- Elevance Health (Tampa, FL)
- …data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. **Location:** ... **JR171732 Coding Auditor Sr** CareBridge Health is...project and RADV. + Assists with National and Targeted Risk Adjustment Data Validation audits. + Participates… more
- CVS Health (Tallahassee, FL)
- …the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- NCH (Naples, FL)
- …well as applicable organizational policies and procedures. * Experience in MS-DRG and APR-DRGs, risk adjustment , HACs and PSIs, O/E mortality, and LOS. * Working ... opportunities for documentation clarification, act as a liaison between coding and CDI to resolve DRG or other code...clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reflective… more