- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Nashville, TN)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- HCA Healthcare (Nashville, TN)
- …billing audits for physicians, urgent care centers, and oncology centers. The Outpatient Services Coding Audit Manager position will work on various audit ... guidance in the development of, as well as the review of, the detailed audit / review ...as a RHIA, RHIT or CPC preferred + Physician coding and/or coding quality monitoring… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Audit Manager? At HCA Healthcare, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be...fieldwork; and proposing modifications to current procedures to improve audit effectiveness and efficiency. + Performs quality … more
- Banner Health (TN)
- …RHIT or RHIA Coding Certification, and make a difference!** **This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
- Covenant Health Inc. (Knoxville, TN)
- …11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we ... Summary: Performs complex level professional internal auditing work. Work involves compliance audit projects for Covenant Health entities as they relate to charging,… more
- Covenant Health Inc. (Knoxville, TN)
- …conducted by Revenue Integrity Department Auditors and Appeal Coordinators. Oversees audit and denials management workflow including quality and reporting. ... entities to lead and conduct revenue cycle and compliance audit projects as they relate to charging, coding...manager. + Works with contract management personnel in the review of contracts and other reimbursement or payment arrangements… more
- Elevance Health (Nashville, TN)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- HCA Healthcare (Nashville, TN)
- …analysis services to business partners. The focus of this position is to review , analyze, and evaluate business systems, processes, services, in which the business ... to develop timelines and manage project risks, assist in the development of quality assurance test plans, and help develop end user documentation. This position… more
- Cardinal Health (Nashville, TN)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... Sr Engineer of Rebates & Incentives for Pharma IT performs configuration or coding to develop, enhance and sustain the organization's software systems in a… more