- Cardinal Health (Tallahassee, FL)
- …and electronic medical records. + Professional and/or hospital services auditing experience. + Exceptional Customer Service Skills. + Proven interpersonal ... with 3rd party auditors conducting audits as well as manages in-house auditing staff. + Plans professional compliance department audits to determine accuracy and… more
- Elevance Health (Tampa, FL)
- …unnecessary medical-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims ... will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- Elevance Health (FL)
- …The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the ... make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical… more
- Elevance Health (Tampa, FL)
- …company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing , and the infrastructure that underpins claims delivery. **How you will ... and KPIs. + Oversees design and execution of provider / chart review workflows to ensure high quality encounter submissions...related experience, including 3 years of hands-on HCC coding, chart review, and RAF calculations; or any combination of… more
- MyFlorida (Tallahassee, FL)
- …unencumbered payments and formal encumbered contracts; Reviews ChartField String, and applicable Chart of Accounts in preparation for vouchering in FL PALM + ... and works with budget, and Divisions, to ensure that agency specific required Chart of Accounts, OAI, OA2, Project ID, SpeedKey etc. are utilized; Advises,… more
- Walmart (Brooksville, FL)
- …cost scope and terms of condition are acceptable with senior management auditing vendor vetting processes and communicating with contracting team Manages protects ... reliability and improved maintenance practices equipment enhancements and replacements auditing facility asset base for example building structure grounds parking… more
- NCH (Naples, FL)
- …Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation ... in the state of Florida. * 5+ years CDI auditing /SLR or education experience; coding experience; or previous CDI...experience in an academic institution; or 3+ years CDI auditing /SLR or education experience; coding experience; or previous CDI… more
- AdventHealth (Tampa, FL)
- …supervision of the Inpatient Operations Manager, is responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with ... of Medicare and payor specifications. . Assign DRGs on chart in accordance with all UHDDS rules, ICD-10 Coding...of relevent work experience required + 1-2 years of auditing experience preferred + Certified Coding Specialist (CCS) required.… more
- MyFlorida (Chattahoochee, FL)
- …and inspections, staff and patient contacts and communications, records and residents' chart . Monitor unit compliance with Federal, State and Children and Families ... as needed. Create, develop, and revise monitoring tools as needed for auditing the documentation of the staff supervised. Provide Infection Control Committee with… more
- R1 RCM (Pensacola, FL)
- …completion and state registry updates. Your role will also involve auditing analyzed inpatient and outpatient medical records for required physician documentation ... state registry as required + Entering and updating R1 software (epars, PAS, Chart Manager) for their specified functions of central business office requests, denials… more