- Zelis (FL)
- …gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting ... post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on...Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest… more
- Cognizant (Tallahassee, FL)
- **Job Title: Inpatient Medical DRG Coder - Hospital (Remote)** **Location:** [Remote] **Employment Type:** [Full-time] M-F flexible hours A ** DRG coder** is ... a medical coding professional who specializes in assigning **Diagnosis-Related Group ( DRG )** codes for inpatient hospital stays. DRG (Diagnosis-Related… more
- Banner Health (FL)
- …and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the ... best place to work and receive care. In this ** Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you... Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from… more
- HCA Healthcare (Orange Park, FL)
- …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
- Elevance Health (Tampa, FL)
- …Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** is responsible for auditing inpatient medical records to ensure clinical ... documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an… more
- HCA Healthcare (Jacksonville, FL)
- …is fully work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, ... that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has...**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor, you will be responsible for performing… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …diagnoses and significant procedures to accurately reflect the patient's hospital course and DRG assignment in the inpatient setting and to accurately reflect ... setting. Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of inpatient… more
- Elevance Health (Tampa, FL)
- …is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical ... and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …complication or comorbidity (CC/MCC) and POA indicators to obtain correct MS- DRG . Medical Records Technician (Coder-Outpatient and Inpatient ), GS-7 Experience. ... ICD-10-CM, ICD-10-PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. Inpatient duties consist... duties consist of the performance of a comprehensive review of documentation within the health record to assign… more
- Humana (Tallahassee, FL)
- …you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in ... a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records… more