- Elevance Health (FL)
- …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Elevance Health (Tampa, FL)
- …and experience, which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Provider Auditor ** conducts on-site...Experiences:** + Medical coding certification is highly preferred. +… more
- AdventHealth (Daytona Beach, FL)
- …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of the ... as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding accuracy, providing… more
- Elevance Health (Tampa, FL)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II...+ Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1… more
- CHS (Clearwater, FL)
- …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure… more
- Elevance Health (Miami, FL)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- Elevance Health (Tampa, FL)
- **Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... for employment, unless an accommodation is granted as required by law._ The **Claims Auditor II** is responsible for audits of high dollar claims across the stop… more
- AdventHealth (Tampa, FL)
- …charges, CPT coding , and national coverage decisions in conjunction with medical charts to ensure compliance with Medicare, Medicaid and other third party payers ... an acceptable manner and in a reasonable amount of time . The Clinical Auditor is responsible for assigned operational areas. **The value you'll bring to the team:**… more
- HCA Healthcare (Orange Park, FL)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or projects +… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... of healthcare from your own workspace! Preferred: Strong IP Auditor 3+ years experience, Cerner/3M a plus. Must have...topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more