- CAI (Nashville, TN)
- Compliance Auditor **Req number:** R6613 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... trailblazers in bringing neurodiversity to the enterprise. **Job Summary** As the Compliance Auditor , you will focus on trade compliance operations, ensuring… more
- Elevance Health (Nashville, TN)
- **Internal Auditor , Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... accommodation is granted as required by law. The **Internal Auditor , Senior** is responsible for conducting financial/operationalaudits, internal control… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a DRG Validation Auditor today with Parallon. **This position is a fully work from home position.** ... location._** Come join our team as a DRG Validation Auditor . We care for our community! Just last year,...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
- HCA Healthcare (Nashville, TN)
- …for benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue to provide all patients with ... apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in ... discharge disposition, and any other relevant data to ensure coding accuracy. The auditor is also responsible for writing and defending appeal letters to payers with… more
- Elevance Health (Nashville, TN)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Zurich NA (Nashville, TN)
- Premium Audit Auditor II 127372 Zurich North America is hiring a Premium Audit Auditor II to join our team! We are open to hiring talent in one of the following ... the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation… more
- Deloitte (Nashville, TN)
- Location: Hermitage, TN Join our team as a Senior IT Internal Auditor , where your analytical thinking and detail-oriented approach will be valued. Contribute ... an impact that matters. Work you'll do As a Senior IT Internal Auditor , you will be responsible for conducting internal audits and providing recommendations for… more
- Baylor Scott & White Health (Nashville, TN)
- …**Job Summary** We are seeking a highly skilled and detail-oriented Senior Internal Auditor to join our Internal Audit team in the healthcare sector. This role ... is critical in operational efficiency, ensuring financial integrity, and regulatory compliance across the organization. The ideal candidate will have a strong… more
- Bridgestone Americas (Nashville, TN)
- …Legal, Compliance & Audit **Position Summary** The Senior Internal Auditor is responsible for conducting Operational, Financial, and Compliance audits ... covering Bridgestone Americas and Bridgestone Europe, Middle East, and Africa business units and functional areas. This role will utilize audit processes and procedures in order to perform effective, independent and objective audits identifying risks,… more
- The Cigna Group (Franklin, TN)
- Join our Evernorth Pharmacy Internal Audit team as a Senior Internal Auditor and help shape the future of risk management and governance at The Cigna Group. In this ... + Develop risk-based audit programs and evaluate organizational activities to ensure compliance and efficiency. + Report findings to senior management and partner on… more
- Confluent (Nashville, TN)
- …operational scalability, and business risk-and influence decisions that balance growth and compliance . + **Lead auditor engagement** , ensuring policies are ... conclusions on complex revenue arrangements; set clear interpretations that balance compliance , risk, and scalability. + **Structure and influence complex revenue… more
- Datavant (Nashville, TN)
- …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape… more
- Cardinal Health (Nashville, TN)
- …as well as completes risk assessments. The **IT Governance and Compliance ** function within the organization develops, enhances, and maintains security policies ... and IT compliance programs in alignment with regulatory, legal, and contractual...the Governance of Enterprise IT), CISA (Certified Information Systems Auditor ), CISSP (Certified Information Systems Security Professional), CISM (Certified… more
- EDB (Nashville, TN)
- …with mission critical capabilities built in such as security, compliance controls, and observability. For more information, visit www.enterprisedb.com As ... met and assisting in customer diligence activities to reinforce EDB's security and compliance posture. **What your impact will be:** + Contribute to the scaling and… more
- Datavant (Nashville, TN)
- …addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, ... the future of healthcare from your own workspace! Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings… more
- Datavant (Nashville, TN)
- …addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...+ Demonstrate strong organizational, teamwork, and leadership skills. Inpatient auditor with 3-5 years of experience at a Trauma… more
- Amazon (Nashville, TN)
- …model as they migrate to the cloud. Are you a Governance, Risk, and Compliance leader who can address the challenges of migrating systems and workloads to the ... business securely on AWS while also demonstrating assurance that compliance objectives can be achieved. This is an exciting.... - Audit certification such as Certified Information System Auditor (CISA) - CMMC certification such as CMMC-RP -… more
- Highmark Health (Nashville, TN)
- …designs, develops, implements, supports, and enables Governance, Risk and Compliance (GRC) architecture and technology solutions to meet business capabilities ... and/or improve upon. Leverages industry, business, technology, risk, and compliance knowledge to enable and/or improve business processes, practices, organizations,… more