- Sevita (Nashville, TN)
- …new opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations ... and Revenue Cycle in auditing/monitoring compliance requirements across all Company business units and service...Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according… more
- Elevance Health (Nashville, TN)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Houston Methodist (Nashville, TN)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- Baylor Scott & White Health (Nashville, TN)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA...knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the… more
- Baylor Scott & White Health (Nashville, TN)
- …will depend upon the successful candidate's specific qualifications and prior experience._ Audit compliance with state and federal laws, as well as Baylor Scott & ... as EPIC Clarity, Protenus, and/or FairWarning. Thorough knowledge of healthcare clinical operations, hospital revenue cycle systems, hospital billing and coding, and… more
- Cardinal Health (Nashville, TN)
- …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... will play a Lead role focused on identifying key IT controls and compliance requirements and confirming that controls are being designed and implemented as solutions… more