• Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …+ 2+ years of acute care observation and/or same day surgery hospital outpatient coding experience **required** + RHIA, RHIT and/or CCS **strongly preferred** + ... **Description** **Introduction** This is a remote /work from home position. Are you passionate about...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (03/22/25)
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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 ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (04/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Nashville, TN)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification (CPC, CCS , CPMA). **Preferred Capabilities,… more
    Elevance Health (05/02/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Nashville, TN)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (03/27/25)
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  • Director, Payment Integrity- DRG Validation

    Elevance Health (Nashville, TN)
    …CDIP credential strongly preferred. + Extensive experience in DRG validation audits, medical coding or clinical documentation improvement strongly preferred. + ... _Location: Alternate locations may be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of… more
    Elevance Health (04/22/25)
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