• Coding Quality Audit

    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 ... in our organization. We are looking for an enthusiastic Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
    HCA Healthcare (12/14/24)
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  • DRG Coding Auditor

    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
    Elevance Health (01/11/25)
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  • Clinical Denials Coding Review

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Clinical Denials Coding Review Specialist like you to be...met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment… more
    HCA Healthcare (01/18/25)
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  • Provider-Based Coding and Billing Manager-…

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …to queries. . Responsible for audit planning and execution. Develops comprehensive audit plans to review coding and billing practices. Responds to ... and implement methods to maximize efficiency and compliance related to coding , billing, accounts receivable, and reimbursement processes and procedures. Job… more
    Jennie Stuart Medical Center, Inc. (12/20/24)
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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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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (01/01/25)
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  • Associate Director, Postmarketing PV Case…

    United Therapeutics (Nashville, TN)
    …safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in ensuring that ... PM case processing operations team + Operational Oversight and Quality Assurance: Oversee day-to-day quality and compliance...support for recruitment process (as needed) + Inspection and Audit Management: Act as the point of contact for… more
    United Therapeutics (12/14/24)
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  • Senior Business Analyst

    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
    HCA Healthcare (01/14/25)
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  • Senior Engineer SAP Pricing

    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
    Cardinal Health (11/22/24)
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  • Senior Manager, Clinical Data Management

    Takeda Pharmaceuticals (Nashville, TN)
    …Senior Manager Clinical Data Management is responsible for timely and high quality data management deliverables supporting the Takeda portfolio. They are responsible ... and deliverables are met with the highest degree of quality . + Partners with appropriate stakeholders and CRO partners...leads and manages clinical trial data collection set-up, data review , and database lock: Works with other functions to… more
    Takeda Pharmaceuticals (01/18/25)
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  • Manager, Clinical Data Validation Engineer

    Takeda Pharmaceuticals (Nashville, TN)
    …by these new activities and ways of working. **Additional Activities:** + Assists with quality review of above activities performed by a vendor, as needed. + ... of quality and efficient specifications and documentation to support audit -readiness and ICH compliance. DVEs also utilize and contribute to the development… more
    Takeda Pharmaceuticals (12/06/24)
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