• Revenue Integrity Charge Review Analyst

    HCA Healthcare (Nashville, TN)
    …charging validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS , CCP,CPC or other recognized AHIMA certified coding credential, ... 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… more
    HCA Healthcare (07/11/25)
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  • Revenue Integrity Spec

    Covenant Health Inc. (Knoxville, TN)
    …and specialty services (http://www.covenanthealth.com/services/) , and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing ... projects for Covenant Health entities as they relate to charging, coding , documentation and billing. Maintains all organizational and professional ethical standards.… more
    Covenant Health Inc. (07/22/25)
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  • Clinical Provider Auditor II

    Elevance Health (Nashville, TN)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification (CPC, CCS , CPMA). For candidates… more
    Elevance Health (08/08/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Nashville, TN)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    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 ... by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked...GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC… 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 ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    …clinics to obtain additional documentation to support appeal, collaborate with coding /billing for formulation of appeal with corrected claims and denial resolution ... + Prepares response to denials based on supporting clinical information in the medical record, applicable payer policies, NCDs, LCDs, and state and federal rules and… more
    Baptist Memorial (07/11/25)
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  • Clinical Documentation Specialist FT

    LifePoint Health (Gallatin, TN)
    …4 years nursing experience in adult inpatient clinical role or 4 years coding experience ( CCS ) - Required **Job:** **Nursing* **Organization:** ** **Title:** ... members, the Clinical Documentation Specialist, will strive to ensure comprehensive medical record documentation that reflects the clinical treatment, decisions, and… more
    LifePoint Health (08/09/25)
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