- Elevance Health (Tampa, FL)
- …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years ... ** Clinical Fraud Investigator II - Registered Nurse and...to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues… more
- Banner Health (FL)
- …responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder ... (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered… more
- Highmark Health (Tallahassee, FL)
- …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Houston Methodist (FL)
- …Specialist Physician-based (AHIMA) -- For professional fee coding **OR** + CPC - Certified Professional Coder (AAPC) -- For professional fee coding **LICENSES ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- Intermountain Health (Tallahassee, FL)
- …Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) eg, Certified Professional Coder (CPC), Certified Coding Specialist ... facility. **Essential Functions** + Capture and post appropriate charges for clinical services provided by + A. Accurately assigning level, procedures,… more
- Elevance Health (Tampa, FL)
- …Technician 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, ... for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding… more
- Molina Healthcare (Orlando, FL)
- …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
- CenterWell (Delray Beach, FL)
- …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by ... Clinical Leadership. + Meets with AMD about quality of...accredited university + Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine… more
- CVS Health (Tallahassee, FL)
- …leadership, and peers across the organization **Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or ... goal through analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They… more
- CenterWell (St. Petersburg, FL)
- …all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by ... clinical leadership. . Meets with RMD about quality of...**Preferred Qualifications:** . Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine… more
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