- 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...and global coding education based on the quality monitoring review findings and trends. **What… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Coding Quality Audit Reviewer opening. We promptly review all applications. Highly qualified candidates ... result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to... of patient data, to ensure minimal variation in coding practices and to improve the quality … 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
- Humana (Nashville, TN)
- …help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit / Review performs clinical audit /validation processes to ensure that medical ... record documentation and diagnosis coding for services rendered is complete, compliant and accurate...and accurate to support optimal reimbursement. The Manager, Nurse Audit / Review works within specific guidelines and procedures;… more
- CVS Health (Nashville, TN)
- …Minimum of 1 year recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + CPC (Certified Professional Coder) ... all with heart, each and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and… more
- CenterWell (Nashville, TN)
- …partner with offshore coding team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + ... for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify coder errors… more
- CenterWell (Nashville, TN)
- …and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** + Perform Quality Assurance on post-visit reviews. ... (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address...positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO,… 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
- Datavant (Nashville, TN)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... (at least 30 hours/week). MUST have 3-5+ years of audit experience at an Academic/Trauma Level 1 facility. Experience...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- Coinbase (Nashville, TN)
- …alignment. Attendance is expected and fully supported. Coinbase is looking for an Internal Audit Senior, IT 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
- Datavant (Nashville, TN)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... experience is a plus **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers… 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
- HCA Healthcare (Nashville, TN)
- …RN for our team to ensure that we continue to provide all patients with high quality , efficient care. Did you get into our industry for these reasons? We are an ... to apply! **Job Summary and Qualifications** The Revenue Integrity Clinical Charge Review Analyst RN is responsible for determining and identifying variations in… 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
- 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