- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding ...Perform CPT Procedure reviews + Maintain strict patient and physician confidentiality and follow all federal, state and hospital… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... correct coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The...provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital… more
- Highmark Health (Tallahassee, FL)
- …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for ... Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC… more
- Elevance Health (Tampa, FL)
- …issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician 's statement sent in by acute ... spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role… more
- CenterWell (Tallahassee, FL)
- …our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Director, Medical Coding requires an in-depth understanding of how organization capabilities interrelate across… more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an ... group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued?… more
- AdventHealth (Maitland, FL)
- …documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes ... various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and… more
- AdventHealth (Orlando, FL)
- …disposition, and assigns the operative physician and date of procedure to the chart coding screen. Works with other Coding team members to keep coding ... and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage… more
- AdventHealth (Maitland, FL)
- …records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual ... coders and the coding staff concerning changes in the coding ...analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians… more
- AdventHealth (Maitland, FL)
- …operative physician and date of procedure to the chart coding screen. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** ... key performance indicators. + Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage… more