- Elevance Health (Nashville, TN)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a… more
- Houston Methodist (TN)
- …Administrator (AHIMA) -- For inpatient/outpatient coding **OR** + CCS - Certified Coding Specialist (AHIMA) -- For inpatient/outpatient coding **OR** ... FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for...Coding Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional… more
- Highmark Health (Nashville, TN)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with ... (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials… more
- Datavant (Nashville, TN)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- CVS Health (Nashville, TN)
- …recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ( Certified Professional Coder) or CCS-P ( ... Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). + Expertise in medical documentation, fraud, abuse… more
- Humana (Nashville, TN)
- …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Elevance Health (Nashville, TN)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- Datavant (Nashville, TN)
- …vision for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Robert Half Accountemps (Memphis, TN)
- Description Job Description: We are seeking a detail-oriented Medical Coding / Physician Auditor to join our team. This role is responsible for reviewing ... compliance with HIPAA and internal policies Requirements Qualifications: + Certified Professional Coder (CPC), Certified Coding...similar credential required + 3+ years of experience in medical coding and/or physician auditing + Strong… more
- HCA Healthcare (Nashville, TN)
- …in energy management and controls, energy auditing, or facilities management + CEA, Certified Energy Auditor preferred + CEM, Certified Energy Manager ... 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