- Community Health Systems (Naples, FL)
- …collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and ... severity and acuity. + Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to… more
- Elevance Health (Tampa, FL)
- …from an office.** The **DRG Coding Auditor** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit ... its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- CVS Health (Tallahassee, FL)
- …and every day. **Position Summary** Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes ... all State and Federal regulations and internal policies and procedures. + Utilize medical records to ensure support is documented for etiology and manifestations… more
- CenterWell (Port Orange, FL)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- HCA Healthcare (Tallahassee, FL)
- …timeliness and accuracy of patient charge entry into the billing system.** 1. **Supervises medical records /file clerk, ensures that records are sent in ... of Conduct" and Mission and Value Statement".** 1. **Works E-request for PAS for medical records for appeals, and missing information needed to get claims… more
- Elevance Health (Lake Mary, FL)
- …-expense spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group ... of business, and its clients. Specializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid… more
- Elevance Health (FL)
- …Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- CenterWell (Tallahassee, FL)
- …The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to ... as well as internal policies and guidelines while analyzing coding information and medical records . **Mergers and Acquisitions:** + Partner with coding teams… more
- CenterWell (Weston, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- CenterWell (West Palm Beach, FL)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more