- Danaher Corporation (Miami, FL)
- …our vision is to be the leading provider of seamlessly connected diagnostic solutions. The Staff Clinical Compliance Auditor (Global Focus - Remote) for ... to clinical study teams and other relevant staff on compliance requirements, best practices, and...if you also possess previous experience in: + Certified auditor (eg, ASQ CQA or ASQ CBA, GCP) +… more
- Humana (Miramar, FL)
- …1 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 1 work ... will also monitor QA dashboard metrics and provide actionable feedback to improve staff performance. The QA Auditor will identify trends in documentation errors… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- HCA Healthcare (Orange Park, FL)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies… more
- AdventHealth (Altamonte Springs, FL)
- …coding and CDI team members on escalated accounts. + Collaborates with providers, AH Clinical , CDI, inpatient and outpatient coding staff to assist with or ... you will contribute:** The inpatient or outpatient coding team Corporate Quality Auditor (QA)/Educator is responsible for supporting the operations of the inpatient… more
- AdventHealth (Orlando, FL)
- …you'll contribute:** The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, ... and procedures to ensure compliance with all regulatory standards and regulations. Responsible for...and regulations. Responsible for performing routine readiness rounding in clinical areas to identify areas of opportunity and prepare… more
- CVS Health (FL)
- … clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...+ Acts as mentor to provide education to internal staff based on audit findings; provides general education on… more
- Highmark Health (Tallahassee, FL)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... works with external resources to present final audit findings to department staff , physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT… more
- Molina Healthcare (St. Petersburg, FL)
- …and cost-effective member care. **Essential Job Duties** * Performs audits of non- clinical staff in utilization management, care management, member assessment, ... address findings in audit results. * Meets minimum production standards related to non- clinical auditing. * May conduct staff trainings as needed. * Communicates… more
- AdventHealth (Orlando, FL)
- …received internally or from outside customers/agencies. + Write/review audit programs, supervise staff , and conduct compliance and privacy audits that support ... of hospital operations and be able to discuss operational issues with clinical management/ staff + Ability and expertise to evaluate operational systems,… more
- Datavant (Tallahassee, FL)
- …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with co-workers, ... addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding...management, and hospital staff regarding clinical and reimbursement issues. +… more
- AdventHealth (Altamonte Springs, FL)
- …other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation. Communicates with HIM staff and collaborates with ... FL **The role you will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager, and in some situations the supervision of… more
- Molina Healthcare (FL)
- …+ Certified Professional in Health Quality (CPHQ) + Nursing License + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are ... not be limited to: Quality Reporting, HEDIS Performance Measurement, Clinical Quality Interventions, and QI Compliance . +...+ Develops training, goals and coaching plans for Quality staff . + Ensures that quality assurance is performed for… more
- HCA Healthcare (Orange Park, FL)
- …team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews on ... Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding… more