• Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that ... evidence and tools. + Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare… more
    CVS Health (09/27/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (Nashville, TN)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...+ Monitors monthly quality scores by vendor and individual coder ; recommends vendor coding personnel to be placed under… more
    HCA Healthcare (08/23/25)
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  • HIM - Inpatient Coding Supervisor (remote)

    Guidehouse (Nashville, TN)
    …by analyzing documentation and discussing correct code assignment. + Reviews medical records flagged through the SMART (Inpatient and Outpatient tools) software ... for patterns of coding errors and opportunities for coder and /or clinical education. + Serves as a...any other EHR + Knowledge of Anatomy, Physiology and Medical Terminology The annual salary range for this position… more
    Guidehouse (08/19/25)
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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/28/25)
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  • Investigator

    Highmark Health (Nashville, TN)
    …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
    Highmark Health (09/10/25)
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  • Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation ... physicians, physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective action to… more
    Cardinal Health (08/27/25)
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  • CenterWell - Physician - Nashville

    CenterWell (La Vergne, TN)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (08/09/25)
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  • Primary Care Physician

    CenterWell (Smyrna, TN)
    …treats clinic patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
    CenterWell (09/06/25)
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  • Supv CDI

    Covenant Health Inc. (Knoxville, TN)
    Overview Coder Supervisor, Clinical Document Integrity Full-time, 80 hours per pay period, Days Covenant Medical Group is Covenant Health's employed and managed ... supervision of employees of the CDI department at Covenant Medical Group. Monitors the following on a daily basis...CDI Manager, directs the day-to-day activities in the centralized medical coding operation to service the various business entities… more
    Covenant Health Inc. (09/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …(CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (09/23/25)
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