- Elevance Health (Lake Mary, FL)
- …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche knowledge of ... all lines of business, and its clients. Specializes in review of DRG coding via medical record...or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you… more
- Elevance Health (Tampa, FL)
- …Group (DRG) Coding /Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
- Zelis (St. Petersburg, FL)
- …role with production and quality metric goals. What you'll do: + Review provider disputes for DRG Coding and Clinical Validation (MS and APR) ... findings. + Research and analysis of content for DRG review s . + Use of strong coding...review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales… more
- Zelis (FL)
- …interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay ... comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions.… more
- University of Miami (Medley, FL)
- …compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus ... -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient … 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 ... Do you want to work as a Clinical Denial Coding Review Specialist where your passion for...met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment… more
- CenterWell (Tallahassee, FL)
- …partner with offshore coding team and leaders to address post-visit review coding KPIs ( quality , Turn-Around-TAT, appropriate clinician queries). + ... for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify coder errors… more
- Datavant (Tallahassee, FL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... references for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding ...appropriate manager. + Prepare the final reports for the coding audit and actively participates in the… more
- Datavant (Tallahassee, FL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... of healthcare from your own workspace! **Preferred: Seeking Inpatient Audit Specialist. Would like a candidate that is strong...must have a CCS and 5 years of experience coding and/or auditing and strong spinal fusion experience as… more
- Coinbase (Tallahassee, FL)
- …and fully supported. *_* *Team / Role Paragraph:* Coinbase is looking for an Internal Audit IT Senior to join the Internal Audit team focusing primarily on ... US (Remote) and will be reporting to an Internal Audit IT Senior Manager. The individual will be responsible...to maximize meetings utility, testing efficiencies and internal controls review coverage across the organization. * Serve as a… more