• Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Prepares written reports of audit ... define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG… more
    Cardinal Health (11/08/25)
    - Related Jobs

  • Rev Proc Coord-CV-IR

    Covenant Health Inc. (Knoxville, TN)
    …healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and ... clinical expertise of procedures performed and applying regulatory guidelines for coding , charging and billing. + Reviews physician dictation and procedure… more
    Covenant Health Inc. (11/08/25)
    - Related Jobs

  • Health Services Manager (IC) - Payment Policy…

    CVS Health (Nashville, TN)
    …member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and develop moderate ... to complex coding and payment policies; ensure adherence to company, state,...Certified Professional Coder through AAPC or AHIMA (Physician, Inpatient, Outpatient or Payer), or Registered Health Information Technician (RHIT)… more
    CVS Health (11/19/25)
    - Related Jobs

  • Clinical Documentation Specialist RN

    Houston Methodist (TN)
    …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
    Houston Methodist (11/12/25)
    - Related Jobs

  • Medical Records Technician

    Ansible Government Solutions (Memphis, TN)
    …records to identify documentation improvement opportunities in both inpatient and outpatient settings + Generate and communicate queries to healthcare providers to ... + Develop the facility's CDI management program encompassing both inpatient and outpatient billable and non-billable services + Focus on inpatient cases (patient… more
    Ansible Government Solutions (11/07/25)
    - Related Jobs

  • RN Utilization Specialist/Review Nurse

    YesCare Corp (Brentwood, TN)
    …assigned contracts and involved in the implementation of a comprehensive outpatient /inpatient review process utilizing criteria based review standards and standards ... initiatives. + Responsible for the implementation of a comprehensive outpatient /inpatient review process utilizing criteria based review standards and standards… more
    YesCare Corp (10/30/25)
    - Related Jobs

  • Programmer Analyst Sr

    Covenant Health Inc. (Knoxville, TN)
    …healthcare network with 10 hospitals (http://www.covenanthealth.com/hospitals/) , outpatient and specialty services (http://www.covenanthealth.com/services/) , and ... data modeling with a background in python and other coding models is preferred. This position will also require...data modeling with a background in python and other coding models preferred. Position will require some minor on-call… more
    Covenant Health Inc. (11/07/25)
    - Related Jobs

  • Charge Solutions Analyst I

    Covenant Health Inc. (Knoxville, TN)
    …with 10 hospitals (http://www.covenanthealth.com/hospitals/) and over 85 outpatient and specialty services (http://www.covenanthealth.com/services/) , and Covenant ... and responding appropriately to ensure compliance; meet regulatory guidelines for coding , charging, and billing; and with discernment for payment inducing decisions.… more
    Covenant Health Inc. (11/04/25)
    - Related Jobs

  • Referral & Precert Specialist

    Covenant Health Inc. (Knoxville, TN)
    …urology. Position Summary: Directs daily operation of scheduling for inpatient/ outpatient procedures and services. Obtains any necessary referrals or ... pre-certifications. Recruiter: Brittany Smithson || ###@covhlth.com Responsibilities + Schedules inpatient/ outpatient tests, procedures and appointments as directed by provider.… more
    Covenant Health Inc. (10/30/25)
    - Related Jobs

  • Registered Nurse - Clinical Documentation…

    Ansible Government Solutions (Memphis, TN)
    …Advisor for the facility's CDI program, focusing on both inpatient and outpatient services + Review health records concurrently to identify opportunities for ... improved documentation and coding accuracy using clinical knowledge and critical thinking skills...Integrity Specialists (ACDIS) + Knowledge of ICD-10-CM and MS-DRG coding systems + Experience with electronic health record systems,… more
    Ansible Government Solutions (11/07/25)
    - Related Jobs