- Molina Healthcare (FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Carnival Cruise Line (Miami, FL)
- The Email Marketing Developer is responsible for including coding emails using HTML, CSS, AMPscript, conducting rendering testing across email clients and mobile ... content libraries and assign them to customer attributes through coding within the ESP and coordination with our data...+ Vacation Time - All full-time employees at the manager and below level start with 14 days/year; director… more
- BayCare Health System (New Port Richey, FL)
- …Monday through Friday The Medical Records Coder II is a hybrid position coding for the **radiology team** . This position allows team members to work-from-home ... Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports. + Assists Manager /Director… more
- AdventHealth (Maitland, FL)
- …and concurrent coding accuracy reviews as assigned by the supervisor, manager , and/or director. + Reviews and resolves accounts in work queues, including claim ... the team is up to date on the latest Coding and payment updates. The APC Coordinator may assist...The APC Coordinator will assist in overseeing the outpatient coding queues, training, and education. **The value you'll bring… more
- BayCare Health System (Largo, FL)
- …in development of processes within the Coordination area. + Assist the Manager in daily clerical functions including roll out of processes, gathering metrics ... and Pharmacy for updates in the EMR. + Assist Manager with staffing and scheduling including monthly calendars. +...+ Serve as a resource for accurate ICD 10 coding , HCPCS and Medical Terminology. **Required Qualifications:** + 4… more
- Elevance Health (Tampa, FL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates with the ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Orlando, FL)
- …practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience ... Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in… more
- ChenMed (Miami, FL)
- …claims assembly and submission processes. In close collaboration with Billing, Coding , IT, and Business Intelligence departments, gains insight and understanding of ... target revenue recovery throughout the organization by identifying operational, coding , billing, and reimbursement problems then recommending solutions. + Evaluates… more
- BayCare Health System (Clearwater, FL)
- …within assigned regional facilities. + Works closely with the CDI System Program Manager to ensure optimization of the CDI Program workflows and its overall success. ... + Proficient in the delivery of Clinical Documentation Integrity process, coding rules and guidelines, as well as in depth analysis of clinical documentation… more
- BayCare Health System (Clearwater, FL)
- …processes, with a strong understanding of DRG documentation requirements and coding guidelines, and demonstrating effective leadership skills. + Responsible for ... trainings related to clinical documentation, as well as sharing ongoing coding guidelines, rules and regulations updates. + Responsibilities include developing,… more