Clinical Coding Audit Specialist, Him Miami, FL Full-Time Health Information Management REMOTE (FL ... Foreign Physician is preferred. Ability to analyze, organize and prioritize work accurately while ...
Clinical Coding Audit Specialist, Him Miami, FL Full-Time Health Information Management REMOTE (FL ... Foreign Physician is preferred. Ability to analyze, organize and prioritize work accurately while ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Fully remote * Covering WVU Medicine Community Hospitals * Additional earning opportunities ... Candidate must have a MD or DO degree or foreign equivalent and be eligible for state medical ...
Primary Care Physician (Telehealth) - Alexandria, VA Requirements: • Daily job is a remote task ... foreign medical school with Educational Commission for Foreign Medical Graduates (ECFMG ...
Primary Care Physician (Telehealth) - Alexandria, VA Requirements: • Daily job is a remote task ... foreign medical school with Educational Commission for Foreign Medical Graduates (ECFMG ...
Physician (Radiology)
Houston, TX · On-site +1
$124K - $400K/yr
Remote telework may be authorized. Learn more about this agency Duties Help * Interpret full range ... A Doctor of Medicine or equivalent degree from a foreign medical school must have provided ...
Physician (Radiology)
Houston, TX · On-site +1
$124K - $400K/yr
Remote telework may be authorized. Learn more about this agency Duties Help * Interpret full range ... A Doctor of Medicine or equivalent degree from a foreign medical school must have provided ...
Physician Assistant/Nurse Practitioner
Washington, DC · On-site +1
$133K - $158K/yr
Establishing and operating remote independent duty clinics including performing logistical and ... Foreign language proficiency Education * Master's degree from an AAPA-approved program and/or NP ...
Physician Assistant/Nurse Practitioner
Washington, DC · On-site +1
$133K - $158K/yr
Establishing and operating remote independent duty clinics including performing logistical and ... Foreign language proficiency Education * Master's degree from an AAPA-approved program and/or NP ...
Physician Advisor, Jackson Memorial Hospital, Per Diem, Variable remote/hybrid schedule
Miami, FL · On-site +1
MD or DO degree (US or Foreign Medical Graduate) is required. License Certification: Active Florida medical license or house physician license (or eligibility) is required. ABQAURP certification is ...
Physician Advisor, Jackson Memorial Hospital, Per Diem, Variable remote/hybrid schedule
Miami, FL · On-site +1
MD or DO degree (US or Foreign Medical Graduate) is required. License Certification: Active Florida medical license or house physician license (or eligibility) is required. ABQAURP certification is ...
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
Foreign trained physicians are welcomed and encouraged to apply; however, you must be eligible to ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Quick apply
Case Preparation Physician
Northbrook, IL · Remote
$28.25/hr
Foreign trained physicians are welcomed and encouraged to apply; however, you must be eligible to ... This position is remote (work from home) and is part-time, with a focus on weekend hours. Please ...
Remote Consultation: During a scheduled on-call period, the designated physician must be available ... Foreign Medical Graduates (ECFMG) certification. * Experience: Must have been employed in the ...
Remote Consultation: During a scheduled on-call period, the designated physician must be available ... Foreign Medical Graduates (ECFMG) certification. * Experience: Must have been employed in the ...
Patient Advocate - Rhode Island (RI)
$18.25 - $23.50/hr
Establish working relationships with treating physicians and where applicable speak directly with ... Experience providing patient advocacy in remote/international areas, preferred. * Foreign travel ...
Patient Advocate - Rhode Island (RI)
$18.25 - $23.50/hr
Establish working relationships with treating physicians and where applicable speak directly with ... Experience providing patient advocacy in remote/international areas, preferred. * Foreign travel ...
Patient Advocate - Rhode Island (RI)
$18.25 - $23.50/hr
Establish working relationships with treating physicians and where applicable speak directly with ... Experience providing patient advocacy in remote/international areas, preferred. * Foreign travel ...
Patient Advocate - Rhode Island (RI)
$18.25 - $23.50/hr
Establish working relationships with treating physicians and where applicable speak directly with ... Experience providing patient advocacy in remote/international areas, preferred. * Foreign travel ...
MD/DO degree (or foreign equivalent). * Candidates should be Board-certified or Board eligible ... Remote opportunities are available from most U.S. states (except California, Colorado, Connecticut ...
MD/DO degree (or foreign equivalent). * Candidates should be Board-certified or Board eligible ... Remote opportunities are available from most U.S. states (except California, Colorado, Connecticut ...
Remote Foreign Physician information
See salary details
$81K - $103.6K
5% of jobs
$125.9K is the 25th percentile. Wages below this are outliers.
$103.6K - $126.2K
20% of jobs
$126.2K - $148.8K
1% of jobs
$148.8K - $171.4K
1% of jobs
$171.4K - $194K
3% of jobs
The median wage is $213.9K / yr.
$194K - $216.5K
22% of jobs
$216.5K - $239.1K
22% of jobs
$239.6K is the 75th percentile. Wages above this are outliers.
$239.1K - $261.7K
14% of jobs
$261.7K - $284.3K
6% of jobs
$284.3K - $306.9K
4% of jobs
$306.9K - $329.5K
1% of jobs
$81K
$208.2K
$329.5K
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- Live In Meps Physician
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Posted 19 days ago
Jackson Health System rating
7.9
Based on 23 frontline employees who took The Breakroom Quiz
Job description
Miami, FL Full-Time Health Information Management
REMOTE (FL Residents Only)
Full Time, Days
Summary
The Clinical Coding Audit Specialist, HIM ensures the accuracy, integrity, and regulatory compliance of Diagnosis Related Group (DRG) assignments across the organization. This role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements.
Responsibilities
- Perform comprehensive reviews of DRG downgrades and payer denials to validate the accuracy of clinical documentation and final coding.
- Validate DRG assignments in accordance with ICD 10 CM/PCS, CMS guidelines, UHDDS definitions, and organizational policies.
- Prepare detailed findings and recommendations to support appeals when appropriate.
- Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.
- Provide coding expertise and documentation clarification to support appeal letters and reconsideration requests.
- Conduct routine and targeted internal audits of inpatient coding and DRG assignments to ensure compliance with regulatory and payer requirements.
- Identify patterns of coding errors, documentation gaps, or compliance risks and escalate findings as needed.
- Maintain audit logs, tracking outcomes, trends, and opportunities for improvement.
- Participate in root cause analysis to reduce future denials and strengthen compliance.
- Collaborate with CDI and coding teams to analyze DRG related denials and develop prevention strategies.
- Partner with Coding and CDI teams to provide feedback, education, and clarification on DRG related issues.
- Assist in developing training materials, job aids, and best practice guidelines.
- Communicate audit results and compliance updates to leadership and operational teams.
- Analyze complex data, identify trends, and prepare reports for executive leadership.
- Maintain strong working knowledge of departmental technology solutions, recommend enhancements, and ensure optimal system performance.
- Apply independent judgment in evaluating audit findings, appeal opportunities, and compliance risks.
- Performs all other related job duties as assigned.
Generally requires 5 to 7 years of related experience.
Associate's degree in related field is required. Foreign Physician is preferred.
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively in both oral and written form.
Ability to handle difficult and stressful situations with critical thinking and professional composure.
Ability to understand and follow instructions. Ability to exercise sound and independent judgment.
Knowledge and skill in use of job appropriate technology and software applications.
Certification from AHIMA (e.g., RHIA, RHIT, CCS, CDIP, or CDEI), or AAPC (e.g., CPC, CIC, or COC), or ACDIS (e.g., CCDS) is required. Valid Florida RN license is preferred.
Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law
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About Jackson Health System
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Miami, FL, US
Year founded
1973