- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Cordis (Miami Lakes, FL)
- …successful product launches by navigating the reimbursement landscape-including coding , coverage, and payment-and supporting healthcare provider institutions in ... Clinical Affairs, Training) and external stakeholders (eg, payers, providers, billing/ coding consultants) to ensure that access-related barriers are identified and… more
- Datavant (Tallahassee, FL)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a ... AI/ML and real-time data signals to surface high-impact suspects and coding opportunities. + Drive innovation leveraging interoperability standards (FHIR, HL7, APIs)… 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...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Datavant (Tallahassee, FL)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA preferred… more
- BayCare Health System (Tampa, FL)
- …encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing ... duties as assigned. + **Required Experience:** 5 Years of Outpatient Coding . **Required Coding Experience** + Emergency room (ED) + Same day surgery (ambulatory)… more
- Highmark Health (Tallahassee, FL)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by… more
- Datavant (Tallahassee, FL)
- …This role requires in-depth knowledge of healthcare revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and software tools. ... The specialist serves as a key liaison between coding , billing, utilization review, case management, and payer relations to reduce denials and improve revenue… more
- Elevance Health (Tampa, FL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... **Minimum Requirements:** + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse experience;… more
- CVS Health (Tallahassee, FL)
- …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC… more
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