• Provider Auditor (RN/LPN Medical Coder

    Elevance Health (Tampa, FL)
    …and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or reviewing ... department policies and procedures. + Works on task forces and committees. **Minimum Requirement:** + Requires a BA/BS degree and a minimum of 2 years' relevant work experience; or any combination of education and experience, which would provide an equivalent… more
    Elevance Health (04/29/25)
    - Related Jobs
  • Divisional Coder III - Remote

    AdventHealth (Altamonte Springs, FL)
    …Computer Assisted Coding programs. Will work with Case Management, the Billing Office, Coding Manager, Clinical Documentation Improvement specialists and the coding ... team to code and release accounts for the Multi-State Division. Will work and resolve the chart correction issues daily and work with the team to ensure the Coding Department is within two days of discharge and meeting DNFC goals. Employees will assist in… more
    AdventHealth (04/19/25)
    - Related Jobs
  • Consultant, Ethics & Compliance (Audit)

    Cardinal Health (Tallahassee, FL)
    …in support of services billed; compliance with other documentation and coding and billing standards; and physician and coder education. This position will also ... this position conducts audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including:… more
    Cardinal Health (04/25/25)
    - Related Jobs
  • Facility Coding Inpatient CQA Acute

    Banner Health (FL)
    …- you belong at Banner Health. In this **Inpatient Facility/HIMS Certified Medical Coder , Quality Associate** position, you bring your **5 years of acute care ... Don't quite meet the above requirements?_ _Check out some of our other Coder positions!_ POSITION SUMMARY This position is responsible for the interpretation of… more
    Banner Health (04/13/25)
    - Related Jobs
  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (02/07/25)
    - Related Jobs
  • Medical Coding Analyst Sr. 100% Virtual,…

    Elevance Health (FL)
    …and providers with questions and problems related to coding, documentation and billing . + Serves as a resource to Coding Analysts. **Minimum Requirements:** + ... experience, which would provide an equivalent background. + **Certified Medical Coder (CPC or CCS-P) required** . **Preferred Skills, Capabilities and Experiences:**… more
    Elevance Health (04/10/25)
    - Related Jobs
  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (04/29/25)
    - Related Jobs
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (04/29/25)
    - Related Jobs
  • Auditor-Coding

    Ascension Health (Jacksonville, FL)
    …and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. **Responsibilities:** + Audit specified number of ... records per coder as defined in the system coding audit plan....Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational… more
    Ascension Health (03/31/25)
    - Related Jobs
  • Coding Auditor - Administration Office

    Ascension Health (Pensacola, FL)
    …periodic and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. + Audit specified number of records per ... coder as defined in the system coding audit plan....Develop corrective action plans to address opportunities for coding, billing and documentation improvement. + Identify trends and educational… more
    Ascension Health (03/23/25)
    - Related Jobs