• Facility Coding Inpatient DRG Quality

    Banner Health (TN)
    …on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic ... Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding… more
    Banner Health (09/06/25)
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  • Investigator

    Highmark Health (Nashville, TN)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... maintain annual anti-fraud program which includes facilitating fraud training and fraud awareness day , as well as filing annual fraud plans and reports according to… more
    Highmark Health (09/10/25)
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  • Compliance Audit Manager

    Cardinal Health (Nashville, TN)
    …of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Manages focused audits ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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