• Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Nashville, TN)
    …coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), ... **JOB SUMMARY** The Coding Auditor 1 is proficient in...prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including… more
    Baylor Scott & White Health (05/07/25)
    - Related Jobs

  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for...Auditor , you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center… more
    HCA Healthcare (04/17/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …(CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well ... coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and… more
    Highmark Health (02/07/25)
    - Related Jobs

  • Inpatient DRG Quality Auditor

    Humana (Nashville, TN)
    … Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... materials. This is a full-time, remote/work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical… more
    Humana (05/03/25)
    - Related Jobs

  • Rev Integrity Auditor Sr

    Covenant Health Inc. (Knoxville, TN)
    …current clinical license/registration in the State of Tennessee as RN with equivalent coding experience. Apply/Share Job Title REV INTEGRITY AUDITOR SR ID ... Overview Revenue Integrity Auditor Full Time, 80 Hours Per Pay Period,...and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million… more
    Covenant Health Inc. (05/05/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (04/29/25)
    - Related Jobs

  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …and you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from...in HIM/HIT preferred (Associate's or Bachelor's) + Minimum of 5 years' acute care inpatient and outpatient coding… more
    HCA Healthcare (04/20/25)
    - Related Jobs

  • Supv Rev Integrity-Ops

    Covenant Health Inc. (Knoxville, TN)
    …management workflow including quality and reporting. Provides departmental and auditor education regarding payer policies, coding , and charging practices. ... cycle and compliance audit projects as they relate to charging, coding , documentation, and billing. Provides consulting services to the organization's management… more
    Covenant Health Inc. (05/03/25)
    - Related Jobs

  • Special Investigation Unit Manager Clinical…

    CVS Health (Nashville, TN)
    …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor… more
    CVS Health (04/23/25)
    - Related Jobs