- Elevance Health (FL)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- AdventHealth (Tampa, FL)
- …as heart failure, cancer and other diseases. **The role you'll contribute:** Performs inpatient and outpatient audits related to patient billing in assigned area for ... Cardiac Cath Lab. Researches and analyzes charges, CPT coding , and national coverage decisions in conjunction with medical...in a reasonable amount of time . The Clinical Auditor is responsible for assigned operational areas. **The value… more
- Molina Healthcare (Orlando, FL)
- …and services billed under Institutional and non-institutional claims. * Validates coding , updating and maintaining benefit plans, provider contracts, fee schedules ... principles and state specific policies and regulations to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing… more
- HCA Healthcare (Tampa, FL)
- …a fully work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports ... inpatient and/or outpatient records as needed (including concurrent coding ); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level… more
- NCH (Naples, FL)
- …extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. * Strong understanding of coding application, rules, and ... potential missed opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with… more