• Facility Coding Inpatient DRG Quality

    Banner Health (FL)
    …prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS- DRG , Ambulatory Payment ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from...SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care… more
    Banner Health (06/15/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes ... management for the auditing concept, valid claim identification, and documentation purposes (eg, letter writing). + Identifies new claim...: + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting… more
    Elevance Health (07/22/25)
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  • Clinical Documentation

    Houston Methodist (FL)
    At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical ... + Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures. Requests… more
    Houston Methodist (07/31/25)
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  • Clinical Documentation Integrity…

    AdventHealth (Altamonte Springs, FL)
    …Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and ... staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed...at the time of graduation and . CCDS (Certified Clinical Documentation Specialist ) certification, or/and… more
    AdventHealth (06/11/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a ... role in elevating the impact of our medical record documentation . You will conduct daily evaluations and engage in...with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. +… more
    Datavant (07/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified ... is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs...as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or… more
    Elevance Health (08/01/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Tallahassee, FL)
    …levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and coding for complex internal and external coding questions ... provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all… more
    Intermountain Health (07/29/25)
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  • Inpatient Coding Denials Specialist

    HCA Healthcare (Orange Park, FL)
    …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...**What you will do in this role:** + Analyzes documentation to support codes/DRGs and abstracted data (eg, discharge… more
    HCA Healthcare (07/26/25)
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  • Remote Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …and allied health personnel the need for comprehensive, accurate timely clinical documentation . + Applies ICD-9 codes, ICD-10 codes, DRG codes, present on ... The Inpatient Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate… more
    AdventHealth (07/31/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    … techniques, medical terminology and disease processes as it relates to the DRG /APC and other clinical data quality management factors. With technical direction ... Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier… more
    Highmark Health (05/09/25)
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