- HCA Healthcare (Nashville, TN)
- …dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The ** Claims Auditor ** primary function is to ensure examiner payment ... care like family! Jump-start your career as a Claim Auditor today with Work from Home. **Benefits** Work from...accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Humana (Nashville, TN)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Sedgwick (Knoxville, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you'll have the ... professional needs. **PRIMARY PURPOSE** **OF THE ROLE** The Independent Adjuster Auditor reviews Independent Adjuster and other Non-Legal Vendor invoices on behalf… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an ... met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
- Elevance Health (Nashville, TN)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Nashville, TN)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA. Apply/Share Job Title CODING AUDITOR -EDU-CLINIC ID 4382326 Facility Covenant Medical Management Department Name Clinical… more
- Sedgwick (Nashville, TN)
- …Major in accounting or technology field strongly preferred. Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Information Systems ... Auditor (CISA), or other professional certification designation is required....other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Nashville, TN)
- …in accounting field preferred. Certified Public Accountant (CPA), Certified Internal Auditor (CIA) or Certified Information Systems Auditor (CISA) certification ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Covenant Health Inc. (Knoxville, TN)
- …Analyzes all correspondence regarding insurance denials for the Revenue Integrity Auditor to take appropriate action. Prepares necessary documentation for insurance ... front end and back end appeals hand-offs, maintaining payer correspondence and claims processing. + Notifies Appeals Supervisor or Revenue Integrity Manager when… more