• Manager, Risk Adjustment Coding Support

    Evolent (Nashville, TN)
    …field or equivelent years of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ ... Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is... Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment… more
    Evolent (09/23/25)
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  • HIM ProFee Auditing Specialist FT

    Datavant (Nashville, TN)
    …healthcare from your own workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... to realize our bold vision for healthcare. As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Nashville, TN)
    …SDS, ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... vision for healthcare. **What We're Looking For:** As an Outpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    …to realize our bold vision for healthcare. As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, ...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
    Datavant (07/29/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management ... references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters...LPN, RN, MD, PA, or DO preferred + CCS-Certified Coding Specialist required or + RHIT -… more
    Community Health Systems (09/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (09/23/25)
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  • CDI Reconciliation Manager

    HCA Healthcare (Nashville, TN)
    …combination of education and/or experience Licenses, Certifications, & Training: + AHIMA Certified Coder , or Certified Coding Specialist (CCS), or Certified ... 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… more
    HCA Healthcare (09/28/25)
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  • AVP Clinical Documentation Compliance

    HCA Healthcare (Nashville, TN)
    …+ Preferred: Certification in Healthcare Compliance (CHC) or Certified Professional Coder (CPC) or Certified Clinical Documentation Specialist (CCDS) or ... 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… more
    HCA Healthcare (09/04/25)
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