• Senior Coding Educator

    Humana (Nashville, TN)
    …of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to complex issues where the analysis of… more
    Humana (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding - Full…

    Datavant (Nashville, TN)
    …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... 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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  • Manager, Coding Operations

    Datavant (Nashville, TN)
    …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division. ... access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance… more
    Datavant (06/24/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Nashville, TN)
    …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA)...Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder more
    Evolent (07/18/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. Preferred/Desired Special Skills Minimum ... , and billing guidelines by payer. + Review patient medical records for charge capture and resolution of charge...Required + Preferred/Desired + LPN + RN + Certified Coding Specialist-Hospital-Based (CCS-H) + Certified Outpatient Coder more
    Baptist Memorial (08/02/25)
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  • Physician Education Specialist

    Community Health Systems (Franklin, TN)
    …Administration, or a related field preferred + 2-4 years of experience in medical coding , documentation, or healthcare compliance required + 4-6 years of ... educational meetings for CHS-affiliated providers and staff, including the PPS Physician Coding and Documentation Seminar. + Reviews medical records to ensure… more
    Community Health Systems (07/12/25)
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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 (08/09/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...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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  • Clinical Quality Consultant NP 100% Virtual,…

    Elevance Health (Nashville, TN)
    …documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability for ... + Liaison to coding team. + Participate in peer review of medical documentation for completed visit notes and patient profile information in EMR. + Reviews… more
    Elevance Health (08/08/25)
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  • CenterWell - Physician - Nashville

    CenterWell (La Vergne, 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 (08/09/25)
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