• CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    …medical record, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI specialist functions as an onsite resource for clinical ... Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period,...discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the… more
    Covenant Health Inc. (07/02/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
    Banner Health (06/15/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_ _This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
    Elevance Health (07/22/25)
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  • Clinical Documentation Specialist

    Houston Methodist (TN)
    At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation… more
    Houston Methodist (05/01/25)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a CDI Reconciliation Specialist ? At HCA Healthcare you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated CDI Reconciliation Specialist like you to be a part of our...+ Demonstrates knowledge of Official Coding Guidelines and the DRG Classification System to insure regulatory compliance related to… more
    HCA Healthcare (07/01/25)
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  • Acute Care Inpatient Coding Specialist

    HCA Healthcare (Nashville, TN)
    …Do you have the career opportunities as an Acute Care Inpatient Coding Specialist you want with your current employer? We have an exciting opportunity for ... want to work as an Acute Care Inpatient Coding Specialist where your passion for creating positive patient interactions...and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do… more
    HCA Healthcare (06/21/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (Nashville, TN)
    …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...the denial/downgrade + Explanation of Benefits/Remittance Advice + Payer denial/ DRG downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies… more
    HCA Healthcare (07/12/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Nashville, TN)
    …risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI ... of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete… more
    Intermountain Health (07/16/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (05/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:** + Analyzes and audits ... documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS- DRG , AP- DRG and APR- DRG ; or any combination of education and… more
    Elevance Health (07/17/25)
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