- Baylor Scott & White Health (Tallahassee, FL)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- BayCare Health System (Tampa, FL)
- …**Shift:** 7:00 AM to 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position. _Sign on bonuses available!_ ... **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related activities and services provided by the… more
- HCA Healthcare (Miami, FL)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews… more
- Elevance Health (Tampa, FL)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding … more
- Elevance Health (Miami, FL)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
- AdventHealth (Tampa, FL)
- …as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations ... Manager, is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure the integrity… more
- Houston Methodist (FL)
- …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality… more
- Highmark Health (Tallahassee, FL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Cognizant (Tallahassee, FL)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Humana (Tallahassee, FL)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- Ascension Health (Jacksonville, FL)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. **Responsibilities:** + Audit ... of records per coder as defined in the system coding audit plan. + Preparesaudit reports that are issued...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
- HCA Healthcare (Jacksonville, FL)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first....Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers a total rewards package… more
- Elevance Health (Tampa, FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit...to thirty (30) pounds. ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** **… more
- Elevance Health (Miami, FL)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Trinity Health (Fort Lauderdale, FL)
- …codes by providers. Monitors accuracy of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve ... education. Responsible for practitioner education in areas related to coding , documentation, and compliance.** **ESSENTIAL FUNCTIONS** **Responsibilities, including but… more
- AdventHealth (Altamonte Springs, FL)
- …practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives, ... and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as project manager, strategically… more
- Elevance Health (Tampa, FL)
- …audit schedule. + Reviews, negotiates, and approves scope presented by external auditor . + For implementation audits, ensures the claims system is coded accurately ... test claims, analyzing results, identifying and resolving client intent or benefit coding issues, proposing solutions and directing the implementation of changes. +… more