commercial leaders looking for a competitive edge, Product owners managing complex lifecycles, and Finance teams focused on the bottom line. You aren’t just identifying market needs; you are building the economic and operational case for why our solution belongs in a Payer’s core portfolio. You are the bridge between Payer’s P&L challenges and our technical capabilities. Core Responsibilities • Commercial serves as the strategic engine behind our Health Plan,t alongside our Health Plan sales teams. You will participate in meetings throughout the sales process, peeling back the layers of a Payer’s objection to determine whether the root cause is Financial (actuarial risk), Commercial (market-share loss), or Operational (implementation friction)., • Market-to-Product Synthesis: Act as the voice of the health plan within the internal product organization. You will synthesize market needs, objections, and trends into structured recommendations for the collective roadmap., • Financial & Actuarial Advocacy: Partner with Payer Finance and Actuarial teams to build and validate the value story. You will build business cases that demonstrate how our product impacts the cost of care, reduces administrative spending, or improves ROI for medical benefit programs., • Product Lifecycle Collaboration: Work as a key stakeholder alongside our Engineering and Payer Product teams to ensure our roadmap aligns with the Payer Calendar (e.g., filing cycles, bid cycles, and open enrollment readiness)., • Solution Engineering (The Technical Closer): Serve as the subject matter expert in deep-dive sessions with Payer leadership. You must be able to explain how our solution integrates with their claims engine and Digital Front Door while defending the product’s financial impact., • Cross-Functional Liaison: Serve as the connective tissue between Sales, Actuarial/Legal, and Engineering to ensure that what we promise in a Payer contract is operationally sound and financially viable. Required Qualifications and Experience: 1. Professional Experience • 8–12+ Years in Health Plan Operations or Strategy: Experience specifically within Commercial Markets, Product Development, or Actuarial/Finance divisions of regional or national Payer., • The Payer-Side Track Record: Proven history of managing or influencing a health plan P&L. You should have experience with how a plan is priced, filed with regulators, and sold to groups., • Cross-Functional Solutioning: Demonstrated experience sitting between The Field (Sales/Brokers) and The Build (IT/Operations) to launch a new insurance product or a high-stakes clinical program., • B2B Enterprise Value Modeling: Experience building formal ROI models or Value Stories that have successfully convinced a Finance/Actuarial team to approve a new vendor or internal initiative. 2. Domain Expertise & Technical Literacy • Payer Financial Mechanics: Deep fluency in MLR (Medical Loss Ratio) drivers, PMPM (Per Member Per Month) cost structures, and the Administrative Credit logic used by payers to justify technology spend., • Regulatory & Filing Knowledge: High-level understanding of the Payer Product Lifecycle, including state filing requirements (SERFF), CMS compliance, and the 12–18-month lead times required for benefit design changes., • Technical Interoperability: While not a coder, you must understand how data moves in a Payer environment—specifically Claims Data (EDI 837/835), Eligibility feeds (834), and the basics of FHIR/HL7 integration., • Segment Knowledge: Ability to differentiate product needs across Commercial Fully-Insured, ASO (Self-Funded), and Medicare Advantage segments. 3. Strategic Soft Skills • Advanced Diagnostic Listening: The ability to conduct Discovery interviews with Payer stakeholders and distinguish between a technical hurdle (IT), a financial hurdle (Actuarial), and a Political hurdle (Executive)., • Synthesis & Narrative Building: The skill to take 50 pages of actuarial data and Market Noise and distill it into a 5-slide Value Story that a Payer VP can use to sell the solution internally., • Collaborative Diplomacy: A low-ego, high-influence approach. You'll need to advocate for market needs to the Engineering team without ordering features; instead, use data and business cases to earn priority.

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! Preferred: Facility Outpatient Coder with a specialization SDS/OBS. Coder must have experience with pain injections Qualified candidates will have 3+ years of coding experience. CCS certification preferred *** What You Will Do: * Review medical records and assign accurate codes for diagnoses and procedures. * Assign and sequence codes accurately based on medical record documentation. * Assign the appropriate discharge disposition. * Abstract and enter the coded data for hospital statistical and reporting requirements. * Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. * Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. * Be responsible for tracking continuing education credits to maintain professional credentials. * Attend Datavant Health sponsored education meetings/in-services. * Demonstrate initiative and judgment in the performance of job responsibilities. * Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. * Function in a professional, efficient, and positive manner. * Adhere to the American Health Information Management Association's code of ethics. * Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn. * Handle a high complexity of work function and decision-making. * Possess strong organizational and teamwork skills. * Comply with all HIM Division Policies. *Preferred: Facility Outpatient Coder with a specialization SDS/OBS. Coder must have experience with pain injections Qualified candidates will have 3+ years of coding experience. CCS certification preferred * What You Need to Succeed: * AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). * 2+ years of coding experience in a hospital and/or coding consulting role. * Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions) * Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling) * Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. * Experience in computerized encoding and abstracting software. * Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually * Experience in computerized encoding and abstracting software What We Offer: * Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays * Benefits for PRN employees: 401k savings plan w/match * Free CEUs every year * Stipend provided to assist with education and professional dues (AHIMA/AAPC) * Equipment: monitor, laptop, mouse, headset, and keyboard * Comprehensive training led by a credentialed professional coding manager * Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. $20-$35 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here () . Know Your Rights () , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, () by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here () . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy () .

Inpatient DRG Validator (Acute Care) Virtual: _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Inpatient DRG Validator? is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. How you will make an impact: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools and auditing workflow systems and reference information to make audit determinations and generate audit findings letters. * Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation purposes (e.g., letter writing). * Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. * Suggests and develops high quality, high value concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. * Requires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. * Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG. Preferred Skills, Capabilities and Experiences : * BA/BS preferred. * Experience with vendor based Diagnosis-Related Group (DRG) Coding/Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. * Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. * Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $95,172 to $149,556. Location(s): Colorado; Illinois; Maryland; Minnesota; Nevada In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws . Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration () .

A leading medical center in Nashville seeks a Medical Coder to analyze medical records and assign accurate ICD-10 codes.Candidates must have a high school diploma and at least 5 years of relevant experience in medical coding.Certifications from recognized bodies such as AHIMA or AAPC are required.Th

A healthcare provider specializing in oncology is seeking a Medical Coding Specialist to manage charge reviews and coding for patient visits, surgeries, and more.

A Medical Center in Nashville, Tennessee seeks an experienced Coding Specialist to assign and abstract diagnostic and procedural codes accurately.

A leading healthcare institution in Nashville is seeking a skilled Medical Coder to review and assign diagnostic codes for outpatient facilities.

Ability to interpret medical records, reports, and chart entries accurately. Medical/Dental/Vision/Life Insurance. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines.

The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e. Minimum of 3 years' experience as a Certified Medical Coder. Among our benefits, Humana provides medical, dental and vision benefits, 40

The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e. Minimum of 3 years' experience as a Certified Medical Coder. The Medical Coding Coordinator performs advanced administrative, operationa

Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. Accurately sequence and abstract medical codes from pati

Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. From fulfilling a single patient's request for their med

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national or

A leading healthcare facility in Nashville seeks a Medical Coder to review and assign diagnostic and procedural codes accurately. Candidates should possess relevant experience in medical coding, including certifications from recognized bodies like AHIMA and AAPC.

A healthcare services provider is seeking an Outpatient Acute Care Coder to ensure accurate coding of patient charts. This role requires experience in medical coding, particularly with ICD-10-CM and CPT systems.

Required Qualifications Coding Certification required: AAPC CPC (no Apprentice) Minimum of 3 years' experience as a Certified Medical Coder Demonstrate ability to problem-solve complex coding issues Experience with Medicare and Medicaid coding guidelines Strong data entry and attention to detail s

Job DescriptionJordan And Associates Consulting is actively matching behavioral healthcare organizations and experienced behavioral health professionals together. We’re opening doors to promising roles and career paths for candidates in many geographical markets across the United States with numerous behavioral healthcare organizations. A growing behavioral health company that provides treatment at all levels of care for SUD with Co-Occuring Disorders is seeking a Billing Manager to lead their growing team. They accept patients with both in-network commercial insurance and Medicaid. The responsibilities for this role include overseeing VOB team, cash collections, payment posting, patient collections, and assisting with appeals. This opportunity includes a competitive compensation plan and benefits at a stable, growing organization. Principal Responsibilities: • Oversee day-to-day operations of the billing team, including workflow management, staffing, training, and disciplinary actions., • Coordinate billing needs and onboarding processes for treatment centers located in different states., • Monitor payment trends through evaluating and implementing changes to billing and collections strategies that improve cash flow., • Ensure HIPAA compliance across billing activities and implement regulatory updates in a timely manner., • Work with Payers to resolve complex billing or reimbursement issues., • Collaborate with leadership team to ensure alignment and communication of billing requirements across facilities., • Ensure timely month-end close processes and reporting from the billing department., • Contribute to and monitor adherence to the departmental budget., • Stay up-to-date with industry trends, Federal guidelines, and payer policy changes impacting reimbursement operations., • Oversee and continuously improve billing processes and systems for internal and external stakeholders., • Develop and implement training programs to ensure staff proficiency in billing regulations, compliance, and policy adherence., • Conduct staff evaluations, establish performance goals, and manage individual development plans., • Promote professional development through coaching, mentorship, and employee performance audits., • Foster collaboration across the organization to improve efficiency and outcomes., • Serve as a communication bridge between executive leadership and frontline billing staff., • Minimum 5 years experience in SUD treatment billing., • Minimum 3 years leadership experience in SUD treatment billing., • In-depth knowledge of medical billing codes (ICD-10, CPT, HCPCS) and Federal regulations within the Behavioral Healthcare field., • Proficiency in billing and EMR systems and financial reporting tools., • Professional certification preferred: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB)., • Proven leadership skills with experience managing and developing high-performing teams.

Job DescriptionDescription: Specialty Dental Brands (SDB) is a leading dental service organization focused on partnering with the best doctors with a proven record of accomplishment of patient care and community involvement. We provide proven operational support, technology, and overall practice management across a nation-wide network of leading class pediatric dentistry, orthodontics, and oral surgery platforms. We are looking for a talented and highly motivated individual who has a natural desire to improve and build new processes and thrive in a start-up culture and rapidly growing business. Manager, Revenue Cycle Management are primarily responsible for supporting RCM functions of the front and back office through training, education, analyzing collections, resolving non-payables special projects, handling inquiries for complex revenue cycle issues, front office auditing, clearing house management, and assistance on any special projects assigned. Job Type: • Full-Time, • Hybrid (after onboarding period), • May require up to 50-75% Travel depending on the need of the practice or region., • RCM Manager will be responsible for the team in which they work with. Organizing the support of the RCM Specialists that report to them and the regions they support., • RCM Manager will be responsible for assigning projects to the RCM Specialists that report to them., • RCM Manager will be responsible for the assigned region's net revenue percentage to ensure the practices increase revenue and decrease RCM errors., • RCM processes, policies, and compliance items are followed by working with the Regional Directors and RCM Director., • SME for the Revenue Cycle process and communicate, educate, and train front and back-office RCM processes., • SME knowledge of billing, coding, and productivity auditing, • SME knowledge of payer processing and payer policies, Medicaid, and Dental Payers, sometimes medical payers., • Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail., • Must have excellent organizational skills and ability to prioritize and coordinate workload with high proficiency and accuracy., • Must have excellent analytical and problem-solving skills., • Maintains strict confidentiality of patient’s medical records and adherence to all HIPAA and ACHC policies and regulations., • Must be extremely accurate with attention to details, policies, and procedures., • SME knowledge of billing, coding, and productivity auditing, • Ability to report trending data and identify areas of RCM opportunities., • Must develop and update multiple Action Plans and produce positive revenue outcomes., • Must be agile to move from project to project at a quick pass or be able to change gears quickly., • Meet established production and quality standards as set by Specialty Dental Brands, • Excellent and accurate calculator and computer skills. Including the ability to use Microsoft Excel, Microsoft Word, E-Mail. Excel and Data will be a major function of the job; therefore, you must be able to work with Excel functions and pivot tables., • Performs special projects and other duties as assigned., • Immediate to High-level knowledge of medical and dental billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding EOBs., • Strong oral, written, and interpersonal communication skills, • Strong time management and organizational skills, • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills, • Ability to read, understand, and apply state/federal laws, regulations, and policies., • Ability to adapt to and train on multiple PM systems., • Ability to communicate with diverse personalities discreetly, maturely, and professionally., • Ability to remain flexible and work within a collaborative and fast-paced environment., • Ability to work easily and cooperatively with other departments., • Ability to work independently and follow through on tasks without direct supervision., • Ability to work well under pressure in a flexible, diplomatic, and expeditious manner., • Reports to: RCM Director, • Other Key Relationships: General Manager, VP of Revenue Cycle, RD for region providing supporRequirements:, • High School Diploma or GED, • At least five (5) years in the healthcare or dental RCM functions., • At least five (5) years in billing and claims resolution, • At least five (5) years of dental front office RCM functions, • Preferred: CPB (Certified Professional Biller), CMB (Certified Medical Biller), CDC (Certified Dental Coder), CDBS (Certified Dental Billing Specialist). Must be willing to obtain certification if asked.

Technical Capabilities Medical Coding (Advanced): Transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Medical Terminology & Documentation (Advanced): Ability to comprehend medical terminology and documentation in office or s

Join Our Team as a Medical Access Assistant (MAA) Specialist!. Medical Access Assistant (MAA) Specialist. California Medical Provider Network (MPN).

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25/hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You do

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

We're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free time by providing feedback on everyday products and services.If you're comfortable sharing your opi

End Client: State of Tennessee.Job Title: Administrative Services Manager.Under general supervision, the contract Administrative Assistant 4 position provides advanced administrative and fiscal support for Maternal and Child Health grants funded through the Rural Health Transformation Program.This p

Vanderbilt University Medical Center - - Responsibilities: Provide hands-on acute care physical therapy interventions under supervision to acute hospital patients.

Vanderbilt University Medical Center - - Responsibilities: Provide hands-on occupational therapy treatment in the home under the supervision of a licensed Occupational Therapist; Support patients with self-care, mobility, and activities of daily living; Implement care plans and document patient pro

Vanderbilt University Medical Center - - Responsibilities: Implement individualized occupational therapy treatment plans; Provide therapeutic interventions to support functional independence; Educate patients and families to promote safety, recovery, and independence; Document patient progress, out

Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opport

That's because we only use top of the line lasers, and all our treatments are performed by licensed medical professionals. Assist medical staff with the maintenance of treatment rooms.

Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Medical Receptionist Float, St Thomas West. SUMMARY: As the Medical Receptionist Float, this individual provides assistance and coordination for all aspects of the office site.

Receptionist/Administrative Assistant.The Nashville office has an opening for a Receptionist/Administrative Assistant to assist with administrative functions and perform daily receptionist duties.Assist attorneys and staff with booking conference room meetings and events.Order catering for meetings

Education: High School Diploma/Equivalent, some college credits or degrees preferred or relevant work experience in medical office setting. Experience: preferred or relevant work experience in medical office setting.

With over 90 doctors supporting the ADG medical team, they strive to lead in clinical practice, research and education in our field. Medical, dental, vision, dependent care FSA, and short-term disability benefit options (full-time employees only).

Join The Generator Supercenter.Generator Supercenter is North America's top provider of standby generator systems, offering high-quality products, turnkey installations, and certified service.We pride ourselves on delivering a seamless and professional experiencefrom first consultation to final insp

Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Medical Receptionist Float - Green Hills. SUMMARY: As the Medical Receptionist Float, this individual provides assistance and coordination for all aspects of the office site.

Saturday Receptionist - Lexus of Cool Springs.Part-Time Saturday Receptionist Lexus of Cool Springs (Sales Department) Hours: Saturdays, 7:30 AM 6 PM | Pay: $15-16/hour | Additional days/hours may be available.Lexus of Cool Springs is looking for a warm, organized, and customer-focused Part-Time R

Benefits: License Reimbursement, Simple IRA, Bonus based on performance, Competitive salary, Flexible schedule, Opportunity for advancement, Paid time off, Training & development.We've been in business for 20 years and currently lead a close-knit team of three full-time members, plus the agent.With

The Medical Receptionist must effectively and professionally manage patient flow from arrival to departure; perform various clerical duties; interacts with other clinic personnel, patients and visitors, and fellow employees to ensure good internal and public relations. Medical Receptionist handles i