- Humana (Nashville, TN)
- …materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from ... The Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
- HCA Healthcare (Nashville, TN)
- …be a part of our team. **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... an organization that invests in you as an Inpatient Coding Quality Auditor ? At Work from Home,...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… 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...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- Houston Methodist (Nashville, TN)
- ** Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** **$5,000 Sign-On Bonus** At Houston Methodist, the Coding Quality ... and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory… more
- Elevance Health (Nashville, TN)
- …of one of our Elevance Health PulsePoint locations. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating high ... **DRG CODING AUDITOR ** **Location** : This position...**DRG CODING AUDITOR ** **Location** : This position will work a...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Highmark Health (Nashville, TN)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Elevance Health (Nashville, TN)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Baylor Scott & White Health (Nashville, TN)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Elevance Health (Nashville, TN)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- CVS Health (Nashville, TN)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more