- Elevance Health (Nashville, TN)
- …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Humana (Nashville, TN)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital...focus on DRG audits. You will also drive process improvement initiatives and develop educational materials. This is a… more
- Houston Methodist (TN)
- …live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- Elevance Health (Nashville, TN)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical… more
- Datavant (Nashville, TN)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- Charles River Laboratories (Memphis, TN)
- …Memphis site. This person will be responsible to partner with Global Quality stakeholders for development, implementation, and continuous improvement of ... * Minimum 5 years as a Leader with direct reports * ISO Lead Auditor training, desirable. * Certified Quality Engineer (ASQ), desirable * Experience working… more
- Charles River Laboratories (Memphis, TN)
- …education and experience listed above. * Certification/Licensure: Certifications like Certified Quality Auditor (CQA), Certified Quality Engineer (CQE), ... to drive efficiency, quality , and effectiveness, fostering a culture of continuous improvement . * Serve as the primary point of contact for client and regulatory… more