- Elevance Health (Nashville, TN)
- …Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG… more
- Elevance Health (Nashville, TN)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for ... abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document… more
- Highmark Health (Nashville, TN)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- Datavant (Nashville, TN)
- …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Datavant (Nashville, TN)
- …**What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC) + Extensive knowledge ... + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. + Ability to work in… more
- HCA Healthcare (Chattanooga, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...care hospital inpatient coding **required** + RHIA, RHIT or CCS **strongly** **preferred** + High School graduate or GED… more
- Datavant (Nashville, TN)
- …for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). + Proficient in… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...care hospital inpatient coding **required** + RHIA, RHIT or CCS **strongly** **preferred** + High School graduate or GED… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more