- AdventHealth (Orlando, FL)
- …Full Time **Shift** : Days **Location: Remote** **The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a ... high level of clinical proficiency necessary for the oversight of the Clinical Documentation team which is comprised of registered nurses and clinical … more
- Elevance Health (FL)
- … Auditor ** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
- Elevance Health (Tampa, FL)
- … Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : ... **Claims Auditor I, II and Senior** **Location :** This...obtain any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or… more
- Humana (Miramar, FL)
- …CMS regulations, OASIS accuracy, and Medicare Conditions of Participation demand meticulous documentation . A QA Auditor will help ensure all records meet ... and help us put health first** The Quality Assurance, Clinical Professional 1 consults and collaborates with clinicians to...submission. As we transition to Kinnser EMR, the QA Auditor will ensure documentation workflows align with… more
- Humana (Tallahassee, FL)
- …+ Nursing experience preferred in Acute care, OR, Coding, and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant ... a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record … more
- BayCare Health System (Tampa, FL)
- …BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel including Clinical documentation specialists, and/or ... PM + **Days:** Monday - Friday The **Inpatient** **Coding Auditor ** is a full-time remote position. _Sign on bonuses...on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by… more
- HCA Healthcare (Miami, FL)
- …recognized. Submit your application for the opportunity below: Inpatient Coding Quality Auditor Parallon. **This is a fully work from home position.** **This ... by location._** We are seeking an Inpatient Coding Quality Auditor for our team to ensure that we continue...coding practices and to improve the quality of physician documentation within the body of the medical record to… more
- Elevance Health (Tampa, FL)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- CVS Health (Tallahassee, FL)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or CPC-I… more
- Houston Methodist (FL)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in...and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance… more