- Elevance Health (Tampa, FL)
- …Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential ... experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing… more
- BAYADA Home Health Care (Orlando, FL)
- …OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder , Medicare **As an accredited, regulated, certified , and licensed ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate… more
- BAYADA Home Health Care (Orlando, FL)
- …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct ... and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate...customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care… more
- Humana (Tallahassee, FL)
- …healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and ... federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates… more
- 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 ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more