- AdventHealth (Daytona Beach, FL)
- …all new and established patients. + Attends and participates in all billing meetings and distributes pertinent information to appropriate staff. Educates the staff ... financial assistance knowledge Preferred qualifications: + Radiation Oncology Certified Coder - ROCC + Certified Professional Coder ...Certified Coder - ROCC + Certified Professional Coder - CPC This facility is an equal opportunity… more
- AdventHealth (Maitland, FL)
- …of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in ... need for comprehensive, accurate, timely clinical documentation. + Outpatient Surgical coder . Assign ICD-10 diagnosis codes and applicable CPT/HCPCS codes to… more
- Elevance Health (Tampa, FL)
- …recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
- Elevance Health (Tampa, FL)
- …and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
- Molina Healthcare (St. Petersburg, FL)
- …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical ... an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues.… more
- Humana (Tallahassee, FL)
- …clinical and coding experience to conduct reviews of provider codes and billing . + Decisions are typically related to resources, approach, and tactical operations ... knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is complete and accurate. + Certified Professional … more
- The Hartford (Lake Mary, FL)
- …Team Leader is responsible for overseeing a small team within the Medical Billing department, ensuring efficient operations and timely completion of tasks. This role ... with a solid understanding of medical terminology, insurance policies, billing procedures, and reimbursement practices. Proficiency in Microsoft Office… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of… more
- CVS Health (Tallahassee, FL)
- …for Performance metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + Demonstrated understanding of ... and peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years'… more
- BAYADA Home Health Care (Orlando, FL)
- …it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each ... with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. + Provide ongoing communication with service offices via e-mail,… more