- AdventHealth (Daytona Beach, FL)
- …experience Must currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health ... 32117 **The role you'll contribute:** The inpatient or outpatient coding team Quality Auditor (QA)/Educator supports the operations of...The QA is responsible for initial audits during the coder onboarding process for assigned staff, as well as… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more
- Community Health Systems (Naples, FL)
- …insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete ... and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated standards and… more
- Molina Healthcare (St. Petersburg, FL)
- …coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
- Elevance Health (Miami, FL)
- …to 5:00 pm** The **Clinical Quality Consultant NP** is responsible for quality documentation, coding and value capture. **How you will make an impact:** + Focus on ... supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and… more
- CVS Health (Tallahassee, FL)
- …analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding , and utilization used to support ABH programs. They will be a ... Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding , Medicaid risk adjustment methodology, and common billing and...**Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN… more
- USAA (Tampa, FL)
- …industry, Medicare or Medicare Supplement preferred. + Proficient knowledge of 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… more
- Molina Healthcare (Tampa, FL)
- …home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience demonstrating knowledge of CMS Guidelines, MCG, ... one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified… 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 ... including hands-on technical management building infrastructure core components 18. 2. Coding in one of the following languages: C++, Java, Javascript, Python,… more
- NBC Universal (Orlando, FL)
- …Digital Technology in support of business requirements. This includes writing, coding , testing, analyzing, and supporting complex codebases along with configuration ... + A solid background in software development with the ability to be a hands-on coder and knowledge of APIs and SDKs. + Proven experience in system design and… more