• Coding Quality & Education

    LifePoint Health (Brentwood, TN)
    * Review Specialist, Coding Quality & Education * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued ... find purpose and fulfillment. *What you'll do:* As a* Review Specialist, Coding Quality & Education *, you willreview accounts for accurate and appropriate… more
    LifePoint Health (11/16/24)
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  • Coding Quality Review Manager

    HCA Healthcare (Nashville, TN)
    …position is incentive eligible. **Introduction** Do you have the career opportunities as a Coding Quality Review Manager you want with your current employer? ... of colleagues. Do you want to work as a Coding Quality Review Manager where...Team Leads, Specialists, and Coordinators in the management of coding data quality and education more
    HCA Healthcare (12/03/24)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Quality Audit Reviewer with Work from Home you can be a ... resources you need to succeed in our organization. We are looking for an enthusiastic Coding Quality Audit Reviewer to help us reach our goals. Unlock your… more
    HCA Healthcare (12/14/24)
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  • Director - Coding

    HCA Healthcare (Nashville, TN)
    …You will lead a team that develops and provides support for policies, processes, education , and training for compliant coding . You will manage implementation and ... monitors compliance with company policies and procedures. Since many quality measures rely on coding and documentation, you will collaborate with the Clinical… more
    HCA Healthcare (12/19/24)
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  • Inpatient Coding Editor

    HCA Healthcare (Nashville, TN)
    …find this opportunity compelling, we encourage you to apply for our Inpatient Coding Editor opening. We promptly review all applications. Highly qualified ... work environment where diversity and inclusion thrive? Submit your application for our Inpatient Coding Editor opening with Work from Home today and find out what it… more
    HCA Healthcare (11/13/24)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Nashville, TN)
    …accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work ... , Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient… more
    Highmark Health (12/20/24)
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  • Inpatient Coding Denial Specialist

    HCA Healthcare (Nashville, TN)
    …accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities + Maintains or exceeds established ... Specialist III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and...growth, we encourage you to apply for our Inpatient Coding Denial Specialist opening. We promptly review more
    HCA Healthcare (12/24/24)
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  • Inpatient Coding Specialist

    HCA Healthcare (Nashville, TN)
    …do. We want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record ... find this opportunity compelling, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review all applications. Highly qualified… more
    HCA Healthcare (11/15/24)
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  • Inpatient Medical Coding Auditor

    Humana (Nashville, TN)
    …factors. **Where you Come In** Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle ... and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of...well-being. We also provide excellent professional development & continued education . This is a 40 hour per week role… more
    Humana (12/12/24)
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  • Director of Coding

    HCA Healthcare (Nashville, TN)
    …and personal growth, we encourage you to apply for our Director of Coding opening. We promptly review all applications. Highly qualified candidates will ... integrity. We care like family! Jump-start your career as a(an) Director of Coding today with Parallon. **Benefits** Parallon, offers a total rewards package that… more
    HCA Healthcare (11/16/24)
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  • Program & Curriculum Manager, Medical Billing…

    Cengage Group (Nashville, TN)
    …millions of learners improve their lives and achieve their dreams through education . **Our culture values diversity, engagement, and discovery** Our business is ... . The **Program & Curriculum Manager, Medical Billing and Coding ** will help to craft the design and direction...the successful candidate will help the team deliver innovative, high- quality products and provide timely support to internal and… more
    Cengage Group (12/20/24)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Nashville, TN)
    …including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education , answering ... as stated in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical… more
    HCA Healthcare (12/07/24)
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  • Senior Outpatient Coder

    Houston Methodist (Nashville, TN)
    … team and the appropriate stakeholders. + Participates and provides good feedback during coding section meetings and coding education inservices as well as ... to encounters of high complexity. + Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and… more
    Houston Methodist (12/03/24)
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  • Inpatient Coder - $5000 Sign-On Bonus

    Houston Methodist (Nashville, TN)
    … team and the appropriate stakeholders. + Participates and provides good feedback during coding section meetings and coding education inservices as well as ... ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate/ICD-10-CM/ICD-10-PCS codes utilizing an electronic… more
    Houston Methodist (12/03/24)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Nashville, TN)
    …(AHFI), or a minimum of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or ... + Analyze and prepare cases for clinical and legal review , ensuring all documentation meets required standards. + Document...or fraud, waste and abuse. + Knowledge of CPT/HCPCS/ICD coding . + Proficiency in Microsoft Word, Excel, Outlook, database… more
    CVS Health (12/06/24)
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  • Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...Summary and Qualifications** As part of our hospital outpatient coding team, you will work outpatient coding more
    HCA Healthcare (11/13/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How you will make ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (11/08/24)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Nashville, TN)
    …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides ... Finance, or related field, or the equivalent combination of education and/or relevant work experience; HS diploma or GED...medical, and/or financial data + Basic to intermediate SAS coding skills + Previous experience in a client facing… more
    Prime Therapeutics (12/24/24)
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  • VRM Profee Assistant Director

    HCA Healthcare (Brentwood, TN)
    …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... that we continue to provide all patients with high quality , efficient care. Did you get into our industry...of staffing/resource management for Physician Service Center (PSC) Profee coding services and Abstraction services, to include MIPS and… more
    HCA Healthcare (11/29/24)
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  • Data Abstractor I WFH

    HCA Healthcare (Nashville, TN)
    …Office applications 7. Possess basic keyboard skills 8. Knowledge of medical terminology, quality measures and coding logic. EXPERIENCE: 1. 1 year in Trauma ... readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships)… more
    HCA Healthcare (12/17/24)
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