- HCA Healthcare (Miami, FL)
- …of each individual is recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from ... may vary by location._** We are seeking an Inpatient Coding Quality Auditor for our...+ Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… more
- Houston Methodist (FL)
- At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient ... /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
- CVS Health (Tallahassee, FL)
- …Risk Adjustment Coder) required **Preferred Qualifications** + CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or ... each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records...Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Elevance Health (Tampa, FL)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _...**DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company,… more
- Datavant (Tallahassee, FL)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- 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 ... **The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,...High School Grad or Equiv and two years of coding education ( medical coding certificate… more
- Humana (Miramar, FL)
- …of our caring community and help us put health first** The Home Health Quality Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and ... accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates with leadership to… more
- Datavant (Tallahassee, FL)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- NCH (Naples, FL)
- …query process and/or provider education. The QI-CDIS will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more