- Highmark Health (Tallahassee, FL)
- … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... with CDMP and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing , coding … more
- Community Health Systems (Naples, FL)
- … Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle ... reference materials. + Collaborates with management, clinic staff, and coding teams to ensure proper billing and...staff, and coding teams to ensure proper billing and collection procedures. + Assists patients and insurance… more
- Cardinal Health (Miami, FL)
- …accuracy in charge capture and identify areas for improvement. + Collaborates with billing , coding , and operations team to ensure accurate documentation and ... **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor… more
- Banner Health (FL)
- …newly developed procedure and diagnostic coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding and billing guidelines. ... proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve… more
- AdventHealth (Tampa, FL)
- …monthly for each provider, including ancillary charges. . Maintains knowledge of payer billing requirements ( coding and rules) and applies them to ensure AHMG ... Reimbursement for clinical position certifications **The role you'll contribute:** The Billing Coordinator is responsible for all aspects of accounts receivable… more
- Cognizant (Tallahassee, FL)
- …3M encoder tools and provide ongoing education and mentoring to clients on coding , billing , and compliance best practices. - **Support Quality Assurance and ... **Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10… more
- Ascension Health (Jacksonville, FL)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing , and sufficiency of supporting documentation. **Responsibilities:** + ... as appropriate. + Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and educational… more
- Elevance Health (Tampa, FL)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **Location** : _This position will work...work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records… more
- Elevance Health (Miami, FL)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred Please ... **DRG Coding Auditor Principal** _Virtual: This role enables associates...skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical… more
- Baylor Scott & White Health (Tallahassee, FL)
- …codes and charges in the applicable documentation system to generate appropriate coding and billing . + Communicates with providers for missing documentation ... more types of outpatient, Profee, or low acuity inpatient coding . The Coder 2 may code low acuity inpatients,...and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and… more