- Elevance Health (Nashville, TN)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient… more
- Elevance Health (Nashville, TN)
- ** Clinical Provider Auditor I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying… more
- Elevance Health (Nashville, TN)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- Humana (Nashville, TN)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
- Elevance Health (Nashville, TN)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide all ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Inpatient Coding Auditor ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... part of our team. Job Summary and Qualifications One of the nation's leading provider of healthcare services, HCA Healthcare is made up of locally managed facilities… more
- Highmark Health (Nashville, TN)
- …as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Cognizant (Nashville, TN)
- We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... and compliance with regulatory and organizational standards. - **Enhance Clinical Documentation Quality** . Collaborate with physicians through a structured… more
- Cardinal Health (Nashville, TN)
- …a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for health care facilities. We are a ... crucial link between the clinical and operational sides of care, working with more...+ Experience in analyzing data and creating reports/dashboards/views to provide visibility into risk and control landscape. + An… more
- Kelly Services (Mount Juliet, TN)
- …plant food safety and security audits, report non-conformances, and act as an auditor and verifier of daily quality tasks throughout the processing area. + **GMP ... the Kelly Talent Community. Why Kelly (R) Science & Clinical ? Kelly Science & Clinical is your...individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information… more
- HCA Healthcare (Nashville, TN)
- …team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on ... data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to assure coding knowledge and skills remain current… more