- AdventHealth (Orlando, FL)
- …+ Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement, querying ... The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS … more
- AdventHealth (Altamonte Springs, FL)
- …audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT, ICD-10-CM/PCS Coding ... members on escalated accounts. + Collaborates with providers, AH Clinical , CDI, inpatient and outpatient coding staff...providers, AH Clinical , CDI, inpatient and outpatient coding staff to assist with or resolve issues relating… more
- HCA Healthcare (Orange Park, FL)
- …in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first....Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers a total rewards package… more
- HCA Healthcare (Orange Park, FL)
- …in current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources to ... individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.**… more
- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The **Medical Coding Auditor** work assignments are varied and frequently require interpretation and… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Elevance Health (FL)
- …make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical ... audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes… more
- AdventHealth (Orlando, FL)
- …Educate physicians and advanced practice providers (APPs) on best practices in clinical documentation and coding compliance. Coordinate with GME to provide ... incoming residents and fellows Serve as a resource for providers regarding clinical terminology, coding nuances, and regulatory requirements Provide ongoing… more
- AdventHealth (Altamonte Springs, FL)
- …relationships across multiple disciplines to achieve common goals. + Collaborates with the Clinical Documentation team as it relates to coding processes. + ... to review variances and establish criteria/guidelines for improved documentation consistent with clinical definitions and compliant with CMS coding guidelines. +… more
- Centene Corporation (Tallahassee, FL)
- …Abuse:** Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine ... or statistical modeling preferred **Risk Adjustment:** Experience in risk adjustment, clinical coding , financial reporting/analysis, or CMS/State encounters and… more
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