UNKNOWN

FEED

Under general supervision of client, Omega's External Auditor Inpatient will perform reviews of inpatient and outpatient or Professional Services medical records for coding accuracy and medical record documentation as it impacts the accuracy of ICD-10-CM, ICD-10-PCS codes driving MS-DRG assignment and ICD-10-CM and CPT-4/HCPCS codes driving the APC assignment. Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.

OMH HealthEdge Holdings Inc

External Auditor Inpatient

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This role prepares detailed audit findings and provides education and feedback to physicians, advanced practice providers, clinical teams, leadership, and Revenue Cycle partners to promote accurate coding, compliant documentation, and continuous improvement. The Physician Services Coding Auditor performs comprehensive coding and compliance audits to support the Revenue Cycle Compliance auditing and education team.

Baptist Health

Physician Services Coding Auditor Baptist Jacksonville

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Licenses and Certifications: Registered Health Information Technician (RHIT [Required] OR Certified Coding Specialist (CCS [Required] OR Certified Risk Adjustment Coder (CRC [Required] OR Certified Documentation Improvement Practitioner (CDIP [Required] OR Certified Clinical Documentation Specialist-Outpatient (CCDS-O [Required] OR Certified Clinical Documentation Specialist (CCDS [Required] OR Certified Professional Coder (CPC [Required]. Provides education to physicians, advanced practice providers, and other key healthcare providers regarding the need for accurate, specific, and complete clinical documentation in the patient's medical record.

YEAR

AdventHealth

Coding & Documentation Educator

Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel.

HOUR

Coding Inpatient Auditor

Monitor required QI Work Plan metric trends, identify variation, convene functional area or cross-functional teams as needed to conduct root cause analysis and institute meaningful action to achieve defined performance goals. About Avalon Healthcare Solutions: Avalon Healthcare Solutions is the nation's leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem.

Avalon Health Services LLC

Quality Improvement Specialist

About the Supervisor, Quality Improvement position: The Supervisor, Quality Improvement is responsible for overseeing Avalon's quality improvement auditing and monitoring activities while leading a team of Quality Improvement Specialists. This position serves as a working leader, directly participating in quality audits, data analysis, reporting, and process improvement initiatives while ensuring the team consistently delivers accurate, timely, and actionable quality insights.

Supervisor, Quality Improvement

FULL_TIME

OTHER

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

TriWest Healthcare Alliance

Program Integrity Investigator

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Serving as a subject matter expert, the Coding Quality Reviewer and Educator develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

Brown University Health

Coding Quality Reviewer and Educator-3

Serving as a subject matter expert, the Coding Quality Reviewer and Educator develops and delivers targeted education to coders, providers, and clinical departments to support compliant, defensible documentation and optimal revenue integrity outcomes. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

Coding Quality Reviewer And Educator-3

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682755'',''true'',''682755'',''false'',''Submission for the position: Revenue Integrity Analyst - USFTGP UMSA RCO Back End - (Job Number: 260002VX)'',''false'',''682755'',''false'',''true'','' Revenue Integrity Analyst - USFTGP UMSA RCO Back End'',''260002VX'',''!*! Leads high-level charge capture initiatives, payer strategy escalations, and systemwide denial prevention efforts and initiatives that ensure accurate billing, regulatory coding compliance, and optimized net revenue performance.

Tampa General Hospital

Revenue Integrity Analyst - USFTGP UMSA RCO Back End

Responsibilities: Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar''s unlimited vacation program and annual performance bonuses.

Oscar Health Inc

Risk Adjustment Auditor

Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts. Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Oscar Health

GreenHouseAPI

Assists with system analysis, implementation, testing, database management, maintenance, accuracy, regulatory compliance, troubleshooting, and security of coding/abstracting systems, interfaces, databases, and reporting tools for systems using coding/abstracting data (e.g., 3M, Compass/Allscripts, EPIC, etc.). Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.

Regional Coding Manager

Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.

Centene Corporation Group

SIU Investigator

Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials.

UF Health

Denial Recovery Coding Analyst | Enterprise Denials

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Applicants must reside in one of the following states: Alabama, Colorado, Delaware, the District of Columbia, Florida, Georgia, Illinois, Maryland, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia. The Professional Fee Abstractor is responsible for 100% charge capture by reviewing physician documentation and properly coding all professional services performed utilizing appropriate ICD-10-CM, CPT-4, HCPCS codes and modifiers.

Nemours Foundation

Professional Fee Coding Abstractor

Works multiple assigned payer work queues, including Medicare, Medicaid, government payers, commercial payers, Medicare Advantage plans, and other assigned payers. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.

University of Florida Health Science Center

Denial Recovery Coding Analyst | Enterpirse Denials

Students & early career | Quest Diagnostics Whether you are transitioning from high school, college or to civilian life after serving in the military, we have programs that can help you reach your goals - and share in the incredible work we do. Through our 11 Employee Business Networks (EBNs) employees can grow, connect, and contribute with professional development, mentorship, EBN program offerings, and community engagement.

Quest Diagnostics Inc

Data Entry Clerk - Billing I

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. For assigned coders and providers, review Inpatient, Outpatient or Professional Fee medical records for coding accuracy and medical record documentation as it impacts the correctness of the coding.

Remote Medical Coder Jobs in Florida

External Auditor Inpatient OMH HealthEdge Holdings Inc

Physician Services Coding Auditor Baptist Jacksonville Baptist Health

Coding & Documentation Educator AdventHealth

Coding Inpatient Auditor AdventHealth

Quality Improvement Specialist Avalon Health Services LLC

Supervisor, Quality Improvement Avalon Health Services LLC

Program Integrity Investigator TriWest Healthcare Alliance

Coding Quality Reviewer and Educator-3 Brown University Health

Coding Quality Reviewer And Educator-3 Brown University Health

Revenue Integrity Analyst - USFTGP UMSA RCO Back End Tampa General Hospital

Risk Adjustment Auditor Oscar Health Inc

Risk Adjustment Auditor Oscar Health

Regional Coding Manager OMH HealthEdge Holdings Inc

SIU Investigator Centene Corporation Group

Denial Recovery Coding Analyst | Enterprise Denials UF Health

Professional Fee Coding Abstractor Nemours Foundation

Denial Recovery Coding Analyst | Enterpirse Denials University of Florida Health Science Center

Denial Recovery Coding Analyst | Enterpirse Denials UF Health

Data Entry Clerk - Billing I Quest Diagnostics Inc

Auditor/Educator Inpatient Omega HMS

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