- CenterWell (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an...Improvement, Audit, and Education to develop programs to improve clinical documentation (includes coordination with Consultative Coding … more
- Guidehouse (Tampa, FL)
- …**:** None **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue ... claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate...+ Experience in ICD-10, CPT and HCPCS Level II Coding . + Expertise in determining medical necessity… more
- HCA Healthcare (Fort Lauderdale, FL)
- … coding and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business ... and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division… more
- University of Miami (Medley, FL)
- …measures. CORE JOB FUNCTIONS + Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding ... -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding… more
- CVS Health (Tallahassee, FL)
- …from anywhere within the US** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in **developing ... Health Records (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more
- Humana (Tallahassee, FL)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Highmark Health (Tallahassee, FL)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding … more