- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +...to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Molina Healthcare (FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Humana (Tallahassee, FL)
- … **Preferred Qualifications** + **STRONGLY PREFERRED:** Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/certified coder ... (CPC) + Nursing experience preferred in Acute care, OR, Coding , and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant… more
- Molina Healthcare (Orlando, FL)
- …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case… more
- Highmark Health (Tallahassee, FL)
- …and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical ... or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve issues that… more
- CVS Health (Tallahassee, FL)
- …assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding , specifically related to claims processing and root cause analysis. + 3+ ... and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High school diploma or GED.… more
- HCA Healthcare (Jacksonville, FL)
- …daily queue in a current status on desktop according to ASD guidelines. + Identifies coding or billing problems from EOBs and works to correct the errors in a timely ... as needed. + Completes filing and follow-up on insurance denials with coder and physicians to obtain reimbursement. + Handles patient and insurance inquiries.… more
- Meta (Tallahassee, FL)
- …systems, systems analysis, and computer programming. 2. Be both a highly technical, hands-on coder and an effective people manager. 3. Be a subject matter expert in ... experience including hands-on technical management building infrastructure core components 17. Coding in one of the following languages: C++, Java, Javascript,… more
- National Health Transport (Miami, FL)
- …duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding 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… more