• DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
    Elevance Health (04/29/25)
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  • Remote Physician Pro Fee Coding

    Community Health Systems (Franklin, TN)
    … Physician provides quality review and analysis of a wide range of patient medical records and ensures accuracy of coding . This role ensures appropriate ... ICD codes. Requests additional information as needed to clarify missing or inadequate medical record information required to complete the coding assessment and… more
    Community Health Systems (02/04/25)
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  • Senior CVIR Revenue Integrity Coding

    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 ... you will do in this role:** + Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines + Coordinates with… more
    HCA Healthcare (03/22/25)
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  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Nashville, TN)
    …and/or hospital (technical) services, including: detection and correction of documentation, coding , and billing errors and/or medical necessity of services ... of documentation in support of services billed; compliance with other documentation and coding and billing standards; and physician and coder education. This… more
    Cardinal Health (04/25/25)
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  • Profee Vendor Resource Management Team Lead

    HCA Healthcare (Nashville, TN)
    …by practices or the PSC. + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence ... in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources, to… more
    HCA Healthcare (04/02/25)
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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 (04/29/25)
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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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  • Nurse Practitioner - Float

    CenterWell (Hermitage, TN)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
    CenterWell (04/17/25)
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  • Nurse Practitioner PRN

    CenterWell (Madison, TN)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
    CenterWell (04/09/25)
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  • CenterWell - Physician

    CenterWell (Nashville, TN)
    medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
    CenterWell (04/29/25)
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