17 Results for

Coding Manager Jobs in Nashville, TN

Jobs

Brentwood, TN

Remote

$46,082–$57,602 / year

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities.

Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings.

30+ days ago

li>

Certification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders.

EXPERIENCE:

Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred.

30+ days ago

Brentwood, TN

Remote

The Coding Lead plays a key role in training, onboarding, and mentoring team members, ensuring adherence to regulatory requirements, and driving improvements in coding accuracy, turnaround times, and overall revenue cycle performance.

Must have excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels as will be working with physicians, Chief Financial Officers, and hospital department management.

26 days ago

Tennessee

p>The Director, Client Coding Integrations serves as a strategic leader responsible for driving successful onboarding, integration, and ongoing optimization of coding operations across assigned client partnerships.

Employment Disclaimers – Ensemble.

4 days ago

Nashville, TN

Remote

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). 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.

30+ days ago

Nashville, TN

Remote

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). • 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.

30+ days ago

Nashville, TN

Keeps manager informed regarding any billing issues and updates on charge entry Actively participates in the review and improvement of processes and services Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy Communicates as appropriate with the vendor staff and CCU to ensure proper account resolution Answers abstracting and process questions from vendors. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution.

30+ days ago

$110,700–$218,300 / year

li>Other skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities.

Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.

27 days ago

Brentwood, TN

Remote

Part time

p>The Clinical Documentation Integrity Specialist (CDIS) Lead is an advanced level position for the experienced and proficient CDI Specialist consistently meeting or exceeding all criteria for CDIS advanced performance, with an additional emphasis on management responsibilities and expanded scope of oversight.

EDUCATION: Licensed Registered Nurse, RHIA, RHIT, CCS, CDIP, CCDS, or other qualified Clinical Documentation Integrity professional required.

23 days ago

Nashville, TN

$102,960–$185,328 / year

The Risk Adjustment Strategic Manager is responsible for overseeing the day-to-day operations and strategic execution of enterprise risk adjustment programs, including prospective and retrospective initiatives, provider engagement and education, data submissions, vendor oversight, and audit readiness. This role serves as a strategic partner to business leadership by driving operational excellence, ensuring compliance with Centers for Medicare & Medicaid Services (CMS) requirements, and supporting initiatives that optimize revenue integrity and program performance.

19 days ago

Brentwood, Tennessee

Remote

EDUCATION: Licensed Registered Nurse, RHIA, RHIT, CCS, CDIP, CCDS, or other qualified Clinical Documentation Integrity professional required.

23 days ago

Brentwood, TN

Remote

Job Summary: The Clinical Documentation Integrity Specialist (CDIS) Lead is an advanced level position for the experienced and proficient CDI Specialist consistently meeting or exceeding all criteria for CDIS advanced performance, with an additional emphasis on management responsibilities and expanded scope of oversight. Work Experience, Education and Certifications: EDUCATION: Licensed Registered Nurse, RHIA, RHIT, CCS, CDIP, CCDS, or other qualified Clinical Documentation Integrity professional required.

22 days ago

p>• Registered Nurse with active license, unrestricted license • Bachelor of Science in Nursing from an accredited college/university • Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity • Certified Professional Coder (CPC) with coding experience across inpatient, outpatient, and professional services • Familiar with the revenue cycle process and facility and professional claims • Demonstrates excellent communication skills, both written and oral • Experience managing small projects and teams • Familiar with accessing and identifying clinical documentation in electronic medical record systems • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings • Ability to problem solve, multi-task, and prioritize assignments • Understands the importance of privileged and confidential communication • Willingness to travel when needed • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers.

30+ days ago

Brentwood, TN

Remote

The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.

30+ days ago

Brentwood, TN

Remote

Job Summary: The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.

30+ days ago

Nashville, TN

Remote

p>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).

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.

30+ days ago

Duties may be varied and may include many of the following:

Organize work schedules Create work assignments Review timecards for accuracy Conduct quality assurance audits of staff performance Develop and implement quality improvement activities Train and mentor staff Provide feedback on staff performance and developmental needs Collect/analyze/report on data Prepare reports on performance and metrics And other responsibilities of a similar nature and level.

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines.

30+ days ago

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Coding Manager Jobs in Nashville, TN

Medical Coding Quality Analyst (Remote) LifePoint Health Inc

WVUH - Professional Coding Auditor-Educator West Virginia University Medicine

Remote IRF Coding Team lead LifePoint Health Inc

Director, Client Coding Integration Ensemble Health Partners

Senior Coding Specialist (Facility Edits and Denials) - REMOTE Vanderbilt University Medical Center

Senior Coding Specialist (Facility Coding with experience in Observation and Emergency Medicine) - REMOTE Vanderbilt University Medical Center

Vendor Resource Management Pro-Fee Lead HCA Healthcare Inc

Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu Ltd

Clinical Documentation Integrity Specialist Lead 2823-Golden Sun TSA Services LLC

Risk Adjustment Strategic Manager Elevance Health Inc

Clinical Documentation Integrity Specialist Lead Quorum Health Corporate

Clinical Documentation Integrity Specialist Lead Quorum Health Corp

Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLC

Outpatient Acute Care Coder Quorum Health Corp

Outpatient Acute Care Coder - Emergency Quorum Health Corp

Senior Coding Specialist, PRN (Multispecialty Coding exp) - REMOTE Vanderbilt University Medical Center

Lead Outpatient Coder Houston Methodist Hospital

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