- BayCare Health System (Tampa, FL)
- …_Sign on bonuses available!_ **Responsibilities** + The Inpatient Coding Auditor performs inpatient encounter audits and evaluates compliance related ... 3:30 PM + **Days:** Monday - Friday The **Inpatient** ** Coding Auditor ** is a full-time remote position....facility Inpatient claims. + Acts as the Liaison for coding issues with the BayCare Compliance Department… more
- Highmark Health (Tallahassee, FL)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
- Houston Methodist (FL)
- …must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of ... based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position… more
- CVS Health (Tallahassee, FL)
- …healthcare providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- Humana (Tallahassee, FL)
- …Inpatient medical coding , analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following AHIMA ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, and… more
- Elevance Health (Tampa, FL)
- **Clinical Provider Auditor II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required inperson training sessions, ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II i** s responsible for identifying issues and/or entities that… more
- Elevance Health (Miami, FL)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Molina Healthcare (Miami, FL)
- …Develop and implement processes and procedures to ensure accuracy, completeness, and compliance with Centers for Medicare and Medicaid Services (CMS) regulations and ... payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education**… more
- HCA Healthcare (Jacksonville, FL)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company… more