- Elevance Health (Nashville, TN)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Humana (Nashville, TN)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Nashville, TN)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
- Highmark Health (Nashville, TN)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Houston Methodist (TN)
- …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- Humana (Nashville, TN)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Charles River Laboratories (Memphis, TN)
- …Microbiology and Sterility Assurance be responsible for all strategy, process, compliance , and execution of critical activities to assure sterile processes, ... providing supportive leadership and strategic direction to operate with and maintain compliance to regulatory and industry quality standards in support of existing… more
- Kelly Services (Mount Juliet, TN)
- …plant food safety and security audits, report non-conformances, and act as an auditor and verifier of daily quality tasks throughout the processing area. + **GMP ... Compliance :** Monitor production employees to ensure full ...the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your… more
- Charles River Laboratories (Memphis, TN)
- …(CSV) practices, helping others develop skills and knowledge in regulatory compliance , validation processes, and industry best practices. * Identify, schedule and ... that may be uncovered/observed during validation efforts to ensure compliance with applicable regulatory requirements, guidelines, procedures, and policies. *… more
- Banner Health (TN)
- …Works very closely with management and cooperatively with other departments (eg Compliance , Risk Management) and other service providers to ensure the timely ... analyzes using data analytics tools. 6. Provides support to external financial, compliance , and operational auditors in the performance of the audits they have… more