- HCA Healthcare (Tampa, FL)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
- Elevance Health (Tampa, FL)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Elevance Health (Tampa, FL)
- …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
- Hilton (Tampa, FL)
- …+ Coordinate and review monthly financial statements for accuracy and monitor coding of cash receipts + Assist Director with internal daily audits of cash ... training team members + Directly oversee Accounts Receivable, Credit and Night Audit functions + Prepare budget and maintain spending controls to ensure budgetary… more
- Molina Healthcare (St. Petersburg, FL)
- …Utilization Management and Long-Term Services & Supports issues. + Identifies and reports quality of care issues. + Prepares and presents cases in conjunction with ... specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service...pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS… more
- MUFG (Tampa, FL)
- …participating in technical designs and test planning. Participating in the review , analysis and documentation of business systems and user needs. Developing ... test plans, according to existing standards and methodologies. Designing, prototyping, coding , and testing new or enhanced applications. Supporting the collection,… more
- TECO Energy (Tampa, FL)
- …performing similar functions outside of IT) in efficient SQL and NoSQL coding techniques for optimum database and application performance. + Create, conceptualize, ... design and maintain data processes, data reliability, data efficiency, data quality , data storage, data models, data performance, data ingestion, all in support of… more