- Intermountain Health (Tallahassee, FL)
- …all payer and regulatory denials and downgrades and provides in-depth coding review , audit findings, and appeal strategies. + Develops and implements training plans ... risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI… more
- University of Miami (Medley, FL)
- …other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS- DRG ) assignment. + Review medical record documentation for major ... been returned due to missing documentation, physician query response, DRG mismatch, etc. + Mandatory daily review ...response, DRG mismatch, etc. + Mandatory daily review and reconciliation of any pending audit reviews. +… more
- HCA Healthcare (Tampa, FL)
- …identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + Provides timely feedback and education as ... it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered timely through the system/process outlined in… more
- AdventHealth (Maitland, FL)
- …quantify, and present contract compliance violations. He/she will perform extensive review of contract language, state and federal regulations, and payor practices ... This person demonstrates attention to detail and competencies in contract language review , research, decision support, and financial analysis in the preparation and… more
- Datavant (Tallahassee, FL)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- HCA Healthcare (St. Petersburg, FL)
- …Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, ... the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do in this role:** +… more
- HCA Healthcare (Ocala, FL)
- …Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, ... the appropriate ICD-10-CM and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do in this role:** +… more
- Datavant (Tallahassee, FL)
- …reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise rationale explaining the ... and/or auditing. + CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including Epic, Cerner, and other… more
- AdventHealth (Orlando, FL)
- …the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS- DRG Medicare Prospective Payment System requirements. Actively participates in ... Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder...as outlined by governing bodies. Evaluates and consider various DRG options and optimize them in accordance with UHDDS… more
- Datavant (Tallahassee, FL)
- …Track and report on coding productivity and quality metrics for leadership review . + Maintain coding policies, procedures, and workflow documentation. + Implement ... with strong problem-solving skills. + Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology. + Strong analytical and problem-solving… more