• Coding Quality Auditor

    Houston Methodist (TN)
    …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
    Houston Methodist (04/12/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …factors. With technical direction and assistance from management, designs and implements coder education program, continuing education programs and Medical Staff ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist ( CCS ) + AAPC Credentials (Outpatient): Certified Professional Coder more
    Highmark Health (02/07/25)
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  • Consultant, Ethics & Compliance (Audit)

    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 ... with other documentation and coding and billing standards; and physician and coder education. This position will also support the Director with scheduling and… more
    Cardinal Health (04/25/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. Professional Medical Auditor Certification (CPMA) ... The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed… more
    Catholic Health Initiatives (05/04/25)
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  • Remote Physician Pro Fee Coding…

    Community Health Systems (Franklin, TN)
    **Job Summary** The Coder Physician provides quality review and analysis of a wide range of patient medical records and ensures accuracy of coding. This role ... and procedure codes for services and treatments as documented in the medical record. This includes sequencing appropriately as per government and insurance… more
    Community Health Systems (02/04/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of ... of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG… more
    Elevance Health (04/29/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …(CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (04/29/25)
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  • Senior CVIR Revenue Integrity Coding Specialist

    HCA Healthcare (Nashville, TN)
    …Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...have: RHIA or RHIT or CPC or COC or CCS , or CIRCC certifications required (must obtain certification within… more
    HCA Healthcare (03/22/25)
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  • Profee Vendor Resource Management Team Lead

    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...improvement of processes and services + Prepares and presents coder education as needed based on trends and/or problematic… more
    HCA Healthcare (04/02/25)
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  • Clinical Documentation Specialist

    Community Health Systems (Knoxville, TN)
    …with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity ... and acuity. + Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support… more
    Community Health Systems (03/26/25)
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