- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting ... post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on...Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest… more
- Banner Health (FL)
- …and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/ review of inpatient and/or outpatient medical records to assure the ... lot different teams with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5… more
- HCA Healthcare (Orange Park, FL)
- …**This is a fully work from home position.** **This position requires Inpatient Coding and DRG Validation Experience.** **Schedule: Monday-Friday Day Shift** ... If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Quality Auditor opening. We promptly review all applications. Highly… more
- HCA Healthcare (Jacksonville, FL)
- …fully remote/work from home!** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** ... that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has...**Job Summary and Qualifications** As a work from home Inpatient Coding Auditor, you will be responsible for performing… more
- Elevance Health (Tampa, FL)
- …is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** DRG CODING AUDITOR** is responsible for auditing inpatient medical ... and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of...where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs. + Suggests and develops… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for ... daily operations and team management of the DRG product. The Manager, DRG Validation will...ensure accurate and compliant coding based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria,… more
- Elevance Health (FL)
- …clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS- DRG , AP- DRG and APR- DRG )** **Virtual:** This role enables associates to work virtually… more
- HCA Healthcare (St. Petersburg, FL)
- …knowledge and expertise! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient ... and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do...we encourage you to apply for our Acute Care Inpatient Coding Specialist opening. We promptly review … more
- HCA Healthcare (Ocala, FL)
- …organizations. Apply Today! **Job Summary and Qualifications** As a work from home Inpatient Coding Specialist, you will review and evaluate hospital ... and ICD-10- PCS codes. You will perform coding and/or code/ DRG validation across multiple entities. **What you will do...personal growth, we encourage you to apply for our Inpatient Coding Specialist opening. We promptly review … more
- AdventHealth (Maitland, FL)
- …Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or ... + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS- DRG , APR-DRGs, and overall coding accuracy retrospectively and concurrently. + May… more