- 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 ... + Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with… more
- Datavant (Tallahassee, FL)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative...Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel,… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …to staff occupational therapist by mentoring, teaching, assistance to outpatient, inpatient and spinal cord unit occupational therapy staff in specialized area ... care provided. This includes understanding and practicing documentation and coding practices for appropriate billing. Accurately maintains documentation in keeping… more
- AdventHealth (Daytona Beach, FL)
- …outpatient coding questions from assigned coders/providers and provides official inpatient coding references and guidelines. Creates clear and accurate audit ... Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor...currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC),… more
- Elevance Health (FL)
- …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
- Molina Healthcare (Tampa, FL)
- …appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct ... coding , to ensure appropriate reimbursement to providers. + Resolves...(DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment… more
- ChenMed (Largo, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively...or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. +… more
- ChenMed (Orlando, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively...or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. +… more
- BayCare Health System (Clearwater, FL)
- …overall success. + Proficient in the delivery of Clinical Documentation Integrity process, coding rules and guidelines, as well as in depth analysis of clinical ... Representatives, and other multidisciplinary team members. + As needed, performs inpatient chart audits, 2nd level or pre-bill chart reviews post discharge.… more
- ChenMed (North Lauderdale, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively...or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. +… more