• Investigator

    Highmark Health (Nashville, TN)
    …6 years of related and progressive experience in lieu of Bachelor's degree ** Preferred ** + Master's Degree in Fraud, Forensics Accounting, Business or related field ... in the health insurance industry and/or healthcare fraud investigations ** Preferred ** + 1 year in Financial Analysis in an...following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)… more
    Highmark Health (09/10/25)
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  • Coding Quality Auditor

    Houston Methodist (TN)
    …good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with ... (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES AND CERTIFICATIONS - PREFERRED… more
    Houston Methodist (09/30/25)
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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... education and/or experience Licenses, Certifications, & Training: + AHIMA Certified Coder , or Certified Coding Specialist (CCS), or Certified Professional Coder… more
    HCA Healthcare (09/28/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. + CRC (Certified ... Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office...Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred . **Education** + AA/AS or equivalent experience + Completion… more
    CVS Health (09/27/25)
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  • Consultative Coding Professional

    CenterWell (Nashville, TN)
    …and receives guidance where needed. Follows established guidelines/procedures. **Consultative Coder ** The Consultative Coder provides medical coding expertise ... CPC Certification + Ability to travel both locally and overnight. ** Preferred Qualifications:** + Comprehensive knowledge of all Microsoft Office applications,… more
    CenterWell (09/25/25)
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  • Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to ... + Other duties as assigned. **_Qualifications_** + 8-12 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, … more
    Cardinal Health (08/27/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …Coding Denials and Appeals. + Partners with peers and Director to develop coder education based on findings. + Performs other duties as assigned. + Complies ... + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management or related field preferred… more
    Community Health Systems (09/09/25)
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  • AVP Clinical Documentation Compliance

    HCA Healthcare (Nashville, TN)
    …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... years of healthcare experience. + 7 years in a leadership/management role. + Preferred 5-7 years of clinical experience, especially related to coding or clinical… more
    HCA Healthcare (09/04/25)
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  • Vendor Resource Management Profee Team Lead

    HCA Healthcare (Nashville, TN)
    …Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, ... the review and improvement of processes and services + Prepares and presents coder education as needed based on trends and/or problematic areas identified by… more
    HCA Healthcare (09/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …combination of education and experience, which would provide an equivalent background. ** Preferred Skills, Capabilities and Experiences:** + One or more of the ... following certifications are preferred : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical… more
    Elevance Health (09/23/25)
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