- AdventHealth (Maitland, 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 ... discharged but not final billed and ensure we are billing clean claims. The APC Coordinator will assist in...The APC Coordinator will assist in overseeing the outpatient coding queues, training, and education. **The value you'll bring… more
- Cardinal Health (Doral, FL)
- …is responsible for providing outsourced services to customers relating to medical billing , medical reimbursement, and/or other services by acting as a liaison in ... for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within… more
- Humana (Tallahassee, FL)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- AdventHealth (Maitland, FL)
- …**You Will Be Responsible For:** + Works with Insurance payers to ensure proper billing takes place on all assigned patient accounts. Depending on payer contract may ... status of claim, requesting additional information, etc. + Initiates next billing , assign appropriate follow-up and/or collection step(s), this is not limited… more
- Cardinal Health (Tallahassee, FL)
- …for denial or reduced payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within ... payer-specific guidelines and timelines. + Coordinate with other billing team members, coders, and providers to resolve claim discrepancies. + Maintain up-to-date… more
- University of Miami (Miami, FL)
- …and updates insurance information and guarantor. + Keeps updated with coding guidelines and reimbursement reporting requirements. + Obtains Medicaid/ HMO/MediPass ... and referrals information. + Reviews and edits all office billing charge encounter forms assuring accuracy prior to sending...encounter forms assuring accuracy prior to sending them to billing office. + Works closely with the Billing… more
- HCA Healthcare (Sebring, FL)
- …operations unbilled processes. + Oversee facility‐specific 360 Encompass Computer Assisted Coding (CAC) implementation activities for all patient types. Support and ... (includes, but is not limited to, the Facility HIM Department Queue, all Coding Pend for Queues, Review Queues, Unknown Document Queue, Cancelled Accounts Queue and… more
- HCA Healthcare (Tampa, FL)
- …required. + Minimum 1 year directly related Healthcare experience or coding experience required. + Knowledge of CPT/HCPCS codes or experience in ... Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of… more
- Humana (Tallahassee, FL)
- …clinical audit/validation processes to ensure that medical record documentation and billing for services rendered is complete, compliant and accurate to support ... Nurse Auditor 2 validates and interprets medical record documentation to ensure billing for services is complete, accurate and follows all necessary guidelines.… more
- Cardinal Health (Tallahassee, FL)
- …getting the right things done. **_Responsibilities_** + Submitting medical documentation/ billing data to insurance providers + Researching and appealing denied ... and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid… more