- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. ... make a difference. We are looking for a dedicated 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
- Intermountain Health (Nashville, TN)
- …creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review , audit findings, and appeal strategies. + Develops ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides...coding patterns and trends. + Participates in hospital quality improvement initiatives to assure accurate reimbursement + Participates… more
- Datavant (Nashville, TN)
- …provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining to ... closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality … more
- Datavant (Nashville, TN)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Coinbase (Nashville, TN)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more
- Molina Healthcare (Bowling Green, KY)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding . **Job Summary** Utilizing clinical knowledge and experience, ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and ...two years of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with… more
- HCA Healthcare (Nashville, TN)
- …Submit your application for the opportunity below: Revenue Integrity Charge Review Analyst Parallon **Benefits** Parallon offers a total rewards package that ... by location._** We are seeking a Revenue Integrity Charge Review Analyst for our team to ensure that we...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Datavant (Nashville, TN)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage ... regulations and best practices related to prospective risk capture and concurrent review . **Compliance & Quality :** + Partner with Legal, Compliance, and… 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
- Datavant (Nashville, TN)
- …preferably within an academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding ... codes from patient records, ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders, where applicable + Champion… more
- Coinbase (Nashville, TN)
- …monitoring or risk treatment. * Maintain source of truth risk register: Quality control of data, tooling support, and implementing automation/process improvements to ... for risks, assessments, and reporting to meet regulatory requirements. * Support audit and regulatory inspections: Support data compilation to respond to US and… more
- Veralto (Nashville, TN)
- …leader in the product identification market, providing in-line printing, coding and marking products, consumables, and software solutions. Videojet's technologies ... guidance for daily management, visual project management, and Growth Rooms. + Audit existing processes and systems to determine actions required for improvements at… more
- HCA Healthcare (Nashville, TN)
- …education and training programs to foster a culture of compliance. + Evaluate review results to determine trends and systemic issues, facilitating action steps for ... of current standards and facilitating standardization across the organization. + Review existing policies and recommend revisions, assisting with the development and… more
- Wounded Warrior Project (Nashville, TN)
- …tools to actively monitor campaign performance and recommend optimizations. + Review marketing briefs to ensure technical feasibility within existing SFMC ... measuring campaign performance. + Strong analytical skills with the ability to review technical reports and present findings to marketing teammates. + Proficiency… more
- Regions Bank (Nashville, TN)
- …a place to expect more opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to succeed, then we are your ... Schedule for a minimum of three years. You may review , modify, or update your information by visiting and...accuracy and effectiveness + Specifies timeframes for the development, audit , and deployment of marketing campaigns + Oversees the… more