- Elevance Health (Miami, 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)
- …and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ... and assists others to achieve the same through mentoring and instruction.- Medical record auditing skills and abstraction expertise. -Serves as the training resource… more
- Datavant (Tallahassee, FL)
- …new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records , utilizing ICD-10-CM, CPT, and appropriate coding references for ... accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need...HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary… more
- Datavant (Tallahassee, FL)
- …compliant coding practices across multiple specialties. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...workspace! Seeking an experienced Same day surgery and Observation Coder with 3-5 years of hands-on outpatient coding experience.… more
- CenterWell (Fort Pierce, FL)
- …professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder , Referral Coordinator and more. Our approach allows us to provide an ... in 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 protocol… more
- Datavant (Tallahassee, FL)
- …System experience with Meditech and 3M required **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and procedures. + Assign ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...healthcare from your own workspace! Seeking full time ancillary coder . Must have experience coding labs, pathology, radiology, and… more
- Elevance Health (Tampa, FL)
- …-expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the ... 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
- CenterWell (Ormond Beach, 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
- Datavant (Tallahassee, FL)
- …appropriate modifiers for radiology imaging reports.** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned ... is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding… more
- Elevance Health (FL)
- …Related Group Clinical Validation Auditor** 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