- Elevance Health (Miami, FL)
- …license in applicable state(s)** . **Preferred Skills, Capabilities and Experiences:** + ** AAPC Certified Risk Adjustment Coder preferred.** + Expert level ... coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. +...coding team. + Participate in peer review of medical documentation for completed visit notes and patient profile… more
- Intermountain Health (Tallahassee, FL)
- …+ Current certification through AAPC , AHIMA or HFMA, or other specialty medical coding group. + Demonstrated experience in revenue cycle and chargemaster ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates… more
- Datavant (Tallahassee, FL)
- …or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) + A strong knowledge ... an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- CVS Health (Tallahassee, FL)
- …of three years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC ( AAPC ) and/or CCS (AHIMA). + Knowledge of ... Qualifications** + Credentials such as a certification from the Association of Certified Fraud Examiners (CFE), an accreditation from the National Health Care… more
- CVS Health (Tallahassee, FL)
- …Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC ( AAPC ) + Knowledge of Aetna's policies ... Qualifications** + Credentials such as a certification from the Association of Certified Fraud Examiners (CFE) or an accreditation from the National Health Care… more