• Manager DRG Coding…

    Elevance Health (Tampa, FL)
    ** Manager DRG Coding Validation ( Manager Program and Project Management)** **​** **Hybrid 2:** This role requires associates to be in-office **3** ... eliminate and prevent unnecessary medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team… more
    Elevance Health (09/09/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG...+ Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
    Elevance Health (09/23/25)
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  • Coding Auditor Inpatient

    AdventHealth (Orlando, FL)
    … coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The expertise and experiences you'll need ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager , the Data Quality Reviewer is responsible for validating… more
    AdventHealth (09/11/25)
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  • Facility Outpatient Coder Team Lead

    HCA Healthcare (Fort Pierce, FL)
    … Coding Manager in verifying and reporting staff productivity for Coding , DRG /Code Validation , Unbilled, CDI reconciliation and CARS functions **What ... identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation , query...(CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement… more
    HCA Healthcare (09/27/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …reports quality of care issues. + Assists with Complex Claim review including DRG Validation , Itemized Bill Review, Appropriate Level of Care, Inpatient ... for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of… more
    Molina Healthcare (09/06/25)
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