• Coding Quality Audit…

    HCA Healthcare (Tallahassee, FL)
    **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
    HCA Healthcare (04/20/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality… more
    Elevance Health (04/29/25)
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  • Facility Coding Inpatient CQA Acute

    Banner Health (FL)
    …RHIT or RHIA Coding Certification, and make a difference!** **This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
    Banner Health (04/13/25)
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  • Consultative Coding Professional, Broward

    CenterWell (Miami, FL)
    …and internal business rules to respond to inquiries and issues. **Post-Visit/Offshore Coding Collaboration:** + Perform Quality Assurance on post-visit reviews. ... (Frequency and sampling methodology to be determined) + Review the encounter for potential missed opportunities. + Address...positive, collaborative mindset to foster partnership within and the Coding , Audit , and Education department, the PCO,… more
    CenterWell (04/18/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding… more
    Elevance Health (04/29/25)
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  • System CDI Quality & Compliance Team Leader

    AdventHealth (Altamonte Springs, FL)
    …and in collaboration with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and ... quality physician documentation for any clinical conditions or procedures...Stewardship, and Teamwork + Completes accurate and timely record review to ensure the integrity of clarification compliance for… more
    AdventHealth (03/07/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …Manager of Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met. This includes setting ... random audit percentages for Examiners reflecting experience and historical quality results. It will also include development of coaching and training programs… more
    CHS (04/14/25)
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  • Accountant III

    MyFlorida (Tallahassee, FL)
    …(MFMP) as the Exception Handler/Invoice Manager and in FLAIR. Performs an internal audit review to determine the validity of the invoices received prior ... care system to be the most cost-effective, transparent, and high- quality health care system in the nation. Agency Objectives:...to submission to the DFS. Performs a thorough audit review of vouchers, as assigned, to… more
    MyFlorida (05/02/25)
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  • Clinical Documentation Integrity Manager

    AdventHealth (Orlando, FL)
    …of registered nurses and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age and have different ... proven leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of care and… more
    AdventHealth (04/01/25)
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  • Senior Engineer SAP Pricing

    Cardinal Health (Tallahassee, FL)
    …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... Sr Engineer of Rebates & Incentives for Pharma IT performs configuration or coding to develop, enhance and sustain the organization's software systems in a… more
    Cardinal Health (02/20/25)
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