- Elevance Health (Tampa, FL)
- …principles, clinical guidelines and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, clinical guidelines, ... and industry knowledge to substantiate conclusions. + Utilizes audit tools and auditing workflow systems and reference information to make audit determinations… more
- Elevance Health (FL)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Walgreens (Lynn Haven, FL)
- …customer needs and proactively offering services. Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient ... interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager… more
- Highmark Health (Tallahassee, FL)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Walgreens (Daytona Beach, FL)
- …customer needs and proactively offering services. Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient ... preventive healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and… more
- CHS (Clearwater, FL)
- …and audits for claims which are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded customer service calls within the ... timeliness of claims processing. + Utilize Excel, prepares tracking and trending written audit reports based on findings and communicate audit findings with… more
- Medtronic (Jacksonville, FL)
- … experience in cybersecurity GRC (Governance, Risk, & Compliance), or external/internal audit , preferably within the medical device or healthcare industry. + ... life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with...High school diploma (or equivalent) and 12+ years of experience OR + Bachelor's degree and 7+ years of… more
- Datavant (Tallahassee, FL)
- …+ Required: CCS, RHIA, or RHIT (AHIMA) CDIP, CHC, or other advanced coding/ audit certifications + Experience with EHRs (Epic, Cerner, Meditech, etc.) and ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...You Need to Succeed** + 2+ years of supervisory experience ; 3+ years of inpatient coding experience … more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
- Elevance Health (Tampa, FL)
- …analysis of claims and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations. + Collaborates with the ... regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. +...(AAPC or AHIMA) and minimum of 4 years related experience , including minimum of 1 year experience … more
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