- Elevance Health (Miami, FL)
- …and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims ... coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts… more
- Baylor Scott & White Health (Tallahassee, FL)
- …families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: ... Classification of Disease (ICD-10CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Physicians Current Procedural Terminology (CPT) coding… more
- NBC Universal (Orlando, FL)
- …and architects. Conduct research on emerging technologies in support of systems development efforts and recommend technologies that will increase cost effectiveness ... and systems flexibility. Provide technical assessments for new work efforts....software development with the ability to be a hands-on coder and knowledge of APIs and SDKs. + Proven… more
- University of Miami (Miami, FL)
- …spinal forms for insurance plans as necessary + Obtaining CPT codes from Coder to submit authorization request + Contacts patients' families or physicians' offices ... to service excellence. + Able to handle multiple tasks, software systems , and technologies simultaneously. + Notifying patient of financial responsibility (out… more
- Rising Medical Solutions (Tampa, FL)
- …and maintain a working knowledge of medical bill processing, procedures, and supporting systems + Adhere to quality assurance objectives and goals + Develop and ... maintain a working knowledge of all support systems to ensure ever increasing client value and Rising's...all claims decisions and communications with members in the system accurately and timely + Ensure strict confidentiality of… more
- Molina Healthcare (St. Petersburg, FL)
- …data and industry knowledge. Collaborates across departments to design and implement systems changes to meet encounter data processing and submission goals. + Writes ... business requirements for system updates to resolve errors and optimize encounter performance...organizations **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Certified Professional Coder (CPC) To all current Molina employees: If you… more
- Elevance Health (FL)
- …knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... of work experience. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder ) or demonstrated ability.** + 5+ years of experience in Risk Adjustment… more
- AdventHealth (Orlando, FL)
- …and the results are provided to management and feedback to the individual coder . Assist with educating all coders and Medical Staff members while demonstrating a ... and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews. Qualifications **The… 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… more
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