- AdventHealth (Orlando, FL)
- …The Inpatient Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9 and ... you'll bring to the team:** + Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist.… more
- AdventHealth (Orlando, FL)
- …ongoing feedback to physicians, administration, Physician Advisor, CDI Director, and VP of Clinical Services. + Works in conjunction with Coding Liaison, CDI ... and 125,000 outpatients each year **The role you'll contribute:** The Clinical Documentation Integrity Physician Liaison is a Registered Nurse, Advanced Practice… more
- Datavant (Tallahassee, FL)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
- AdventHealth (Maitland, FL)
- …Degree in Nursing, Business, or Health-related field + Certified Billing and Coding Specialist (CBCS) + Certified Clinical Documentation Specialist This facility ... AdventHealth** Central Florida **The role you'll contribute:** The Director - Clinical Document Improvement (CDI) is responsible for the strategic and operational… more
- AdventHealth (Daytona Beach, 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 ... team 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
- Ascension Health (Jacksonville, FL)
- …today! **Responsibilities:** Provide medical direction in the care management, clinical documentation improvement, coding , quality and/or compliance process. ... + Review medical records of identified patients to assist with the level of care and length of stay determination. + Assist and manage the denial management process. + Review and offer suggestions related to resources and service management. + Provide… more
- Zelis (St. Petersburg, FL)
- …ensure accurate and compliant coding based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria, and policy ... and various healthcare programs + Strong understanding of hospital coding and billing rules + Clinical and...of hospital coding and billing rules + Clinical and critical thinking skills to evaluate appropriate … more
- Humana (Tallahassee, FL)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Humana (Tallahassee, FL)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II i** s responsible for identifying issues and/or… more