• HIM ProFee Auditing Specialist FT

    Datavant (Tallahassee, FL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... from your own workspace! **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers… more
    Datavant (09/13/25)
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  • Professional Coder 3

    University of Miami (Hialeah, FL)
    …quality reviewer of scanned documents while reviewing the record for coding validation purposes. Identifies mis-scans (poorly scanned documents) and misplaced ... documentation; promptly reports findings to the Professional Coding Manager. + Assesses documentation and/or queries physician for...OR and Open Encounter Reports + Identify compliance or coding issues to management + Process Charge Review and… more
    University of Miami (09/03/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... to vendors, providers and other team members for questions regarding ICD coding and documentation requirements. + Comprehensive knowledge of coding guidelines… more
    CVS Health (09/30/25)
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  • Inpatient DRG Reviewer

    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
    Zelis (09/27/25)
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  • Outpatient Coder SDS OBS Sign on Bonus 1,500

    Datavant (Tallahassee, FL)
    …workspace! Preferred: SDS/OBV Coder. EPIC and 3M360 experience a plus. Observation coding requires I&I experience. SDS includes but not limited to Interventional ... and reporting requirements. + Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and...for follow up and resolution. + Maintain a 95% coding accuracy rate and a 95% accuracy rate for… more
    Datavant (09/26/25)
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  • Risk Adjustment Coder

    ChenMed (Miami, FL)
    …all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, ... by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting. + The diagnosis codes for each...internal clients on: + Examples of documentation and physician self- coding that do not meet quality standards. + Examples… more
    ChenMed (09/17/25)
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  • Outpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and… more
    Datavant (09/13/25)
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  • Inpatient Coder Specialist

    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 (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    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
    Elevance Health (09/30/25)
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  • Clinical Documentation Specialist

    Intermountain Health (Tallahassee, FL)
    …physicians, surgeons, and advanced practice providers. 3. Maintains clinical and coding subject matter expertise to accurately identify opportunities to clarify the ... complications and comorbid conditions, procedures, and application of the official coding guidelines for code capture and sequencing. Maintains working knowledge of… more
    Intermountain Health (09/27/25)
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