• Coding Quality Auditor

    Houston Methodist (FL)
    …remote must live in TX, LA, FL, TN, WA or GA** At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code ... /SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes… more
    Houston Methodist (04/12/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Miami, FL)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure...policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates… more
    HCA Healthcare (04/17/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating ... **DRG CODING AUDITOR ** **Location** : _This position...quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement… more
    Elevance Health (05/29/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …Association as a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor , under general supervision of the Inpatient ... care tower which will ensure state of the art medical and surgical car for generations to come .Awarded...responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in… more
    AdventHealth (05/09/25)
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  • Coding Auditor Educator

    Highmark Health (Tallahassee, FL)
    …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
    Highmark Health (05/09/25)
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  • Inpatient Coding Auditor

    AdventHealth (Orlando, FL)
    …outpatients each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible ... EXPERIENCE REQUIRED** **:** . High school diploma and two years of coding education ( medical coding certificate program or 2-year HIM program), including … more
    AdventHealth (05/23/25)
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  • Inpatient DRG Quality Auditor

    Humana (Tallahassee, FL)
    Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper ... This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical...of DRG Coding + 5 years of Quality Auditing + Medical coding more
    Humana (05/30/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (05/22/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and...school diploma or equivalent is required + Experience in medical customer service, quality assurance, or insurance… more
    CHS (05/10/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Quality Auditor Manager adheres ... to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more
    AdventHealth (03/07/25)
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