• Coding Auditor I - (Inpatient)

    Baylor Scott & White Health (Nashville, TN)
    **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
    Baylor Scott & White Health (05/07/25)
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  • Inpatient Coding Auditor

    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 ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews… more
    HCA Healthcare (04/17/25)
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  • Coding Auditor

    HCA Healthcare (Brentwood, TN)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking a Coding Auditor for our team to ensure that we continue to ... we do. We want you to apply! **Job Summary and Qualifications** The Coding Auditor is responsible for performing quality reviews and audits of the assigned… more
    HCA Healthcare (05/07/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding more
    Elevance Health (05/08/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (02/07/25)
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  • Inpatient DRG Quality Auditor

    Humana (Nashville, TN)
    …This 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,… more
    Humana (05/03/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …you have the opportunity to make a difference. We are looking for a dedicated Inpatient Coding Quality Auditor like you to be a part of our team. **Job Summary ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Work from Home, you...and Qualifications** As a Coding Quality Audit Reviewer you will be responsible for… more
    HCA Healthcare (04/20/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (04/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Nashville, TN)
    **Clinical Provider Auditor II** _Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live ... recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may… more
    Elevance Health (05/02/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Nashville, TN)
    …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… more
    CVS Health (04/23/25)
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