- Community Health Systems (Sarasota, FL)
- (Full-Time, Remote ) The Clinical Review Auditor is a professionally licensed nurse/LPN who is responsible for effectively managing the denial/appeal ... to patients in a dynamic changing environment. As an Clinical Review Auditor at Community...accounts by following HIPAA guidelines 13. **This is a remote position.** We know it's not just about finding… more
- Elevance Health (FL)
- **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work a hybrid model ( remote and office). Ideal ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... In** Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Houston Methodist (Miami, FL)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Quality Auditor position is ... rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional… more
- Houston Methodist (Miami, FL)
- **Coding Quality Auditor - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX)** At Houston Methodist, the Coding Apprentice position is responsible for ... requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Maintains and… more
- Molina Healthcare (FL)
- …projects. **Job Duties** + Performs the lead role of the HEDIS medical record review overreader/ auditor which includes ongoing review of records reviewed and ... the abstraction team during the annual HEDIS medical record review as well as all other HEDIS/HEDIS like project,...as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report… more