• Supv CDI

    Covenant Health Inc. (Knoxville, TN)
    Overview Coder Supervisor, Clinical Document Integrity Full-time, 80 hours per pay period, Days Covenant Medical Group is Covenant Health's employed and managed ... that affect financial performance: all unbilled accounts receivable claims for all coding deficiencies including those claims that have failed edits and are in… more
    Covenant Health Inc. (09/18/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …non-RAC accounts, reviewing patient records for accuracy in ICD-10-CM/PCS coding , DRG assignments, and supporting clinical documentation. This includes evaluating ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing...Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties… more
    Community Health Systems (09/09/25)
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  • Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. ... in support of services billed; compliance with other documentation and coding and billing standards; communication of audit results to physicians, physician… more
    Cardinal Health (08/27/25)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Nashville, TN)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Nashville, TN)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM,...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • Investigator

    Highmark Health (Nashville, TN)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical and… more
    Highmark Health (09/10/25)
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  • AVP Clinical Documentation Compliance

    HCA Healthcare (Nashville, TN)
    …opportunities. This role focuses on clinical documentation integrity (CDI), coding queries/nudges, and digital transformation and innovation initiatives, including ... compliance relative to projects, including clinical documentation improvement, computer-assisted coding , EHR implementation, and physician queries. + Provide subject… more
    HCA Healthcare (09/04/25)
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