• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    ** DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The ** DRG CODING AUDITOR ** is ... coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care… more
    Elevance Health (04/29/25)
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  • Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient...a full-time, remote/work-from-home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality… more
    Humana (05/03/25)
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  • Inpatient Coding Auditor

    TEKsystems (Jacksonville, FL)
    Remote Inpatient Coding Auditor (Full Time & PRN Openings)...* Must have 5+ years of experience with Inpatient Coding Auditing. * Must be strong in DRG , ... professionalism, and progress. We are hiring 1 Remote Inpatient Coding Auditor who is passionate about ...Coding references will be used to ensure accurate coding and grouping of classification assignments (eg, MS- DRG… more
    TEKsystems (04/23/25)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...least one of these qualifications for 4 years) * MS- DRG coding /auditing experience * Minimum of 1… more
    Humana (05/03/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (02/07/25)
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  • Inpatient Coding Auditor

    TEKsystems (Orlando, FL)
    …experience in APR, SOI (severity of illness), and ROM (risk of mortality) Description + The Coding Auditor 1 is proficient in various types of coding and is ... quality audits and providing feedback to coders. + The Coding Auditor 1 utilizes the International Classification...Coding references will be used to ensure accurate coding and grouping of classification assignments (eg, MS- DRG… more
    TEKsystems (04/26/25)
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  • Coding Quality Auditor

    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 ... **SERVICE ESSENTIAL FUNCTIONS** + Responds promptly to internal and external customer coding / DRG requests. Responds promptly to Business Office requests to code… more
    Houston Methodist (04/12/25)
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  • Inpatient Coding Auditor

    AdventHealth (Altamonte Springs, FL)
    …timely clinical documentation.** + **Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding Guidelines and ... Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement.** + **Serves as a resource to other departments in… more
    AdventHealth (04/01/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    … Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (04/29/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …documentation. Communicates with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI ... practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres to strict departmental and organizational goals, objectives,… more
    AdventHealth (03/07/25)
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