- Highmark Health (Tallahassee, FL)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....(RADV) Audits. Works closely with physicians, team members, Quality, Compliance , partners at Enterprise and leadership to identify and… more
- Houston Methodist (FL)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- HCA Healthcare (Bradenton, FL)
- …you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? At Parallon, you come first. HCA Healthcare has committed ... you have the opportunity to make a difference. We are looking for a dedicated Coding Account Resolution Specialist-Inpatient like you to be a part of our team. **Job… more
- University of Miami (Medley, FL)
- …Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory ... -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding… more
- Highmark Health (Tallahassee, FL)
- …Network **Job Description :** **GENERAL OVERVIEW:** Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the ... timekeeping and supervision responsibilities of team, providing technical expertise for coding content and functions within the department. The supervisor is… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive...Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures + Review Medicare… more
- MetLife (Tampa, FL)
- …correctly performing claim adjudication with the focus on Decisional, Financial, Claims Coding and Compliance Accuracy in accordance with the Customers' ... sessions to address metrics reviews and career development. Ensure 100% compliance of mandatory training courses. * Exhibits excellent interpersonal and… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- AdventHealth (Orlando, FL)
- …and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage ... sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance . Reviews encounters for proper admission source, discharge disposition,… more
- AdventHealth (Orlando, FL)
- …records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual ... coders and the coding staff concerning changes in the coding ...sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance . **The expertise and experiences you'll need to succeed:**… more