• Manager , DRG Validation

    Zelis (St. Petersburg, FL)
    …you've gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department ... team management of the DRG product. The Manager , DRG Validation will be...primarily responsible for the oversight of DRG validation reviews to ensure accurate and compliant coding… more
    Zelis (08/02/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital ... ** DRG CODING AUDITOR** **_Virtual_** **_: _**...billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. +… more
    Elevance Health (07/22/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    … Coding Credential such as CCS or CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation ... **Diagnosis Related Group Clinical Validation Auditor-RN** **Virtual:** This role enables associates to...and reimbursed. Specializes in review of Diagnosis Related Group ( DRG ) paid claims. **How you will make an impact:**… more
    Elevance Health (08/01/25)
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  • Coding Auditor-Inpatient

    AdventHealth (Maitland, FL)
    … coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The expertise and experiences you'll need ... each year **The role you'll contribute:** Under the general supervision of the Coding Quality Manager , the Data Quality Reviewer is responsible for validating… more
    AdventHealth (07/24/25)
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  • Acute Care Outpatient Coder Team Lead

    HCA Healthcare (Ocala, FL)
    … Coding Manager in verifying and reporting staff productivity for Coding , DRG /Code Validation , Unbilled, CDI reconciliation and CARS functions What ... goals. You will also verify complete, accurate, and consistent coding and DRG code validation ...(CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement… more
    HCA Healthcare (06/21/25)
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  • Inpatient Coder 3 (H)

    University of Miami (Medley, FL)
    …Coder III to work remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder III reviews documentation in the electronic ... Transformation (CDI) team as part of the clinical documentation validation and physician query workflow. + Analyze and sequence...high dollar accounts that have been assigned by the coding supervisor or manager . + Check IP… more
    University of Miami (07/30/25)
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  • Inpatient Coder 2 (H)

    University of Miami (Medley, FL)
    …Coder 2 (H) to work in remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder 2 (H) reviews documentation in the electronic ... sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all… more
    University of Miami (07/30/25)
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