- CenterWell (Tallahassee, FL)
- …business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as ... well as internal policies and guidelines while analyzing coding information and medical records. **Mergers and Acquisitions:** + Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions: + Other Duties: + Lead Special… more
- Molina Healthcare (Tampa, FL)
- …Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree (or higher) ... **Preferred Experience** + 2+ years of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State & Federal laws and regulations pertaining to health… more
- Molina Healthcare (Jacksonville, FL)
- …Nursing License (RN may be preferred for specific roles) * Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested in applying ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $107,028 - $250,446 / ANNUAL *Actual… more
- AdventHealth (Altamonte Springs, FL)
- …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are… more
- Datavant (Tallahassee, FL)
- …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... and MA. + Expert knowledge of Risk Adjustment . + Research and problem resolution skills. + Exceptional interpersonal relationship skills. + Must possess strong managerial, financial, and analytical skills. + Consistent demonstration of commitment to quality,… more
- AdventHealth (Maitland, FL)
- …+ Registered Health Information Technician (RHIT) - Cert Required + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) This facility is an equal ... opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience… more
- CenterWell (Apopka, FL)
- …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 care, review of outcome data, policy, procedure and records issues. + Participates in potential growth opportunities for new or existing services within the Center. + Participates in the local primary care… more
- University of Miami (Miami, FL)
- …spinal forms for insurance plans as necessary + Obtaining CPT codes from Coder to submit authorization request + Contacts patients' families or physicians' offices ... to obtain missing insurance information. + Verifying insurance contracted with Physician and Facility + Verifies insurance and confirms insurance eligibility and facility contracts of patient coverage benefits, notifying patient and referring physician in the… more
- Molina Healthcare (FL)
- …applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case ... Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. + Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. + Billing… more
- AdventHealth (Maitland, FL)
- …and the results are provided to management and feedback to the individual coder . Assist with educating all coders and Medical Staff members while demonstrating a ... willingness to educate throughout the organization as needed. Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals. Actively participates in outstanding customer service and accepts responsibility for… more