• Inpatient DRG Quality Auditor

    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 ... home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical...managing diverse priorities, adept at swiftly transitioning between tasks based on urgency and demand with minimal instruction. +… more
    Humana (07/25/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Nashville, TN)
    …who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of ... financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and… more
    Evolent (07/18/25)
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  • Vendor Resource Management Profee Team Lead

    HCA Healthcare (Nashville, TN)
    …in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources, to ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (07/15/25)
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  • CDI Reconciliation Specialist

    HCA Healthcare (Nashville, TN)
    …requirements. _HSC Escalation:_ + Using critical thinking skills, independent discretion, clinical judgement, Official Coding Guidelines, DRG Classification, and ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (07/01/25)
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  • Cardiology Profee Coder

    HCA Healthcare (Nashville, TN)
    …and Qualifications** As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. ... **Description** **Introduction** This is a remote/work from home position. This position has a specialization in...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (07/18/25)
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  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Nashville, TN)
    …**What you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership ... against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue… more
    HCA Healthcare (07/11/25)
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  • Product Analyst II

    HCA Healthcare (Nashville, TN)
    …protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...+ Referral services for child, elder and pet care, home and auto repair, event planning and more +… more
    HCA Healthcare (07/10/25)
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  • Medical Director- South Central

    Humana (Nashville, TN)
    …this knowledge in their daily work. The Medical Director's work includes computer- based review of moderately complex to complex clinical scenarios, review ... these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and… more
    Humana (07/11/25)
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  • Billing Integrity Analyst RN

    HCA Healthcare (Nashville, TN)
    …application of modifiers and condition codes, as appropriate + Identify charging, coding , or clinical documentation issues and work with appropriate leadership ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more
    HCA Healthcare (07/26/25)
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  • Solutions Architect

    Evolent (Nashville, TN)
    …is preferred **Healthcare Domain Knowledge That Matters** + Deep understanding of clinical workflows, value- based care models, and healthcare economics + ... other healthcare interoperability standards + Design integration strategies that enable value- based care delivery across Epic, Cerner, Allscripts, and other major… more
    Evolent (06/26/25)
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