- 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
- 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)
- …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… 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
- SAIC (Nashville, TN)
- …ensure compliance with administrative procedures, rules, regulations, and statutes. + Review the efficiency of administrative procedures within the office and ... to determine if all procedural requirements have been met. + Calculate or audit timesheets, monitor instruction time and pay differential including a variety of… more