- Cardinal Health (Tallahassee, FL)
- …department audits to determine accuracy and adequacy of documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or ... define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +...preferred. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- CVS Health (Tallahassee, FL)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. **_Sign on bonuses available!_** This ... position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient Coders serve multiple… more
- BayCare Health System (Tampa, FL)
- …+ **Days:** Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. This position requires 3 years' Inpatient ... Coding experience and a Certified Coding Specialist (CCS) certification. The Advanced Inpatient Coders serve multiple service lines including Ortho, Neurology,… more
- Zelis (FL)
- …post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy ... DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim… more
- TEKsystems (Orlando, FL)
- …FULLY REMOTE Medical Coders. MUST HAVE: CPC- Certified Professional Coder, and Medical Coding experience. Must have a high school diploma or GED! Must be able ... for everyone to have experience in emergency services, inpatient coding , or DRG (diagnosis-related group) coding . This...services, inpatient coding , or DRG (diagnosis-related group) coding . This would allow them to understand what they… more
- Elevance Health (FL)
- …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...established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding and… more
- CenterWell (Tallahassee, FL)
- …ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory ... internal inquiries, and providing clarification on medical documentation and coding -related information. **Responsibilities** + Code and abstract patient encounters… more
- University of Miami (Coral Gables, FL)
- …2 position is responsible for the performance of advanced technical work in coding and qualitative analysis of medical records for all patients diagnosed, seen or ... and the National Cancer Data Base (NCDB) guidelines. Assures compliance of coding rules and regulations according to regulatory agencies Florida Cancer Data System… more