• Coding Data Quality

    CVS Health (Tallahassee, FL)
    …to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... comprehend clinical documentation and code descriptions. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing… more
    CVS Health (10/26/24)
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  • Inpatient Medical Coding Auditor

    Humana (Tallahassee, FL)
    …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Where… more
    Humana (11/02/24)
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  • Risk Adjustment Auditor Educator

    Centene Corporation (Tallahassee, FL)
    …education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analysis of MRA data to identify patterns and ... level. + Subject matter experts for proper risk adjustment coding and CMS data validation + Work...in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director for the… more
    Centene Corporation (09/25/24)
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