- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... School Diploma / GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in… more
- Ascension Health (Jacksonville, FL)
- …4500 Salisbury Road, Ste 210 Jacksonville, Florida 32216-0968 United States + ** CPC Certificate and HCC knowledge Required** **Benefits** Paid time off (PTO) Various ... and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. **Responsibilities:**...of records per coder as defined in the system coding audit plan. + Preparesaudit reports that are issued… more
- HCA Healthcare (Plantation, FL)
- …validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, ... do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity...observation requirements. + Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources. +… more
- HCA Healthcare (Ocala, FL)
- …validation reviews preferred. + Healthcare certification/licensure such as RHIT, CCS, CCP, CPC or other recognized AHIMA certified coding credential, LPN, LVN, ... this role:** + Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from… more
- Trinity Health (Fort Lauderdale, FL)
- …guidelines, and payer policies with three (3) to five (5) years of professional coding or auditing experience.** **Required** **: CPC , CRC, RHIT, CDEO, or ... codes by providers. Monitors accuracy of centralized coders charge capture and coding . Partners with centralized coding and operational leadership to improve… more
- Houston Methodist (FL)
- …CCA - Certified Coding Associate (AHIMA) **OR** + CCS-P - Certified Coding Specialist Physician-based (AHIMA) **OR** + CPC - Certified Professional Coder ... ESSENTIAL FUNCTIONS** + Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. + Participates and provides good… more
- Guidehouse (Orlando, FL)
- …or equivalent + 3+ years Vascular Surgery Coding experience, both IP and OP coding for physician claims. + CPC certification from AAPC + EMR experience + ... **Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:**...**The Vascular Surgery Coder** must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience… more
- University of Miami (Miami, FL)
- …Statistics, or equivalent or a related field. Master's degree is desirable + Coding Certification (eg CPC , CCS, CIC, CMC) from an accredited healthcare ... program preferred. + Epic HIM Administration - Certification required + Epic Hospital Billing and Professional Billing - Proficiency preferred + 3+ years engineering new and innovative software solutions to advance organizational and industry goals + Major… more
- CVS Health (Tallahassee, FL)
- …healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC ... meetings and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder ( CPC )...AAPC Coding certification - Certified Professional Coder ( CPC ) - 3+ years of experience in medical … more
- CVS Health (Tallahassee, FL)
- …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... written communication skills. + Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly Hours** 40 **Time Type** Full time… more
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