- Humana (Tallahassee, FL)
- …Qualifications** + High school diploma or equivalent + Must hold AAPC CPC ( Certified Professional Coder ) certification + 2 years or more experience with ... + Previous experience in Medicare Advantage or Value-Based Care + AAPC CRC ( Certified Risk Adjustment) Certification + AAPC CDEO ( Certified Documentation Expert… more
- AdventHealth (Orlando, FL)
- …work experience **Licensures:** RN (Required) Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) (Required) 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
- Elevance Health (Tampa, FL)
- …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... MS-DRG, AP-DRG and APR-DRG. **Preferred Skills, Capabilities and Experiences** : + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- USAA (Tampa, FL)
- …medical claims coding 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:**… more
- CVS Health (Tallahassee, FL)
- …more compassionate. And 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 medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in… more
- National Health Transport (Miami, FL)
- …training and experience + Familiar with Medicare/Medicaid laws and billing + Certified Ambulance Coder helpful + Ambulance Industry experience helpful ... Compensation: $15.00 - $18.50 hourly Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This description indicates, in general… more
- Elevance Health (Miami, FL)
- …in applicable state(s)** . **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… more
- Datavant (Tallahassee, FL)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...**What you will bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified … more
- BAYADA Home Health Care (Orlando, FL)
- …OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding, Coder , Medicare **As an accredited, regulated, certified , and licensed ... service. + Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines… more
- AdventHealth (Orlando, FL)
- …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required… more