• Clinical Quality Assurance

    BlueCross BlueShield of Tennessee (Nashville, TN)
    …Licensure Compact Law\. We are seeking a skilled and organized RN to join our Clinical Quality Assurance team\. This role involves conducting medical record ... of procedures and standards that support and enhance all lines of business' quality of care goals\. + Schedule and perform routine facility, practitioner site, and… more
    BlueCross BlueShield of Tennessee (12/28/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a minimum of ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position...formulate detailed audit findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies… more
    Elevance Health (01/01/25)
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  • Coding Quality Auditor - $5,000…

    Houston Methodist (Nashville, TN)
    **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... procedures, and coding and documentation training. + Assists with quality assurance (peer) reviews to ensure data...that operate at the system level to help enable clinical departments to provide high quality patient… more
    Houston Methodist (12/31/24)
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