- Highmark Health (Tallahassee, FL)
- …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Banner Health (FL)
- …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
- Houston Methodist (FL)
- …utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG ... Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient… more
- Banner Health (FL)
- …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management… more
- AdventHealth (Daytona Beach, FL)
- …audits, including but not limited to: International Classification of Diseases, Clinical Modification (ICD-10-CM and ICD-10-PCS), CPT , ICD-10-CM/PCS Coding ... coding and CDI team members on escalated accounts. Collaborates with providers, AH Clinical , CDI, inpatient and outpatient coding staff to assist with or resolve… more
- Cardinal Health (Tallahassee, FL)
- …Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and ... system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance… more
- Evolent (Tallahassee, FL)
- …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more
- ChenMed (Aventura, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively...KNOWLEDGE, SKILLS AND ABILITIES: + Knowledge of medical terminology, CPT , HCPCS and ICD coding desired + Detail-oriented with… more
- AdventHealth (Orlando, FL)
- …and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge ... and healthcare changes pertaining to Medicare/Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works closely with CDI specialists… more
- Houston Methodist (FL)
- …departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in ... Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA - Certified Coding Associate...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more