- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Tampa, FL)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… 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
- Molina Healthcare (Miami, FL)
- …validation related activities, including, but not limited to: progress tracking, chart retrieval, file transmissions, and adherence to applicable timelines * Support ... Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with risk adjustment data validation Required Li… more
- AdventHealth (Tampa, FL)
- …generated in the Epic system are properly billed. This position conducts chart audits comparing charges with physician orders, clinical documentation, and reports ... while reviewing and correcting any charge errors found. This role also addresses complex charge issues referred by customer service or case management, and collaborates with appropriate departments for insurance company audits. **The val** **ue you'll bring to… more
- Molina Healthcare (St. Petersburg, FL)
- …is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or HEDIS-like projects, Risk Adjustment, Risk Adjustment ... as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors, invoice efforts, SDS and EMR implementation as well as… more
- Molina Healthcare (Orlando, FL)
- …like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread ... Performs the role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and...audit. Makes recommendations based off of the audit and chart review. + Assists with ad hoc projects. +… more
- NCH (Naples, FL)
- …Integrity Specialist (QI-CDIS) responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation ... Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/quality auditor when educational needs are identified from second level reviews.… more
- Molina Healthcare (FL)
- …experience. + Operational knowledge and experience with Excel and Visio (flow chart equivalent) + Demonstrates flexibility when it comes to changes and maintains ... License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested in applying… more