- CVS Health (Tallahassee, FL)
- …system testing and post go-live validation + QNXT Experience + Familiarity with clinical and code editing concepts and products (Example: ClaimsXten, Cotiviti PPM & ... CV) + Extensive knowledge of CPT, HCPCS, ICD-10 coding **Preferred Qualifications** + Prior Relevant Work Experience 3-5 years + Working knowledge of problem solving… more
- HCA Healthcare (Gainesville, FL)
- …complete and accurate maintenance of medical records, and providing support to clinical and administrative staff to enable operations to run as smoothly as ... referrals, and evidence of completion of registration, entering of charges, and abstracting/ coding and provides for Director for tracking statistics** + **Keeps all… more
- Molina Healthcare (Miami, FL)
- …pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic ... the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) * Strong written and verbal communication skills… more
- Lake Erie College of Osteopathic Medicine (Englewood, FL)
- …+ Responsible for checking and responding to emails and tasks daily in individual clinical inbox and group inbox; + Must be responsible and accountable to supervise ... Knowledge of Patient Relations, Scheduling and Bookkeeping; + Knowledge of medical coding and insurance practices and reimbursement; + Compliance with State and… more
- Harmony United Psychiatric Care (Tampa, FL)
- …team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified ... offered + General medical terminology + Introduction to insurance billing and coding + HIPAA compliance and patient privacy + And other responsibilities pertinent… more
- University of Miami (Miami, FL)
- …coordinates with logistics for returns as appropriate. + Supports customers ( clinical and administrative staff) with product and contract information. Maintains ... corporate card transactions for Miami Project individuals, ensuring proper coding , documentation, and justification for all expenses. + Address discrepancies… more
- CVS Health (Tallahassee, FL)
- …+ Identifies and refers outlier cases (eg, Length of Stay) to clinical staff Identifies triggers for referral into Aetna's Case Management, Disease Management, ... of experience within the healthcare field, medical/health setting, medical billing and coding . + Experience in call center or customer service environment. + Ability… more
- CVS Health (Tallahassee, FL)
- …- Build robust, scalable features using React Native and Swift for our clinical applications + _Code Review & Quality Assurance_ - Participate in code review ... processes to learn best practices and maintain high coding standards across the team + _Learning & Growth -_ Actively learn from senior developers and contribute to… more
- HCA Healthcare (Miramar, FL)
- …perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will monitor ... in communities across our network. We do so with the backing of the clinical , operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery… more
- CVS Health (Tallahassee, FL)
- …document analytic leads or referrals to send for investigative review. + Review company clinical and payment policies to determine the impact of the scheme on Aetna ... experience. + Healthcare background. + Experience with internal claims data and healthcare coding . + Must be able to travel to provide testimony if needed. +… more