• Denials Prevention Specialist

    Datavant (Nashville, TN)
    …Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. ... vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health...Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials more
    Datavant (11/12/25)
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  • DRG Denials Auditor

    Community Health Systems (Franklin, TN)
    …+ CRNP, LPN, RN , MD, PA, or DO preferred + CCS-Certified Coding Specialist required or + RHIT - Registered Health Information Technician required or + ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits...RHIA - Registered Health Information Administrator required or + CDIP -… more
    Community Health Systems (09/09/25)
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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 ... to be named a Forbes "Best Employer" seven times. Position Summary: The CDI Specialist serves as a liaison between the physicians and hospital departments to promote… more
    Covenant Health Inc. (09/03/25)
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  • Clinical Utilization Review Specialist

    Community Health Systems (Franklin, TN)
    …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
    Community Health Systems (11/15/25)
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