- BAE Systems (Largo, FL)
- …instruction manuals + Support all aspects of a Risk Management Framework (RMF) compliance program as stipulated by NISPOM/DAAPM, JSIG, ICD 503, NSA, and associated ... 3-16 and other applicable manuals / OPORDS are implemented, and compliance is maintained + Coordinate security-related activities with information security… more
- AdventHealth (Orlando, FL)
- …policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts ... management of resources entrusted to them. Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI), risk… more
- HCA Healthcare (Kissimmee, FL)
- …The buyer works with the director and clinical team to ensure formulary compliance and maintains contract compliance . The Buyer assist the automation coordinator ... Is responsible for the new drug addition, change, deletion process and monitors compliance with process + Evaluates contract compliance and implements changes in… more
- Aston Carter (Tampa, FL)
- …role includes overseeing project numbers, monitoring expenses, and ensuring accurate coding for all projects. The position requires close collaboration with campus ... accurate project numbers and track all related expenses. + Verify proper project coding and monitor plant fund account activity. + Process and validate plant fund… more
- AdventHealth (Maitland, FL)
- …of managed care contracts, proposals, analyze fee schedules, and determine contract compliance . The Medical Economics Manager must have attention to detail and ... as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT,… more
- Robert Half Accountemps (Palm Beach Gardens, FL)
- …to denied or underpaid claims. * Apply knowledge of medical billing practices, coding standards (such as ICD-10 and CPT-4), and insurance policies to ensure accurate ... accounts remain current. * Handle billing functions with precision, ensuring compliance with healthcare regulations and standards. * Collaborate with team members… more
- Robert Half Accountemps (Edgewater, FL)
- …inquiries. * Handle payment processing tasks, including ACH transfers and check runs, in compliance with company policies. * Ensure proper coding of invoices and ... processing and payment procedures. * Proficiency in three-way matching and account coding techniques. * Familiarity with ACH transfers and check processing. *… more
- Datavant (Tallahassee, FL)
- …client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third party reimbursement policies, regulations and ... guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by...or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge… more
- HCA Healthcare (Jacksonville, FL)
- …the clinic staff and its programs and activities to ensure compliance , efficiency, and patient satisfaction + Help establish/implement goals, objectives, policies, ... is preferred **Certification** : + RN is required. CPC coding is a requirement if coding duties are performed. Supporting HCA Healthcare's 186 hospitals and… more
- Prime Therapeutics (Tallahassee, FL)
- …translates complex data into actionable intelligence that drives efficiency, compliance , and long-term organizational growth. **Responsibilities** + Analyze, mine, ... drug pricing and claims processing + Familiarity with drug coding systems (NDC) and medical coding (ICD,...with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS) **Preferred Qualifications** + Experience… more