- CVS Health (Tallahassee, FL)
- …additional records/data presented to develop a determination or recommendation. - Offers consultant services and education to network providers to improve ... conducts both live member outreach calls along with provider education initiatives that supports the development of HEDIS interventions...adherence to HEDIS standards of care and coding . - Accurately applies review requirements to assure case… more
- ChenMed (Miami, FL)
- …to be seized. The incumbent serves as the primary medical cost analytics consultant to our Finance, Clinical, Operations, and Specialty Care leadership and will make ... such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs + Excellent… more
- Sedgwick (Tampa, FL)
- …client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. ... + Performs other duties as assigned. + Travels as required. **QUALIFICATIONS** ** Education & Licensing** Masters or Juris Doctorate degree from an accredited college… more
- ASM Research, An Accenture Federal Services Company (Tallahassee, FL)
- …design choices to software developers, including but not limited to: platforms, coding and technical levels. Experience in establishing and enforcing standards and ... Azure Solutions Architect Expert + Microsoft Certified Power Platform Functional Consultant Associate, or, Power Platform Developer Associate + Solid working… more