• Coding Quality Auditor

    Houston Methodist (TN)
    …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. ... At Houston Methodist, the Coding Quality Auditor position is responsible...Additional duties include participating in quality review and performance improvement projects throughout… more
    Houston Methodist (09/30/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    … Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist ... across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed by CMS to promote ...appropriate personnel for processing. + Acts as documentation and coding liaison to clinicians to include review ,… more
    Catholic Health Initiatives (10/04/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
    Elevance Health (10/03/25)
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  • CDI Specialist III

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Integrity Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million...Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and… more
    Covenant Health Inc. (09/03/25)
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  • Outpatient Audit Specialist

    Datavant (Nashville, TN)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
    Datavant (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Nashville, TN)
    …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Academic/Trauma Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding,… more
    Datavant (07/29/25)
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  • Clinical Documentation Specialist RN

    Houston Methodist (TN)
    …- Certified Documentation Integrity Practitioner (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates ... Specialist is responsible for improving the overall quality and completeness of clinical documentation. This position analyzes...for adults in an acute care hospital setting + Coding and utilization review experience preferred **LICENSES… more
    Houston Methodist (08/13/25)
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  • Billing Specialist I

    Community Health Systems (Franklin, TN)
    **Job Summary** The Billing Specialist I is responsible for processing, auditing, and submitting primary and secondary insurance claims, ensuring accuracy, ... timely reimbursement. This role utilizes electronic claims management systems to review , correct, and resolve billing errors, denials, and rejections. The Billing… more
    Community Health Systems (10/06/25)
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  • Senior Digital Marketing Specialist…

    Wounded Warrior Project (Nashville, TN)
    …ready for you. The Wounded Warrior Project (WWP) Senior Digital Marketing Specialist - Salesforce Marketing Cloud is a hands-on expert responsible for designing ... and performance. Collaborating closely with cross-functional teams, the Senior Specialist ensures technical feasibility, compliance, and continuous improvement through… more
    Wounded Warrior Project (08/30/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Nashville, TN)
    …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure adequate staffing to… more
    Prime Therapeutics (09/19/25)
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