CPC SIU Medical & Behavioral Health Auditor
CVS Health
CVS Health Corporation in Nashville is seeking a Certified Professional Coder (CPC) to support the Special Investigations Unit with medical claim reviews and coding compliance. You will determine correct CPT/HCPCS coding and ensure documentation meets state, federal, and company standards. Responsibilities include writing detailed review findings, identifying billing anomalies, and communicating with investigators and regulators. Travel may be required; strong Excel/Word skills are essential. #J-18808-Ljbffr CVS Health
$59.3k - $80.9k
...Humana is looking for an experienced medical coding auditor to handle provider disputes in a result... .... This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI... ...make an impact Required Qualifications CPC or CCS Certification CPT/ HCPCS...MedicalBi-weekly payFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeFlexible hours- ...Type FT Exempt Chart Auditor Overview Our chart auditors... ...-payment reviews of behavioral health records on behalf of... ...that services are medically necessary, clearly documented... ...Active CPC, CCS, CCS-P, CPMA, or... ...special investigations (SIU). Experience in a startup...MedicalTemporary workWork at office
- Wayspring is seeking a Chart Auditor to perform clinical chart reviews for behavioral health records, ensuring medical necessity and proper documentation. You will work with AI-assisted tools and guidance from clinical leadership to shape rubrics and policies as our reviews...Medical
$43.89k - $93.57k
...Certified Professional Coder (Cpc) We're building a world of health around every individual... ...Coder (CPC) will perform medical claim reviews for the... ...Special Investigations Unit (SIU) to ensure compliance... ...record review for medical, behavioral, transportation and other...MedicalHourly payFull timeTemporary work- Humana Inc. is seeking an experienced Outpatient Behavioral Health Coding Auditor to handle provider disputes in a metrics-driven, remote environment. This role sits on the PPI Coding Disputes Team and focuses on outpatient BH coding disputes with CPT/HCPCS assignments...SuggestedRemote job
- ...an accommodation or an alternative application process. Lucent Health combines top-tier claims management with a compassionate, human... ...early identification of high-cost claimants. Review paid medical and pharmacy claims, fees, eligibility records, plan documents,...Medical
- ...same, as equals. Mental Health Cooperative, Inc. (MHC)... ...Job Title: Compliance Auditor Department: Compliance... ...clinical documentation, medical records, billing, coding... ...regulations affecting behavioral health services. Ensure... ...Certified Professional Coder (CPC) Certified Healthcare...MedicalTemporary workWork at office
- Mental Health Cooperative is seeking a Compliance Auditor to conduct audits of clinical documentation, billing, and operations, ensuring adherence to CMS, Medicaid, TJC, OIG, TennCare, HIPAA, and MCO requirements. The role identifies regulatory risks, recommends improvements...
- ...accuracy, completeness, and compliance of medical coding and clinical documentation for... ...organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H). Minimum of two... ...preferred. Familiarity with electronic health record (EHR) systems preferred. Strong...MedicalRemote jobWork at office
- ...work from home Inpatient Coding Auditor, you will be responsible for... ...assessment reviews on Health Information Management Service... ...documentation within the body of the medical record to support code... ...prescription drug, dental, vision, behavioral health and telemedicine...MedicalTemporary workWork from homeMonday to FridayFlexible hoursDay shift
- Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accurate coding and compliant documentation across professional coding services... ...and regulatory adherence. Required certification (CCS-P/CPC/AHIMA) and 2+ years in medical billing/coding; strong...MedicalRemote job
$1,853.48 per month
...Details Client Name HCA TriStar Skyline Medical Center Job Type Travel Offering Nursing Profession RN Specialty Behavioral Health Job ID 38233427 Job Title RN - Behavioral Health Weekly...MedicalWeekly payShift workNight shift$2,412.2 per month
...Details Client Name HCA TriStar Centennial Medical Center Job Type Travel Offering Nursing Profession RN Specialty Behavioral Health Job ID 38524035 Job Title RN - Behavioral Health Weekly...MedicalWeekly payShift workNight shift- ...professional. **Ampersand Therapy** is hiring a **Board Certified Behavior Analyst (BCBA)** for in-person roles for the upcomingthe **2026... ...0.8 FTE and higher)** Paid sick leave* Healthcare benefits: medical, dental, vision* 401(k) with employer match* Reimbursements for...Medical
- ...Nurse to provide professional client care in medical detoxification and residential programs. You will coordinate care with the health team and ensure nursing standards are... ...and BLS/CPR are required, with 3-5 years in behavioral health preferred. #J-18808-Ljbffr The Recovery...Medical
- Optum Behavioral Care, part of Optum, seeks a Behavioral Health Clinician to join our LaFollette/Jacksboro, TN team. The role is embedded within Summit Medical Group primary care to deliver behavioral health care at the point patients seek treatment, within the Collaborative...Medical
$70k - $80k
...Exception only) It takes great medical minds to create powerful... ...individual for aSenior Coding Auditor, Itemized Bill Reviewer who is... ...credentials through AHIMA or AAPC:CPC, COC, CCS, RHIA, RHIT; required... ...employer match, comprehensive health benefits , and educational...MedicalRemote jobFull timeContract workFlexible hours- ...Registered Behavior Technician - BEST Inpatient Employer type: Acute care. What the work involves: Assist BCBAs in identifying... ...proactive, antecedent-based strategies to prevent crises across medical care contexts. Teach and reinforce functional communication,...Medical
$75 - $85 per hour
...We are seeking a dedicated and compassionate Board Certified Behavior Analyst (BCBA) to join our team. The ideal candidate will have... ...settings, ensuring adherence to best practices. Maintain accurate medical documentation and medical records in compliance with HIPAA...MedicalHourly payPart timeRemote workFlexible hours- ...Rehabilitation Assistant (Behavioral Therapy Specialist) Location: Harold Jordan Center Nashville, TN Client: TN Department of Disability... ...training and behavioral therapy Monitoring behavioral and medical status Ensuring a safe and nurturing environment...MedicalShift work
- Imagine Pediatrics, a tech-enabled pediatric medical group, seeks a Medical Billing & Coding Specialist to join a hybrid team. You will... ...partners to improve documentation and reduce denials. You bring CPC certification, 3-5 years in physician billing (pediatrics preferred...Medical
- Rogers Behavioral Health in Nashville is seeking a Behavior Specialist to support CBT interventions within treatment programs. You will assess... ...progress with outcome measures, documenting care in the medical record, and providing training to patients and support persons...Medical
- ...time dayside role in Nashville, TN. The RN will provide comprehensive nursing care, document medical activities, and coordinate with a multidisciplinary team within behavioral health services. Requirements include an active TN RN license and at least 1 year of behavioral...MedicalPart time
- ...Behavioral Health Associate | Creekside Behavioral Health | Kingsport, Tennessee About the Job: The Behavioral Health Associate I works... ...recording, and maintenance; and responding in crisis situations and medical emergencies as needed. Roles and Responsibilities:...MedicalShift work
- Starr Regional Medical Center is seeking a Behavioral Health Registered Nurse (RN) for the 24-bed unit in Etowah, TN. The role focuses on dementia with behavioral disturbances in patients aged 50 and above, with a 1:7 nurse-to-patient ratio and weekly coverage including...MedicalFull timeRelocation packageNight shift
- Vanderbilt University Medical Center is seeking a part-time Nurse Crisis Specialist to support pediatric behavioral health in a hospital setting. You will respond to behavioral crisis events, provide direct patient care, and work with a multidisciplinary team to ensure...MedicalPart timeShift workNight shift
$85k - $115k
...Board Certified Behavior Analyst (BCBA)At Key Autism Services, we believe exceptional clinical care starts with supporting our clinicians... ...assistance availableFull-Time Benefits Include:Medical, dental, and vision insuranceCompany-paid life and disability insurance...MedicalWork from homeWork visaFlexible hours- ...Description Behavioral Health Technician Shift: 2nd Shift- Must be able to work weekends Join Our Team at Recovery Unplugged... ...of the facility. Collaborate with clinical and medical staff to support client care and treatment goals. Complete...MedicalFlexible hoursShift workNight shiftAfternoon shift
- ...possible care from birth - a future where health disparities are nonexistent, and every... ...who care for them. WHAT YOU'LL DO As a Behavioral Health Specialist , you will provide accessible... ...treatment records within the electronic medical record. Utilize appropriate screening...MedicalFull timeLocal area
- ...Description Benefits: ~ Opportunity for advancement Behavioral Health Technician (BHT) Location: Nashville, TN Employment Type... ...their daily programming as directed by clinical and medical teams. Document medication observations accurately according...MedicalFull timeWork at officeLocal areaShift workWeekend workAfternoon shift
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