- 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
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from Home you can be a part ... organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach...met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment… more
- HCA Healthcare (Nashville, TN)
- …billing audits for physicians, urgent care centers, and oncology centers. The Outpatient Services Coding Audit Manager position will work on various audit ... guidance in the development of, as well as the review of, the detailed audit / review ...as a RHIA, RHIT or CPC preferred + Physician coding and/or coding quality monitoring… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Audit Manager? At HCA Healthcare, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be...fieldwork; and proposing modifications to current procedures to improve audit effectiveness and efficiency. + Performs quality … 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
- HCA Healthcare (Nashville, TN)
- …analysis services to business partners. The focus of this position is to review , analyze, and evaluate business systems, processes, services, in which the business ... to develop timelines and manage project risks, assist in the development of quality assurance test plans, and help develop end user documentation. This position… more
- Cardinal Health (Nashville, TN)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... Sr Engineer of Rebates & Incentives for Pharma IT performs configuration or coding to develop, enhance and sustain the organization's software systems in a… more
- Ryder System (Nashville, TN)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... properly according to the applicable jurisdictions. Provide feedback to Director regarding quality of vendors. + Manage assigned staff to ensure both technical… more
- Wondr Health (Nashville, TN)
- …content and coaching, the company's flexible and scalable solutions engage populations, improve quality of life and health outcomes, and prevent and reduce the cost ... that developers are trained in and are following secure coding practices as well as privacy-by-design standards. + Monitor...completion of company-wide compliance education. + Direct research and review of complex issues. + Oversee the contract … more
- SitusAMC (Nashville, TN)
- …and established servicing standards + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to ... research, as needed, to comprehensively respond to inquiries from Borrowers, Lenders, Audit , Rating Agency and other authorized stakeholders + Design and build… more
- SitusAMC (Nashville, TN)
- …of the client's CRE loans + Ensure adherence to internal policies, quality standards, and management direction while meeting contractual deliverables to clients and ... Summarize research, as needed, to comprehensively respond to inquiries from Lenders, Audit , Rating Agency and other authorized stakeholders + Design and build… more
- Cardinal Health (Nashville, TN)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... for every interaction using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for the program + Make… more