• Coding Auditor Inpatient

    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
    AdventHealth (09/11/25)
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  • Quality Auditor & Educator

    AdventHealth (Daytona Beach, FL)
    …Daytona Beach, FL 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of ... as supporting on-going quality assurance needs for coding staff. They will review medical records...Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains… more
    AdventHealth (08/07/25)
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  • Home Health Quality Assurance…

    Humana (Miramar, FL)
    …a part of our caring community and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to ensure high ... accountability of compliance and quality . The Quality Assurance, Clinical Professional 1...Medicare Conditions of Participation demand meticulous documentation. A QA Auditor will help ensure all records meet federal, state,… more
    Humana (10/01/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
    Elevance Health (09/30/25)
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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 (09/13/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Tallahassee, FL)
    …severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical records documentation for ... **Job Description:** The goal of the Clinical Documentation Specialist- Auditor is to improve the accuracy of the...and risk of mortality, identifies opportunities for improving the quality of medical record documentation, and confers… more
    Intermountain Health (10/01/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Orange Park, FL)
    …current Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical resources to ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you...Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for… more
    HCA Healthcare (09/27/25)
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  • Quality Improvement CDI Specialist

    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
    NCH (09/15/25)
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  • Quality Senior Analyst

    CVS Health (FL)
    …CRC (Certified Risk Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation Expert Outpatient) ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (09/30/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Tampa, FL)
    …with vendor management including monitoring processes and services for improvement, coding quality , trending/analyzing data, creating and presenting education, ... quality data to identify trends by vendor and coder/ auditor that need to be addressed + Prepares and...policies + Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in… more
    HCA Healthcare (09/27/25)
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