- Deloitte (Miami, FL)
- …records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical ... required + Current Registered Nurse (RN) license required + Certified Clinical Documentation Specialist - CCDS ( inpatient ) certification required. + A minimum of… more
- Molina Healthcare (Miami, FL)
- …claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate level of care, inpatient readmission, and any ... review , long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant… more