- Datavant (Tallahassee, FL)
- …in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...+ Adhere to the American Health Information Management Association's code of ethics. + Must be customer-service focused and… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. The Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations ... Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for...+ Conduct regular audits of team performance to ensure compliance with CPT/HCPCS coding and documentation standards. + Establish… more
- Datavant (Tallahassee, FL)
- …Maintain a quality assurance program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both ... vendors + Provides expertise as it relates to coding compliance for new and existing services, while ensuring ...of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience… more
- Community Health Systems (Naples, FL)
- …and support continuity of care, appropriate quality metrics, and regulatory compliance . **Essential Functions** + Analyzes inpatient clinical records to identify ... + Monitors regulatory changes in coding, documentation, and quality metrics, ensuring compliance with updated standards and sharing information with staff as needed.… more
- CVS Health (Tallahassee, FL)
- …setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify clinically active ... with project deadlines and directives. + Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from… more
- CenterWell (Tallahassee, 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 ... data, policy, procedure, and records issues. + Assures personal compliance with licensing, certification, and accrediting bodies. + Use...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- USAA (Tampa, FL)
- …agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established regulatory guidelines and time frames. + Uses evidence of ... measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + High...837, etc. + CFE, CHC, AHFI, or Certified Professional Coder (CPC) certifications. + 2 or more years of… more
- CenterWell (Belle Glade, 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 ... "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Daytona Beach, 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 ... "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Orlando, 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 ... program of Conviva Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Use your...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more