- 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
- HCA Healthcare (Orange Park, FL)
- …III (CARS-III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical /medical resources ... an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. HCA...a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part… more
- HCA Healthcare (Jacksonville, 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
- AdventHealth (Altamonte Springs, FL)
- …on primary care practices and providers. They will be responsible for you using clinical knowledge and understanding CMS coding guidelines to aid and improve the ... the patient medical record by demonstrating knowledge of documentation requirements and coding guidelines that pertain to ambulatory clinical documentation. +… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
- Zelis (St. Petersburg, FL)
- …and quality metric goals. What you'll do: + Review provider disputes for DRG Coding and Clinical Validation (MS and APR), Itemized Bill Review (IBR) and ... guidelines and various healthcare programs + Understanding of hospital coding and billing rules + Clinical skills...of hospital coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding… more
- Elevance Health (Tampa, 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
- Humana (Tallahassee, FL)
- …Nurse Auditor 2 validates and interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a ... community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis … more
- Datavant (Tallahassee, FL)
- …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- AdventHealth (Orlando, FL)
- …liaison for program development. Educate medical staff on correlation between clinical language, coding guidelines, severity of illness, risk of ... DRG assignments. Attend departmental meetings to teach medical staff about coding and documentation improvement guidelines, clinical documentation improvement… more