- Molina Healthcare (Miami, FL)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
- University of Miami (Medley, FL)
- … program. + Minimum 5+ years of current ICD-10-CM/PCS acute care facility coding experience required. + Certified Coding Specialist (CCS), Registered ... coding guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes. + Identify cases with...+ Work claim edits and review accounts from hospital billing . + Assist with the payor denial process. +… more
- HCA Healthcare (Gainesville, FL)
- …+ Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- BayCare Health System (Tampa, FL)
- …to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. + Mentors and ... available!_ **Responsibilities:** + The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes...+ Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical … more
- IQVIA (Miami, FL)
- …+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification required + ... **Patient Support Medical Claims Processing Representative** _Contract Remote Role...Ability to interpret Explanation of Benefits (EOB) + HIPPA certified + Customer Service Experience preferred + Pharmacy Technician… more
- AdventHealth (Maitland, FL)
- …as it relates to reimbursement methodologies + Applies significant understanding of medical coding systems affecting the adjudication of claims to include ... requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing , and coding for all types of healthcare entities… more
- AdventHealth (Orlando, FL)
- …providers), and acts as the interdepartmental liaison for program development. Educate medical staff on correlation between clinical language, coding guidelines, ... risk of mortality and DRG assignments. Attend departmental meetings to teach medical staff about coding and documentation improvement guidelines, clinical… more
- HCA Healthcare (Pensacola, FL)
- …required Undergraduate (Associate or Bachelor) degree or successful completion of a certified coding program preferred Trauma Abstracting experience preferred 1 ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CVS Health (Tallahassee, FL)
- …with your market + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and common ... analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding , and utilization used to support ABH programs. They will be a… more
- HCA Healthcare (Ocala, FL)
- …+ Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more