• CenterWell - Physician - Nashville

    CenterWell (Old Hickory, 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 (11/07/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Nashville, TN)
    …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
    CenterWell (10/23/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …**Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more
    CVS Health (12/28/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Nashville, TN)
    …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Elevance Health (12/18/25)
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  • 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 (11/12/25)
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  • Payment Integrity Clinician

    Highmark Health (Nashville, TN)
    …Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve ... ** Company :** Highmark Inc. **Job Description :** **JOB...claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure… more
    Highmark Health (11/14/25)
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  • AVP Clinical Documentation Integrity

    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...and serve as a subject matter expert on critical company initiatives. Job Duties: + Provide exceptional leadership and… more
    HCA Healthcare (12/17/25)
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  • Profee Coding Consultant (Surgery Coding) - PRN

    Datavant (Nashville, TN)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...care settings. **_We are seeking an experienced Profee Surgery Coder PRN with strong proficiency in coding surgical procedures… more
    Datavant (12/23/25)
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  • Software Developer 3

    Oracle (Nashville, TN)
    …a start-up, with the scale and customer focus of the leading enterprise software company in the world. Values are OCI's foundation and how we deliver excellence. We ... for major components of Oracle's Cloud Infrastructure. You should be both a rock-solid coder and a distributed systems generalist, able to dive deep into any part of… more
    Oracle (12/22/25)
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  • Principal Member of Technical Staff

    Oracle (Nashville, TN)
    …of a start-up, with the scale and customer-focus of the leading enterprise software company in the world. Values are OCI's foundation and how we deliver excellence. ... controls, metrics, and monitoring dashboards. **Qualifications** You are an expert coder with networking and embedded system experience. You value simplicity and… more
    Oracle (12/21/25)
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