- AssistRx (Orlando, FL)
- …Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This ... position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move through the process as required in compliance with company requirements and the… more
- Elevance Health (FL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred.… more
- HCA Healthcare (Miami, FL)
- …projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding , physician and staff ... training + You will have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ancillary services to ensure maximum… more
- Northwest Florida Community Hospital (Chipley, FL)
- …leadership for hospital business office functions that contribute to the billing and collection of patient service revenue. Responsibilities include best practices ... to patient accounting, insurance reimbursement, governmental and other payer source billing , credit and collections and cashiering related to hospital and long-term… more
- CVS Health (Tallahassee, FL)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical...and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a… more
- HCA Healthcare (Jacksonville, FL)
- …you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during ... of charging activities. + Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient… more
- AdventHealth (Tampa, FL)
- …experience in a medical office **Preferred qualifications:** + Associates degree + Experience coding ICD-10 and CPT billing + Patient care experience as CMA, ... LPN, EMT, etc. + 2 years leadership experience in a healthcare setting + MGMA ACMPE Board Certification + Certified Healthcare Access Associate (CHAA) + Certified Revenue Cycle Rep (CRCR) This facility is an equal opportunity employer and complies with… more
- Molina Healthcare (FL)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results.… more
- MyFlorida (Fort Pierce, FL)
- …based on the need to know when involved in specific patient care, billing activities, assist with receiving supplies. Collects client revenues for dental clinical ... distributes the interoffice mail. For the medical clinic services, performs billing duties in accordance with established guidelines and procedures (DOHP56-66-18,… more
- AdventHealth (Tampa, FL)
- …of regulatory information to ensure the team is up to date on the latest Coding and payment updates. The APC Coordinator may assist in training outpatient coders on ... not final billed as well as ensure we are billing clean claims. The APC Coordinator will assist in...Coordinator will assist in the oversight of the outpatient coding queues, training and education. **The val** **ue you'll… more