- 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
- LifePoint Health (Brentwood, TN)
- …guidelines for billing and coding . . Monitor and supervise personal coding quality review engagement scheduling and progress of reviews; ... * Review Specialist, Coding Quality ...* Review Specialist, Coding Quality & Education* *Who we...coding professional based on the findings of the coding quality reviews. . Prepare audit… more
- HCA Healthcare (Nashville, TN)
- …departments. You will provide input for the compliance risk included in the company's coding audit plan and assists the legal department in operational and ... monitors compliance with company policies and procedures. Since many quality measures rely on coding and documentation,...with DT&I and other customers and peers + Evaluates review results to determine if trends and/or systemic issues… more
- Covenant Health Inc. (Knoxville, TN)
- …and analyzing findings. If applicable, provides corporate oversight of any current departmental coding audit programs. + Works with coders/CDI staff and or ... staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office...of the coding /CDI staff for ICD 10 coding . + Responsible for concurrent review process… more
- 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
- 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
- Healthfirst (TN)
- …and results verification before sign-off and Production. + Assist in the on-going audit of configurations for new and existing claims business rules within the ... and contract implementation defects and improve departmental performance by supporting quality , operation efficiency and production goals thru reporting. + Develop… more
- 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
- 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
- Covenant Health Inc. (Louisville, TN)
- …departments to establish appropriate goals, objectives, policies/procedures, work plans, quality monitors, and internal controls. + Provides leadership for the ... and capital) + Case loads at capacity + Grant management + Utilization Review and Benefits verification + Collaborates with Director of Clinical Services in… more
- 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
- The Cigna Group (Franklin, TN)
- …from SQL servers to targets, identify CDD data, and review the quality of code, ensuring compliance with coding standards. Qualifications- Requires a ... data extract and transform, and networks. + Ensure data quality through creation of audit controls, proactive...+ Ensure data quality through creation of audit controls, proactive monitoring, and data cleansing techniques, participate… more
- Cardinal Health (Nashville, TN)
- …practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years' experience with Prior Authorization and Appeal ... Ability to work with high volume production teams with an emphasis on quality * Intermediate to advanced computer skills and proficiency in Microsoft Office… more