- CHS (Clearwater, FL)
- **Overview** ** ** **Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... + Reviews Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) to determine proper category for benefit code determination.… more
- Datavant (Tallahassee, FL)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to...a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in… more
- HCA Healthcare (Jacksonville, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
- CVS Health (Tallahassee, FL)
- …highlighting findings, recommendations, and areas of concern to be delivered to coding resources. + Adhere to stringent timelines consistent with project deadlines ... and directives. + Demonstrates a strong commitment to enhancing and promoting quality ; consistently delivers accurate and thorough work, and supports others in… more
- AdventHealth (Altamonte Springs, FL)
- …including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres ... collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more
- CVS Health (Tallahassee, FL)
- …achieves this goal through analyzing and sharing provider performance metrics related to quality , clinical outcomes, coding , and utilization used to support ABH ... in managed care with a focus on HEDIS and Quality with experience facilitating and leading meetings with provider...Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and… more