• Physician Education Specialist

    Community Health Systems (Franklin, TN)
    Certified Coder-AHIMA or AAPC or equivalent preferred + CCS- Certified Coding Specialist preferred Equal Employment Opportunity This organization does not ... or a related field preferred + 2-4 years of experience in medical coding , documentation, or healthcare compliance required + 4-6 years of experience in… more
    Community Health Systems (07/12/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Nashville, TN)
    …you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). + A minimum of 2 ... years HCC coding experience, while certified . + Full understanding...certified . + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease… more
    Datavant (08/01/25)
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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Nashville, TN)
    …license in applicable state(s)** . **Preferred Skills, Capabilities and Experiences:** + ** AAPC Certified Risk Adjustment Coder preferred.** + Expert level ... coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. +...coding team. + Participate in peer review of medical documentation for completed visit notes and patient profile… more
    Elevance Health (08/08/25)
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  • Chargemaster Analyst II

    Intermountain Health (Nashville, TN)
    …+ Current certification through AAPC , AHIMA or HFMA, or other specialty medical coding group. + Demonstrated experience in revenue cycle and chargemaster ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates… more
    Intermountain Health (07/25/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Nashville, TN)
    …or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) + A strong knowledge ... an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Nashville, TN)
    …of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC ( AAPC ) and/or CCS (AHIMA). + Knowledge of ... Qualifications** + Credentials such as a certification from the Association of Certified Fraud Examiners (CFE), an accreditation from the National Health Care… more
    CVS Health (08/08/25)
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  • Manager, Special Investigation

    CVS Health (Nashville, TN)
    …Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC ( AAPC ) + Knowledge of Aetna's policies ... Qualifications** + Credentials such as a certification from the Association of Certified Fraud Examiners (CFE) or an accreditation from the National Health Care… more
    CVS Health (08/01/25)
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