- 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...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
- 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
- Coinbase (Nashville, TN)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior 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 ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
- Datavant (Nashville, TN)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Academic/Trauma Level 1 facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding,… more
- HCA Healthcare (Nashville, TN)
- …Submit your application for the opportunity below: Revenue Integrity Charge Review Analyst Parallon **Benefits** Parallon offers a total rewards package that ... by location._** We are seeking a Revenue Integrity Charge Review Analyst for our team to ensure that we...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Datavant (Nashville, TN)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage ... regulations and best practices related to prospective risk capture and concurrent review . **Compliance & Quality :** + Partner with Legal, Compliance, and… 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
- Community Health Systems (Franklin, TN)
- … coding experience required + 2-4 years Inpatient acute care hospital coding audit experience preferred + 1-2 years Clinical Documentation Improvement or ... provides audit feedback to relevant parties, including coders and coding managers, to improve coding practices and compliance. **Essential Functions**… more
- HCA Healthcare (Nashville, TN)
- …the monthly random, focus, prebill review , and Ad Hoc quality review process + Submits and reviews coding appeals as appropriate **What qualifications ... with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education,… 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
- CGI Technologies and Solutions, Inc. (Knoxville, TN)
- …on various payment integrity domains, including pre-payment review , post-payment audit , FWA detection and prevention, coding accuracy, clinical integrity, ... on various payment integrity domains, including pre-payment review , post-payment audit , FWA detection and prevention, coding accuracy, clinical integrity,… 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
- Veralto (Nashville, TN)
- …leader in the product identification market, providing in-line printing, coding and marking products, consumables, and software solutions. Videojet's technologies ... guidance for daily management, visual project management, and Growth Rooms. + Audit existing processes and systems to determine actions required for improvements at… more
- HCA Healthcare (Nashville, TN)
- …education and training programs to foster a culture of compliance. + Evaluate review results to determine trends and systemic issues, facilitating action steps for ... of current standards and facilitating standardization across the organization. + Review existing policies and recommend revisions, assisting with the development 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
- UNUM (Chattanooga, TN)
- …Roles, Powershell + Proficient in the following requirements and concepts: + Audit and compliance requirements + Network security concepts and high level risks ... + Access review program and related SOS/SOX/SOC processes and requirements +...results oriented and organized + Demonstrates strong focus on quality delivery and delighting customers; holds self to high… more
- Regions Bank (Nashville, TN)
- …a place to expect more opportunities. If you are focused on results, dedicated to quality , strength and integrity, and possess the drive to succeed, then we are your ... Schedule for a minimum of three years. You may review , modify, or update your information by visiting and...accuracy and effectiveness + Specifies timeframes for the development, audit , and deployment of marketing campaigns + Oversees the… more