• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    ** DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR ** is responsible for auditing inpatient medical… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (08/08/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient Operations Manager, is responsible ... the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure...you'll bring to the team:** . Reviews records for DRG and overall coding accuracy retrospectively and concurrently as… more
    AdventHealth (08/07/25)
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  • Coding Quality Auditor

    Houston Methodist (FL)
    …TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding/ DRG requests. Responds promptly to Business Office requests to code or… more
    Houston Methodist (07/12/25)
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  • AA**Coding Auditor -Inpatient

    AdventHealth (Maitland, FL)
    …+ Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. + May ... perform pre-bill morality and PSI/HAC reviews. + May perform Iodine Retrospective reviews in conjunction with the CDI team. + Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and… more
    AdventHealth (08/07/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Tallahassee, FL)
    …Inpatient Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... clarifies internal requests for medical information. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises… more
    Humana (08/02/25)
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  • Quality Improvement CDI Specialist

    NCH (Naples, FL)
    …for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code discrepancies, collaborate with CDI Liaison to educate CDI team ... clinical secondary reviews of targeted patient populations to include cases with DRG and/or code discrepancies; low acuity DRGs, medical/surgical DRGs without cc/mcc… more
    NCH (08/16/25)
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  • Inpatient Audit Specialist

    Datavant (Tallahassee, FL)
    …shape the future of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have experience with onboarding QA, ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...Strong organizational, teamwork, and leadership skills Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have… more
    Datavant (08/13/25)
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  • Supervisor of Coding Operations

    Datavant (Tallahassee, FL)
    …with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health Information Management, or related ... with strong problem-solving skills. + Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology. + Strong analytical and problem-solving… more
    Datavant (08/19/25)
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