- Elevance Health (Tampa, FL)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Elevance Health (FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- CVS Health (Tallahassee, FL)
- …Other duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root ... and claim trainings to improve provider claims issues. as well as billing practices, while collaborating with internal and/or external departments to identify claim… more
- University of Miami (Miami, FL)
- …appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training ... any errors, and researches coverage policies. + Assists patients with insurance and billing questions. + Sets up budget plans on outstanding accounts, mails copies… more
- Datavant (Tallahassee, FL)
- …for reviewing records via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. **What You Will Do:** + Performs Inpatient ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. + 5+ years of… more
- AdventHealth (Altamonte Springs, FL)
- …This position is responsible for the Retrospect Review program, quality audits, coder education and operates in accordance with the requirements of the ICD-10-CM ... processes. + Supports organizational efforts in coding, documentation improvement and billing accuracy. + Validates and ensures departmental metrics and productivity… more
- Elevance Health (Tampa, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more