- AdventHealth (Orlando, FL)
- …outpatients each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible ... the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates… more
- Humana (Miramar, FL)
- …a part of our caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality . The Quality Assurance, Clinical Professional 1...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- 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
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the overall clinical picture and the representation of ... illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for reimbursement,… more
- AdventHealth (Tampa, FL)
- …Investigates charge issues from interface rejection reports, SSI edits, or coding software for possible correction. Reviews and corrects charge errors found ... each position may vary based on geographical location. **Category:** Quality /Clinical Effectiveness **Organization:** AdventHealth Tampa **Schedule:** Full-time **Shift:** 1… more
- HCA Healthcare (Orange Park, 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
- NCH (Naples, FL)
- …query process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more
- CVS Health (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
- HCA Healthcare (Tampa, FL)
- …with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education, ... quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and...the monthly random, focus, prebill review, and Ad Hoc quality review process + Submits and reviews coding… more
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