• Auditor , HCC Risk Adjustment Coding

    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...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
    Datavant (08/08/25)
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  • Coding Quality Auditor

    Houston Methodist (TN)
    … must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
    Houston Methodist (07/12/25)
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  • Senior Inpatient Medical Coding

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
    Humana (08/02/25)
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  • Sr Compliance RCM & Coding Auditor

    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 ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
    Humana (07/29/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    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
    Datavant (08/01/25)
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  • Nurse Auditor 2

    Humana (Nashville, TN)
    …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
    Humana (08/08/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... the course of three years. **This position is fully remote /work from home!** **Schedule: Monday-Friday Day Shift** **Must have...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
    HCA Healthcare (06/21/25)
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