This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. * Must be comfortable working independently in a detail-oriented, data ...
This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. * Must be comfortable working independently in a detail-oriented, data ...
Remote Medical Coder
Memphis, TN · On-site +1
$75/hr
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... on quality reviews and stakeholder feedback. * Adhere to project standards, documentation ...
Remote Medical Coder
Memphis, TN · On-site +1
$75/hr
Remote Medical Coder Assess and validate AI-generated content related to healthcare operations ... on quality reviews and stakeholder feedback. * Adhere to project standards, documentation ...
Utilization Review Specialist
Nashville, TN · Remote
$62K - $70K/yr
Delivers training to clinical teams for high quality documentation standardization * Participate in ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...
Utilization Review Specialist
Nashville, TN · Remote
$62K - $70K/yr
Delivers training to clinical teams for high quality documentation standardization * Participate in ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...
DRG Auditor (REMOTE)
Franklin, TN · Remote
$27 - $30.50/hr
This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. * Must be comfortable working independently in a detail-oriented, data ...
DRG Auditor (REMOTE)
Franklin, TN · Remote
$27 - $30.50/hr
This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. * Must be comfortable working independently in a detail-oriented, data ...
Remote Psychiatrist
La Vergne, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Quick apply
Remote Psychiatrist
La Vergne, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Remote Psychiatrist
Franklin, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Quick apply
Remote Psychiatrist
Franklin, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Remote Psychiatrist
Nashville, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Quick apply
Remote Psychiatrist
Nashville, TN · Remote
$150 - $200/hr
Document within our behavioral health EMR to the standard required for payer review * Escalate ... Flexible scheduling, including evening and weekend availability * Malpractice coverage provided
Clinical Review Specialist - AI Trainer
Nashville, TN · Remote
$105/hr
Remote Role Responsibilities * Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. * Review clinical documentation to assess medical ...
Quick apply
Clinical Review Specialist - AI Trainer
Nashville, TN · Remote
$105/hr
Remote Role Responsibilities * Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. * Review clinical documentation to assess medical ...
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
... our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ... Ability and comfort with typing documentation and notes in a fast-paced environment * Must be able ...
... our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ... Ability and comfort with typing documentation and notes in a fast-paced environment * Must be able ...
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST
Nashville, TN · On-site +1
$30/hr
... our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ... Ability and comfort with typing documentation and notes in a fast-paced environment * Must be able ...
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST
Nashville, TN · On-site +1
$30/hr
... our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ... Ability and comfort with typing documentation and notes in a fast-paced environment * Must be able ...
Performs quality review and edits of documents. * Assists in analyzing document content and designing intervention and training materials. * Identifies areas for improvement in production process.
Performs quality review and edits of documents. * Assists in analyzing document content and designing intervention and training materials. * Identifies areas for improvement in production process.
Clinical Research Coordinator to Home-Based CRA (Clinical Research Associate)
Nashville, TN · On-site +1
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
Clinical Research Coordinator to Home-Based CRA (Clinical Research Associate)
Nashville, TN · On-site +1
On-site and virtual/remote monitoring activities with a risk-based monitoring approach (including ... Regulatory document review * Medical device and/or investigational product/drug accountability and ...
Licensed Professional Counselor (LPC)
Piperton, TN · Remote
$115K - $120K/yr
Remote/Telehealth Position Type: Full-Time Salary: $115,000-$120,000 a year with full benefits ... Maintain clear progress notes and required documentation * Review treatment plans and make updates ...
Licensed Professional Counselor (LPC)
Piperton, TN · Remote
$115K - $120K/yr
Remote/Telehealth Position Type: Full-Time Salary: $115,000-$120,000 a year with full benefits ... Maintain clear progress notes and required documentation * Review treatment plans and make updates ...
Licensed Professional Counselor (LPC)
Piperton, TN · On-site +1
$115K - $120K/yr
Remote/Telehealth Position Type: Full-Time Salary: $115,000-$120,000 a year with full benefits ... Maintain clear progress notes and required documentation * Review treatment plans and make updates ...
Licensed Professional Counselor (LPC)
Piperton, TN · On-site +1
$115K - $120K/yr
Remote/Telehealth Position Type: Full-Time Salary: $115,000-$120,000 a year with full benefits ... Maintain clear progress notes and required documentation * Review treatment plans and make updates ...
$15 - $18.32/hr
Documenting information in multiple platforms using two computer monitors. * Full Benefits: PTO ... Remote processing of electronic medical records through various EMR systems as directed * Ability ...
New
$15 - $18.32/hr
Documenting information in multiple platforms using two computer monitors. * Full Benefits: PTO ... Remote processing of electronic medical records through various EMR systems as directed * Ability ...
New
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Conduct document reviews and validations with subject matter experts (SMEs), engineering ...
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Conduct document reviews and validations with subject matter experts (SMEs), engineering ...
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Conduct document reviews and validations with subject matter experts (SMEs), engineering ...
... remote work arrangement. Position Summary: We are seeking an experienced Procedure Writer with a ... Conduct document reviews and validations with subject matter experts (SMEs), engineering ...
Clinical Documentation Specialist - CDI - AI Trainer
Nashville, TN · Remote
$50 - $150/hr
Clinical Documentation Integrity (CDI) Specialist Type: Contract Compensation: $50-$150/hour ... Remote Role Responsibilities * Review AI-agent attempts at realistic CDI/coding tasks . Judge ...
Quick apply
Clinical Documentation Specialist - CDI - AI Trainer
Nashville, TN · Remote
$50 - $150/hr
Clinical Documentation Integrity (CDI) Specialist Type: Contract Compensation: $50-$150/hour ... Remote Role Responsibilities * Review AI-agent attempts at realistic CDI/coding tasks . Judge ...
Remote Weekend Document Review information
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DRG Validator/Reviewer (REMOTE)
Franklin, TN • Remote
8.7
Based on 8 frontline employees who took The Breakroom Quiz
50th of 499 rated business services
Great coworkers
People enjoy working here
Good employer
Respectful managers
Uninterrupted breaks
Full-time
Re-posted 2 days ago
Job description
- Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy.
- Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and procedure codes.
- Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure codes are accurate and complete.
- Navigate medical records efficiently, targeting specific sections (e.g., discharge summary, operative reports) based on system edits and flagged items.
- Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG accuracy.
- Identify and correct errors such as under coded or misclassified diagnoses and procedures.
- Utilize Health ROI system edits to detect specific high-value opportunities (e.g., dialysis, occlusion, embolization, catheterization).
- Make reimbursement improvement recommendations and submit findings for client review and approval.
- Collaborate with leadership on case prioritization and workflow management.
- Stay informed on coding updates, payer guidelines, and DRG changes to support accurate recommendations.
- Analyze client reporting.
- Identify new revenue opportunities related to all inpatient DRG related components.
- Other duties as required.
- Associate's or bachelor's degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged).
- Certified Coding Specialist (CCS) certification required.
- 2-3 years' experience in DRG validation, inpatient medical coding, or related coding review.
- Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes.
- Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy).
- Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases.
- Analytical thinker with a focus on financial impact and reimbursement accuracy.
- Comfortable navigating multiple digital platforms, EMRs, and data systems.
- Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
- This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work.
- Must be comfortable working independently in a detail-oriented, data-driven environment.
- Excellent communication and documentation skills to support client reporting and recommendations.
- High integrity and professionalism in handling PHI and confidential information.
- Strong collaboration and responsiveness to feedback from leadership and client partners.
- Ability to review and analyze large volumes of medical and billing data.
- Strong focus and attention to detail in identifying discrepancies and ensuring compliance.
- Ability to manage high volumes of case processing with accuracy and efficiency.
- Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment.
- Proven written and verbal communication skills.
- Strong analytical and problem-solving skills.
- Ability to prioritize and manage multiple competing priorities and projects concurrently.
- Proven experience working with external clients; strong customer service skills and business acumen.
- Timely and regular attendance.
About EnableComp
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Franklin, TN, US
Year founded
2000
Website
What EnableComp employees say
Pay
Benefits
Hours and flexibility
Workplace
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