- AdventHealth (Orlando, FL)
- …Full Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a ... high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of registered nurses and clinical … more
- Humana (Miramar, FL)
- …our caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with...reconciliation, and alignment of the plan of care with clinical documentation . + Perform timely QA reviews… more
- BayCare Health System (Tampa, FL)
- …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more
- HCA Healthcare (Miami, FL)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...coding practices and to improve the quality of physician documentation within the body of the medical record to… more
- Elevance Health (Tampa, FL)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- CVS Health (Tallahassee, FL)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... Coder) required **Preferred Qualifications** + CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC-I… more
- Humana (Tallahassee, FL)
- …receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct coding ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… more
- Houston Methodist (FL)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance… more
- AdventHealth (Orlando, FL)
- …The Surgical and Procedural Services Safety and Regulatory Compliance Auditor evaluates the surgical and procedural environment, policies, and procedures ... standards and regulations. Responsible for performing routine readiness rounding in clinical areas to identify areas of opportunity and prepare for regulatory… more
- Merck (Tallahassee, FL)
- …Skills:** Accountability, Accountability, Adaptability, Audits Compliance, Business Processes, Clinical Documentation , Clinical Quality Management, ... and saving lives around the world. Our Research & Development Division QA Clinical Quality (CQ) provide independent assurance that our Company ensures the safety,… more