- 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
- 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
- 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
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …? The Professional and Ancillary Audit Department at BCBST is seeking a dedicated Coding Auditor to join our team and perform thorough claims payment quality ... and clinical coding compliance audits\. Your role will be pivotal in...at least 2 years of professional or facility inpatient/outpatient coding and auditing experience\. Current AHIMA or CPC certification… more
- Catholic Health Initiatives (Chattanooga, TN)
- …hospital, connect with us today! **Responsibilities** **Job Summary / Purpose** The Sr Coding Compliance Auditor is responsible for reviewing chart notes for ... patient medical needs are met at the highest level. The Sr Coding Compliance Auditor 's primary focus will be to facilitate and ensure the comprehensive capture… more
- Houston Methodist (TN)
- …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
- 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
- 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
- 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 (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 (Nashville, TN)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Ascension Health (Franklin, TN)
- …medical records to determine accuracy of billing through verification of coding , billing and supporting clinical documentation. + Coordinate all activities ... associated with insurance carrier audit requests and work with payers to ensure timely handling of these payer audits. + Review technical payer denials and determine whether an appeal is justified. + Write and track technical appeal letters and relay… more
- 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
- First Horizon Bank (Memphis, TN)
- …team focused on assigned audit, providing supervision and assignments to team members as Auditor In Charge as well as reviewing work papers completed by staff and ... Years related auditing experience Relevant IT industry knowledge (Infrastructure, Coding /Development, Information/Cyber Security, Technical Support, Provisioning/De-Provisioning, Data Centers, Backups,… more