- Elevance Health (Tampa, FL)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in...Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG… more
- Insight Global (Jacksonville, FL)
- …for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for a large rehabilitation hospital in Florida according to IRF-PAI Coding ... but not be limited to reviewing data from the medical record to determine or confirm codes, perform analysis...have a recognizable coding certification such as CPC or CCS or RHIT or CIC or CCA, etc. *… more
- Elevance Health (Tampa, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for ... abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document… more
- Highmark Health (Tallahassee, FL)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... appropriate steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor specific groups… more
- AdventHealth (Altamonte Springs, FL)
- …in the management of resources entrusted to them. . Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity ... easily understood by physicians and other members of the medical team. . Accurately reconciles all cases in CDI...higher degree and 3 years of CDI experience . CCS (Certified Coding Specialist) This facility is an equal… more
- Datavant (Tallahassee, FL)
- …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS ) or AAPC certified credentials (CPC, CPC-H, COC, CIC...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- University of Miami (Miami, FL)
- …a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS , CIC, CMC) from an accredited healthcare program preferred. + Epic HIM ... of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate ideas and problem solutions +… more
- HCA Healthcare (Jacksonville, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- CenterWell (Tallahassee, FL)
- …and approaches to assignments. **Consultative Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced ... Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. **Relationship/Concierge Services:** + Cultivate… more
- AdventHealth (Orlando, FL)
- …for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare ... understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations Qualifications **The expertise and… more