- Elevance Health (Tampa, FL)
- …adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding ... and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related… more
- University of Miami (Miami, FL)
- …Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to ... of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central… more
- Zelis (St. Petersburg, FL)
- …that shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution of facility and provider disputes as ... Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates to the...analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. +… more
- Insight Global (Deerfield Beach, FL)
- Job Description Sr. Data Analyst will be responsible for developing an understanding of the relationship of the data that supports business processes and ... applications. The analyst will gain insights into the data and the...retrieval skills Experience with multiple tools that allow for coding SQL (SSMS or DBvisualizer, etc.) Source to Target… more
- Citigroup (Tampa, FL)
- …not just adapt to change - we drive it. Our Summer Technology Analyst Program is where forward-thinking talents meet unparalleled opportunities. This is your chance ... you need to succeed ** We are committed to teaching you the ropes. The Summer Analyst Program starts in **early June** with an in-depth education on the Analyst … more
- Public Consulting Group (Tallahassee, FL)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... understanding of results. **Summary of Functions** The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and providers, within a specific ... specific to claim submission and payments. The **Claim Field Analyst ** works with the grievance and appeal and claims...+ 3+ years of experience in medical billing and coding , specifically related to claims processing and root cause… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** This Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on evaluating ... stakeholders and providing valuable input to the business. The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data… more
- TEKsystems (Jacksonville, FL)
- My client, a reputable hospital, is hiring for a remote Charge Integrity Analyst with competitive pay and growth opportunity! Job Description: + The Charge Integrity ... Analyst is tasked with working out of Epic work...will be comfortable working in Epic, have a strong coding experience, and a high-attention to details. + The… more