• Inpatient Coding Quality

    HCA Healthcare (Chattanooga, TN)
    …of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from ... may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our...+ Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical more
    HCA Healthcare (09/27/25)
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  • Inpatient Medical Coding

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
    Humana (09/24/25)
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  • Coding Quality Auditor

    Houston Methodist (TN)
    At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (09/30/25)
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  • Medical Coding Auditor

    CenterWell (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The ** Medical Coding Auditor ** work assignments...for information + Supports and participates in process and quality improvement initiatives + Partners with business associates from… more
    CenterWell (10/01/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
    Elevance Health (10/03/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Nashville, TN)
    …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
    Highmark Health (09/20/25)
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  • Coding Data Quality Auditor

    CVS Health (Nashville, TN)
    …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + CPC ... every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that… more
    CVS Health (09/27/25)
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  • Auditor , HCC Risk Adjustment Coding

    Datavant (Nashville, TN)
    …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... 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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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …policies and standards. **Qualifications** + HS Diploma or GED required + Other Medical Coding Program preferred + Associate Degree Health Information Management ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible...references for CHS hospitals via scanned, electronic and hybrid medical records. Based on review findings, writes appeal letters… more
    Community Health Systems (09/09/25)
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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 ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge… more
    Elevance Health (09/23/25)
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