- Nuvance Health (Pembroke Pines, FL)
- …and billing regulations * Extensive experience auditing both facility and professional medical coding * Proficiency in coding complex encounters ... to ensure clinical documentation supports services rendered. Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding … more
- Evolent (Tallahassee, FL)
- …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder ( CPC... Coding Associate (CCA) + Certified Professional Coder ( CPC ) + Certified Coding Specialist (CCS) **To… more
- Elevance Health (FL)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… 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, ... 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… more
- BayCare Health System (Tampa, FL)
- …opportunities + Community perks and discounts **Certifications and Licensures** + Required CPC ( coding ) **Education** + Required High School or equivalent + ... Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical ...years Coding + And 1 year of Medical Office related experience Equal Opportunity Employer Veterans/Disabled **Position**… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …LPN license or equivalent + Coding Certification preferred (RHIA, RHIT, Inpatient Coding Credential - CCS/CIC, CCDS or CPC ) Note: This description indicates, ... including clinical records, itemized bills, prior authorizations, concurrent review, coding guidelines and provider compensation to determine appropriateness of … more
- Elevance Health (Tampa, FL)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates… more
- CVS Health (Tallahassee, FL)
- …analyzing and sharing provider performance metrics related to quality, clinical outcomes, coding , and utilization used to support ABH programs. They will be a ... of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some… 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 ... of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate ideas and problem solutions +… more
- Humana (Tallahassee, FL)
- …minimum of 2 years' experience conducting comprehensive health care fraud investigations ( Medical Coding or Healthcare ( Medical Chart Review/Insurance ... areas * Graduate degree and/or certifications (MBA, JD, MSN, Clinical Certifications, CPC , CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing… more