- HCA Healthcare (Orange Park, FL)
- …from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** **Benefits** Parallon offers ... consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy,… more
- Cardinal Health (Tallahassee, FL)
- …data analytics and the revenue cycle team in identifying the time period of review and conducts a focused audit to identify any financial liability of the Company. ... Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/ DRG /APC documentation coding rules; charge capture and reimbursement methodologies;… more
- AdventHealth (Altamonte Springs, FL)
- …patient and involved care givers (as permitted by the patient) as well as a review of the current and past inpatient and outpatient medical record in the Initial ... team as needed. Establishes and documents, based on the predicted DRG and multidisciplinary team member's input, Anticipated Date of Transition (ADOT)… more
- Datavant (Tallahassee, FL)
- …+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS- DRG assignments + Maintain a minimum production of 1 chart per hour or site-specific ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- HCA Healthcare (Orange Park, FL)
- …analysis, and completion of diagnoses working with medical coders to include CPT and DRG / ICD codes based on stroke and other Neurosciences selected diagnoses. The ... path, we encourage you to apply for our Coordinator Stroke Program opening. We review all applications. Qualified candidates will be contacted by a member of our… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- …appropriate workload is captured, and resources are properly allocated. They review documentation and facilitate modifications to the health record to ensure ... possess knowledge of complication or comorbidity/major complication or comorbidity (CC/MCC), MS- DRG structure, and POA indicators. Knowledge of severity of illness,… more
- AdventHealth (Maitland, FL)
- …Prepares and presents analytics or project results to key stakeholders for review and decision-making. + Evaluates and understands contract language related to ... claims and managed care concepts such as risk adjustment, capitation, FFS, DRG , APG, APCs and other payment mechanisms Experience in modeling financial impact… more
- Insight Global (Sarasota, FL)
- …claims processing. This candidate needs to maintain an accuracy rating above 95% for DRG , Diagnosis, POA, PCS, and DC DISP. This candidate must meet an accuracy of ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- CenterWell (Tallahassee, FL)
- …action. The Medical Coding Professional confirms appropriate diagnosis related group ( DRG ) assignments. Analyzes, enters and manipulates database. Responds to or ... post-visit reviews. (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address nonbillable services… more
- Cordis (Miami Lakes, FL)
- …+ Strong understanding of US coding systems (CPT, ICD-10, HCPCS), payment methodologies ( DRG , APC, TPT), and CMS regulations and review cycles + Proven ... ability to engage with hospital administration, revenue cycle, and payer stakeholders. + Track record of supporting successful product launches from a market access/reimbursement perspective. + Ability to interpret healthcare policy, coding, and payment rules… more