- Elevance Health (Tampa, FL)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. +… more
- CVS Health (Tallahassee, FL)
- …documentation review, diagnosis coding, and/or auditing. + CPC (Certified Professional Coder ) or CCS -P (Certified Coding Specialist-Physician) required. + CRC ... **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit...(Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office… more
- Elevance Health (Tampa, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing ... inpatient medical records and generating high quality recoverable claims for...RHIT certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as… more
- Houston Methodist (FL)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- Elevance Health (Lake Mary, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG Coding Auditor Principal** is responsible for ... auditing inpatient medical records on claims paid based on Diagnostic Relation...Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist, CIC as a… more
- Elevance Health (FL)
- …(CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- CenterWell (Tallahassee, FL)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- Datavant (Tallahassee, FL)
- …**What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...years of outpatient facility coding experience and/or auditing + CCS (preferred), RHIA or RHIT preferred + Maintains 95%… more
- Datavant (Tallahassee, FL)
- …is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding ... both hospitals and alternative care settings. **Seeking Profee Interventional Radiology coder . Requires expertise in capturing Interventional Radiology CPTs, DX, RVU… more
- Datavant (Tallahassee, FL)
- …cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, ... years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA or RHIT preferred + Maintain 95%...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more