- Datavant (Tallahassee, FL)
- …impacts on schedule and budget. + Coordinate the development of user manuals, coder training materials, and other documents as needed. + Manage client satisfaction ... teams deliver on them through collaboration with those responsible for coder performance management. + Drive quality assurance and performance improvement activities… more
- Elevance Health (Tampa, FL)
- …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or ... CIC. + Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems,… more
- CVS Health (Tallahassee, FL)
- …to approximately 1-2 years for CPC. + CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist-Physician) required. **Preferred Qualifications** + ... Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications). + Experience with International Classification of Disease (ICD) codes. + Experience with Medicare and/or… more
- CenterWell (Coconut Creek, 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
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using a ... standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a… more
- Molina Healthcare (St. Petersburg, FL)
- …and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.… more
- Elevance Health (Miami, FL)
- …. **Preferred Skills, Capabilities and Experiences:** + **AAPC Certified Risk Adjustment Coder preferred.** + Expert level knowledge of ICD-10 CM, CMS guidelines ... including Risk Adjustment payment model, STARS and HEDIS highly preferred. + Clinical review experience. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any… more
- Humana (Tallahassee, FL)
- …+ High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with ICD-10 CM guidelines + Prior ... experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes + Proficient in Microsoft Word, Excel, and PowerPoint + Ability to resolve complex problems + Excellent… 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 ... Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure, and records issues. + Assures personal compliance with licensing, certification, and accrediting bodies. + Use your skills to make an impact **Use your skills to… more
- USAA (Tampa, FL)
- …ICD-10, CPT, HCPC, EDI 837, etc. + CFE, CHC, AHFI, or Certified Professional Coder (CPC) certifications. + 2 or more years of experience in negotiating or settling ... health insurance claims. + Proficient knowledge of state and federal regulatory requirements for fraud, waste, and abuse. + Demonstrated experience analyzing and interpreting data to identify trends and patterns. **Compensation range:** The salary range for… more