- AdventHealth (Orlando, FL)
- …CDI Director , and VP of Clinical Services. + Works in conjunction with Coding Liaison, CDI Director , and VP of Clinical Services to provide in-services and ... federal, state, and local documentation guidelines as well as ICD10 and coding guidelines and communicates changes to stakeholders as appropriate. + Audits… more
- Insight Global (Orlando, FL)
- …Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements - Python coding / hands on development - Databricks - Lead a data ... science team - 5+ team members - ML Operations how data flow through the system Dev to prog - Building future SQL UX Experience NLP (they are starting at the end of this year) Open AI Experience in Hospitality- null We are a company committed to creating… more
- Evolent (Tallahassee, FL)
- …who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of ... and financial scope within Evolent Specialty Services. Reporting to the Director , Clinical Informatics, this role is responsible for acquiring, synthesizing, and… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. **_Sign on bonuses available!_** This ... position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist...and pharmacology knowledge for accurate code assignments. + Assists Manager/ Director with mentoring/training of Coder I, Coder II and… more
- BayCare Health System (Tampa, FL)
- …encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing ... hold reports. + Strong utilization of medical terminology and anatomy. + Assists Manager/ Director with mentoring/training of Coder I and Coder II team members and… more
- Community Health Systems (Naples, FL)
- …insights through individual or group sessions. + Collaborates closely with coding professionals to ensure accurate diagnostic and procedural data through complete ... and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated standards and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …including clinical records, itemized bills, prior authorizations, concurrent review, coding guidelines and provider compensation to determine appropriateness of ... guidelines to make clinical determinations + Present reviewed cases to Medical Director + Resolve prior authorization issues derived from developed claims + Utilize… more
- Community Health Systems (Naples, FL)
- …Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. ... reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections,… more
- AdventHealth (Tampa, FL)
- …and supports the performance improvement process in conjunction with the Division Director CDI; assists the Division Director CDI with development of ... and internal quality audits for site CDS. Partners with coding leadership related to accuracy of final DRG assignments....as a contact in the absence of the Division Director CDI. Participates in and provides input to site… more
- BayCare Health System (Tampa, FL)
- …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 ... and a great place to work! **Certifications and Licensures** + Preferred CCS ( Coding ) + Preferred RHIT (Health Information) **Education** + Required High School or… more