- Elevance Health (Tampa, FL)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
- Elevance Health (Tampa, FL)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Datavant (Tallahassee, FL)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... standardized system , ensuring accurate representation of patient conditions for risk...You Will Do:** + Audit coded charts assigned by quality supervisor per the client guidelines + Ability to… more
- US Foods (Tampa, FL)
- …(CPA), Certified Internal Auditor (CIA), or CISA (Certified Information Systems Auditor ), Certified Information Systems Security Professional (CISSP) ... based on recommendations and findings + Focuses on client service and ensures quality deliverables for audit project + Provides expert advice to management to… more
- Highmark Health (Tallahassee, FL)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted...ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance… more
- EPS Corporation (Panama City Beach, FL)
- …Corporation is seeking a Quality Manager to Lead and oversee the Quality Management System (QMS) in alignment with AS9100D supporting SEAL Delivery Vehicle ... program Requirements Job Responsibilities: . Lead and oversee the Quality Management System (QMS) in alignment with...are complete and accurate for all deliverables. . Manage quality processes for SOC-designated systems in accordance… more
- Datavant (Tallahassee, FL)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... code diagnoses using a standardized system , ensuring accurate representation of patient conditions for risk...to excel in a fast-paced production environment while upholding high- quality standards. + Strong written and verbal communication skills,… more
- L3Harris (Melbourne, FL)
- …domains in the interest of national security. Job Title: Senior Associate, Internal Auditor Job Code: 27536 Job Location: Remote or Melbourne, FL Job Schedule: 9/80 ... auditing standards + Identify and analyze related key controls, processes, and systems to determine effectiveness + Effectively interact with and communicate audit… more
- AdventHealth (Orlando, FL)
- …CDI needs, to include policy development, program development, ongoing audits for the system level and campus level, and quality improvement efforts. Works under ... Must have knowledge and job experience in management of processes, system implementations, and project management. The Manager of Clinical Documentation works… more
- AdventHealth (Maitland, FL)
- …year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the ... **The value you'll bring to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS,...coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation… more