• Special Investigation Unit (SIU) Coding Review…

    CVS Health (Nashville, TN)
    …with heart, each and every day. The Certified Professional Coder ( CPC ) Manager will oversee a team of medical coders within the Special Investigations ... reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct… more
    CVS Health (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (TN)
    Certified Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (07/12/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Nashville, TN)
    …Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) ... surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food… more
    Evolent (07/18/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    … Coding Specialist-Hospital-Based (CCS-H) + Certified Outpatient Coder (COC) + Certified Professional Coder ( CPC ) + RHIT + RHIA REQNUMBER: 34153 ... based upon regulatory, coding, and billing guidelines by payer. + Review patient medical records for charge capture and resolution of charge department billing edits… more
    Baptist Memorial (08/02/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Nashville, TN)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Proficient in… more
    Datavant (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (08/09/25)
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  • Senior Coding Educator

    Humana (Nashville, TN)
    …impact** **Required Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more ... Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance… more
    Humana (08/08/25)
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