- AdventHealth (Altamonte Springs, FL)
- …to the compliance department. Provides suggestions on process improvement. Works with the audit team and coding manager to develop meaningful education ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records...quality assurance audits while adhering to inpatient and/or outpatient coding policies, procedures, and established audit schedule;… more
- Datavant (Tallahassee, FL)
- …will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for daily operations pertaining ... assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Elevance Health (Tampa, FL)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is...+ BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or… more
- Highmark Health (Tallahassee, FL)
- …:** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to ... performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for… more
- Datavant (Tallahassee, FL)
- …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager ** is essential to the Provider HIM Coding ... data to clients (eg, volume metrics, six-month trends, quality audit scores, and productivity levels). + Include action plans...RHIA, or CCS) with at least **5 years of coding experience** . + Excellent interpersonal and organizational skills.… more
- CHS (Clearwater, FL)
- …including plan building and identification of new and updated benefit categories based on new medical coding and medical services. * Act as a liaison with ... **Overview** **Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
- Elevance Health (FL)
- … principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
- CVS Health (Tallahassee, FL)
- …Revenue Integrity initiatives. + Responsible for leading the reconciliation of data ( coding review results and medical record images) from different sources, ... as well as the support of auditing activities related to vendor reconciliation of coding results and medical record images as well as other technical projects.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …regulatory requirements + Expertise in FWA, Special Investigations, claims processing, coding and medical terminology + Outstanding investigative and research ... The Manager , Fraud, Waste & Abuse (FWA) provides leadership...to research potential FWA + Partner with the Internal Audit and Recovery Unit to help address FWA +… more