- HCA Healthcare (Orange Park, FL)
- …you to apply! **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home… more
- Highmark Health (Tallahassee, FL)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Cognizant (Tallahassee, FL)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health Information… more
- Elevance Health (FL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding … more
- Elevance Health (Tampa, FL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Hybrid 1:** This role requires associates...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Maintains up-to-date working knowledge on regulatory requirements associated with billing and claims processing, as well as HIPAA guidelines/established Encryption… more
- Elevance Health (Miami, FL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud… more
- Humana (Miramar, FL)
- …accuracy, and Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state, and payer-specific ... standards, reducing audit risk and financial exposure. The QA Auditor will review Start of Care (SOC), Recertification, and Discharge documentation for completeness… more
- Elevance Health (Tampa, 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
- AdventHealth (Tampa, FL)
- …role you'll contribute:** Performs inpatient and outpatient audits related to patient billing in assigned area for Cardiac Cath Lab. Researches and analyzes charges, ... CPT coding , and national coverage decisions in conjunction with medical...to ensure appropriate reimbursement. Advises, educates and acts as clinical/ billing liaison between ancillary departments, finance and business office… more