• Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs,...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (08/08/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in...Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified… more
    Elevance Health (07/22/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and ... division is required. **Job Summary and Qualifications** + Provides coding and documentation improvement education to Providers....+ Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding more
    HCA Healthcare (06/21/25)
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  • Regional Coding Operations Manager WFH

    HCA Healthcare (Nashville, TN)
    …processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and ... Travel within division is required. **Job Summary** + Provides coding and documentation improvement education to Providers....+ Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding more
    HCA Healthcare (06/21/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (TN)
    …operations, or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified ... physicians, surgeons and anesthesiologists. Refers inconsistent patient treatment information or documentation to coding support tech, coding quality… more
    Banner Health (07/10/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... conditions + Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations… more
    CVS Health (08/09/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical ... documentation is consistent and that diagnoses meet clinical definitions. + Assists the coding department… more
    Covenant Health Inc. (08/08/25)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …supported conditions in multiple electronic health record technologies to ensure complete documentation . + Performs independent coding of the record to assure ... that the HIM coding accurately reflects the documentation . + Ensures..._HSC Escalation:_ + Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification,… more
    HCA Healthcare (07/01/25)
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  • Specialist -Denial II RN

    Baptist Memorial (Memphis, TN)
    …the BMHCC revenue cycle as demonstrated by the following: Performs reviews of clinical information and supporting documentation for acute care inpatient services ... out to payer contacts, communicate with physician clinics to obtain additional documentation to support appeal, collaborate with coding /billing for formulation… more
    Baptist Memorial (07/11/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Nashville, TN)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a ... patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance. + Query physicians regarding… more
    Datavant (07/26/25)
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