• Payment Integrity Coding

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
    Humana (12/18/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    **DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ _​_...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of ... the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary… more
    Elevance Health (12/09/25)
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  • Payment Integrity Clinician

    Highmark Health (Nashville, TN)
    …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
    Highmark Health (11/14/25)
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  • Clinical Denial Coding Review Specialist

    HCA Healthcare (Brentwood, TN)
    …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
    HCA Healthcare (12/17/25)
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  • Senior Medical and Financial Risk Evaluation…

    Humana (Nashville, TN)
    …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
    Humana (12/09/25)
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  • Remote Coder III-IP Coder

    Community Health Systems (Franklin, TN)
    …valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and ... centers. **Job Summary** As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of… more
    Community Health Systems (12/18/25)
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  • Cardiology Profee Coder

    HCA Healthcare (Brentwood, TN)
    …+ High school diploma or GED preferred + Minimum two years of professional fee coding and/or reimbursement experience required. Relevant education may substitute ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
    HCA Healthcare (12/04/25)
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  • IT Quality Assurance Analyst - Contract Role (AN)

    Nelnet (Nashville, TN)
    …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more
    Nelnet (12/03/25)
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