- Elevance Health (Tampa, FL)
- …an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. **Preferred Skills, ... adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding … more
- Healthfirst (FL)
- …Academy of Professional Coders (AAPC), Certified ProfessionalCoders (CPC) or American Health Information Management Association (AHIMA). + High school diploma ... + Reviews claims editing escalated provider disputes/appeals and provides guidance on coding rules and industry standards across all areas of the company with… more
- Highmark Health (Tallahassee, FL)
- …decisions, ensuring alignment with the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes and quality of care received, and optimal ... clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams to ensure operational guidelines are aligned with… 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 ... regulatory and payer policy review, abstracting of financial and clinical information from various sources + Presents, researches, and follows-up on topics… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role delivers high-impact analytics and insights focused on Social Determinants of Health ... development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and… more
- Datavant (Tallahassee, FL)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...bold vision for healthcare. The Risk Adjustment Sr Data Analyst is an experienced analyst possessing a… more
- Cardinal Health (Tallahassee, FL)
- …skills; can problem solve, organize, and manage multiple tasks and projects in a health information system environment preferred + Able to stay objective and ... **_What Application Development & Maintenance contributes to Cardinal Health_** Information Technology oversees the effective development, delivery, and operation of… more
- Molina Healthcare (FL)
- …5 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Cardinal Health (Tallahassee, FL)
- **_What Application Development & Maintenance contributes to Cardinal Health_** Information Technology oversees the effective development, delivery, and operation of ... computing and information services. This function anticipates, plans, and delivers ...business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software… more