- HCA Healthcare (Orange Park, FL)
- …of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from ... **_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue to… more
- AdventHealth (Altamonte Springs, FL)
- …Technician **Preferred Qualifications:** 5 of inpatient or outpatient coding or Coding Quality Auditor experience Associate in HIM field preferred ... Remote **The role you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting the… more
- Houston Methodist (FL)
- …remote 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 ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
- CVS Health (FL)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of ... Coding Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains current knowledge of coding … more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Highmark Health (Tallahassee, FL)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Datavant (Tallahassee, FL)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...to excel in a fast-paced production environment while upholding high- quality standards. + Strong written and verbal communication skills,… more
- AdventHealth (Orlando, FL)
- …outpatients each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible ... the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates… more
- Humana (Miramar, FL)
- …a part of our caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality . The Quality Assurance, Clinical Professional 1...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
- Elevance Health (Tampa, FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient… 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 code determination.… more
- AdventHealth (Tampa, FL)
- …Investigates charge issues from interface rejection reports, SSI edits, or coding software for possible correction. Reviews and corrects charge errors found ... each position may vary based on geographical location. **Category:** Quality /Clinical Effectiveness **Organization:** AdventHealth Tampa **Schedule:** Full-time **Shift:** 1… more
- HCA Healthcare (Orange Park, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
- HCA Healthcare (St. Petersburg, FL)
- …with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education, ... quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and...the monthly random, focus, prebill review, and Ad Hoc quality review process + Submits and reviews coding… more
- NCH (Naples, FL)
- …query process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more
- CVS Health (FL)
- …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... and directives. + Demonstrates a strong commitment to enhancing and promoting quality ; consistently delivers accurate and thorough work, and supports others in… more
- Datavant (Tallahassee, FL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART… more
- Elevance Health (Miami, FL)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service ...you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as… more
- AdventHealth (Altamonte Springs, FL)
- …including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres ... collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more