- Cognizant (Tallahassee, FL)
- …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... query process. + Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. + Maintain a minimum… more
- Humana (Tallahassee, FL)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Centene Corporation (Fort Myers, FL)
- …education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving deficiencies impacting plan compliance to ... on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports the development and implementation of quality improvement interventions… more
- University of Miami (Medley, FL)
- …person, via fax, telephone, and general medical records e-mail in compliance with hospital requirements. + Monitor dictation/transcription services for accuracy and ... regulations and works closely with the HIPAA Privacy Office to ensure HIPAA compliance . + Completes all mandatory training in a timely manner. + Participates in… more
- Molina Healthcare (Orlando, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... and solutions that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that ties operational… more
- Medtronic (FL)
- …closely with the Health Economics, Policy, and Reimbursement staff to identify/solve coding , coverage or payment issues and provide support as necessary + Assists ... and implements reimbursement strategies and programs to obtain coverage, coding and payment from payer/ providers. + Provides reimbursement-related advice… more
- Intermountain Health (Tallahassee, FL)
- …and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits ... maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will… more
- Northwest Florida Community Hospital (Chipley, FL)
- …in-depth knowledge of hospital and professional billing to ensure compliance with relevant regulations, standards, and directives from regulatory agencies ... internal control safeguards over AR records and collection of cash. Maintain compliance standards for providing accurate information on hospital billing system. +… more
- MUFG (Tampa, FL)
- …between enterprise and application teams. . Integrate regulatory and compliance requirements into control specifications. . Perform risk assessments on ... reports . Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) . Utilize the MITRE ATT&CK framework to identify and… more
- MUFG (Tampa, FL)
- …between enterprise and application teams. + Integrate regulatory and compliance requirements into control specifications. + Perform risk assessments on ... reports + Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) + Utilize the MITRE ATT&CK framework to identify and… more
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