- Elevance Health (Tampa, FL)
- …health plan, line of business and/or state + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... experience strongly preferred + Fraud certification from CFE, AHFI, AAPC or coding certificates preferred + Knowledge of Plan policies and procedures in all… more
- Elevance Health (Tampa, FL)
- …of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and experience ... systems within a healthcare payer or RCM organization and associated coding / claim integrity certifications strongly preferred. + Experience working with Medicare/… more
- Elevance Health (FL)
- …experience features strongly preferred. + Hands-on mindset with comfort using light coding /prototyping ("vibe coding ") to validate ideas, run rapid design ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- V2X (Orlando, FL)
- …protected from damage* Unpacks and examines incoming shipments, rejects damaged items, records shortages, and corresponds with Warehouse Manager and Purchasing ... and other records * Marks or labels material with part numbers/bar coding for proper identification and places in designated storage area* Determines appropriate… more
- CenterWell (The Villages, FL)
- …applications including Microsoft Word, Excel and Outlook + Experience with Electronic Medical Records + Excellent professional communication abilities, at all ... and CPT coding + **Bilingual in English and Spanish** + Medical Assistant or Professional State Certifications related to healthcare **Working hours** : Monday… more
- HCA Healthcare (Brandon, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- CenterWell (Jacksonville, FL)
- …with medical terminology + Experience with EMR Systems (Electronic Medical Records ) specifically with ECW (eClinicalWorks) preferred + Excellent professional ... to obtain necessary appointments for completing referrals. + Maintains referral records and files documentation. + Responds to patient inquiries regarding health… more
- Elevance Health (FL)
- …A proud member of the Elevance Health family of companies, **Carelon Medical Benefits Management** , formerly AIM Specialty Health, is a benefit-management leader ... + Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. +… more
- CenterWell (Boynton Beach, FL)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Deerfield Beach, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
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