• Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …AAPC Credentials ( Outpatient ): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + ... all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
    Highmark Health (08/08/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …based upon regulatory, coding, and billing guidelines by payer. + Review patient medical records for charge capture and resolution of charge department billing ... + Preferred/Desired + LPN + RN + Certified Coding Specialist-Hospital-Based (CCS-H) + Certified Outpatient Coder (COC) + Certified Professional Coder (CPC) +… more
    Baptist Memorial (08/02/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...recoveries may be available, such as re-admissions, Inpatient to Outpatient , and HACs. + Suggests and develops high quality,… more
    Elevance Health (07/22/25)
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  • Senior Coding Educator

    Humana (Nashville, TN)
    …Senior Coding Educator is responsible for reviewing and analyzing internal data and medical records , as well as coordinating educational sessions with providers ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
    Humana (08/08/25)
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