- Elevance Health (Miami, FL)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- BayCare Health System (Clearwater, FL)
- …FL (Hybrid) **Status:** Full Time, Exempt **Shift Hours:** 8 hours **The Medical Auditor is responsible for:** + Compare the detailed charges on a bill to ... internal billing questions, separate organ donor charges, and maintain a log of all chart audit requests and the related results. + Some travel within the local… more
- AdventHealth (Tampa, FL)
- …Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, is responsible ... the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure...of Medicare and payor specifications. . Assign DRGs on chart in accordance with all UHDDS rules, ICD-10 Coding… more
- Cognizant (Tallahassee, FL)
- …Federal, state and payer regulations . Capable of interpreting medical records reports and chart entries . Able to work independently and as a team member . Capable ... of applying judgment and decision making . Basic background with computers with ability to be in multiple systems at 1 time . Well organized and able to handle multipole projects as needed. . Strong oral and written communication skills. . Able to be flexible… more
- Molina Healthcare (Orlando, FL)
- …quality team. Operational knowledge and experience with Excel and Visio (flow chart equivalent). **Preferred Education** Master's Degree or higher in a clinical ... Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in… more