- Elevance Health (Tampa, FL)
- …Nurse license. + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of ... DRG Clinical (RN) Validation Auditor **Virtual** :...and Hospital-Acquired Conditions (HACs). + Suggests and develops high quality , high value, concept and or process improvement… more
- Humana (Tallahassee, FL)
- …entry regarding claim/encounter information + Support and participate in process and quality improvement initiatives **What Humana Offers** We are fortunate to ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct… 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 and/or ... coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the… more
- Elevance Health (Lake Mary, FL)
- …Preventable Adverse Events (PAEs) or Never Events. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad, deep and niche… more
- Elevance Health (Tampa, FL)
- …as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops high quality , high value concept and or process improvement and efficiency ... (DRG) Coding/ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment… more
- NCH (Naples, FL)
- …we serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) ... Integrity Specialist for educational opportunities/outcomes. * Collaborates with CDI liaison/ quality auditor when educational needs are identified from… more
- BPC Plasma, Inc. (Royal Palm Beach, FL)
- …Works toward certification from American Society for Quality to be a Certified Quality Auditor . Certification as a Designated Trainer for quality area is ... and calibration of equipment and documentation of procedures. * Ensures that Clinical Lab Improvement Amendments (CLIA) proficiency test surveys, complaint… more
- Datavant (Tallahassee, FL)
- …in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding education, interim coding ... you to help shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software… more
- Molina Healthcare (FL)
- …Specialist, Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of ... maintain critical program milestones, deadlines, and/or deliverables + Participates in quality improvement activities, meetings, and discussions with and between… more