- Banner Health (FL)
- …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
- Elevance Health (Tampa, FL)
- …clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via ... ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _...to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for ... daily operations and team management of the DRG product. The Manager, DRG Validation will be primarily responsible for the oversight of DRG validation… more
- HCA Healthcare (Jacksonville, FL)
- …want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers… more
- Elevance Health (FL)
- …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually… more
- AdventHealth (Maitland, FL)
- …data from the various financial systems and interface tools Responsible for review of analysis of complex and varied healthcare data including financial modeling ... and effectively present analytics or project results to key stakeholders for review and decision-making Performs analysis of complex and varied healthcare data… more
- Houston Methodist (FL)
- …of clinical documentation. This position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and ... and follows up as necessary. Tracks responses and trends completion of DRG /Documentation worksheets as pertinent to scope of department. + Conducts follow-up reviews… more
- Houston Methodist (FL)
- …rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional ... duties include participating in quality review and performance improvement projects throughout the department and/or facility. **PEOPLE ESSENTIAL FUNCTIONS** +… more
- AdventHealth (Maitland, FL)
- …Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient ... + 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… more
- HCA Healthcare (Ocala, FL)
- …goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and minimal ... RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + Provides timely feedback and...as it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered… more
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