- 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)
- ** DRG CODING AUDITOR** **_Virtual_** **_: _** _ _ __ _This role enables associates to work virtually full-time, with the exception of required in-person training ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- Houston Methodist (FL)
- At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the overall quality and completeness of clinical documentation. This ... position analyzes medical records for DRG 's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation… more
- HCA Healthcare (Orange Park, FL)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...the denial/downgrade + Explanation of Benefits/Remittance Advice + Payer denial/ DRG downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies… more
- Intermountain Health (Tallahassee, FL)
- …risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI ... of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG , and APR- DRG classification systems. + Ability to complete… more
- Datavant (Tallahassee, FL)
- …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... assignment of codes and other coding-related elements using MS DRG or APR DRGs. + Provides rich and concise...CCS (required), RHIA or RHIT preferred + Maintain 95% DRG accuracy rate + Experience with various software including… more
- Datavant (Tallahassee, FL)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... caregivers to ensure appropriate reimbursement and clinical severity for DRG -based payer patients. + Demonstrate understanding of complications, co-morbidities,… more
- AdventHealth (Altamonte Springs, FL)
- …with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtainsappropriate and quality physician ... with HIM staff and collaborates with them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed follow-up case reviews… more
- AdventHealth (Orlando, FL)
- …documentation contained in the medical record applying appropriate ICD9 and DRG codes conventions and requirements of Medicare Prospective Payment System. Actively ... accurate timely clinical documentation. + Applies ICD-9 codes, ICD-10 codes, DRG codes, present on admission codes, patient status codes, and participating… more
- 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