- Intermountain Health (Tallahassee, FL)
- …or escalated account issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document ... related activities (Billing & Follow-Up) + Knowledge of revenue and ICD 10 coding practices **Physical Requirements** + Manual dexterity of hands and fingers to… more
- BayCare Health System (Largo, FL)
- …consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of ... Care guidelines and reimbursement issues as needed, performs ICD-10 coding of referrals + Timely response to referral sources,...as one point of contact for referral sources, home health , and home infusion + Other duties as assigned… more
- TEKsystems (Tampa, FL)
- …and timely review, processing and payment of bills to include pre- coding accuracy and adjudication of appeals/provider reconsideration requests. * Examines and ... re-evaluations, and corrected bills. * Maintains knowledge of industry standard medical coding initiatives and state specific fee schedules and coding guidelines… more
- Molina Healthcare (Orlando, FL)
- …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... claim submitted support correct coding to ensure appropriate reimbursement to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical… more
- Houston Methodist (FL)
- …with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level ... + Educates all internal customers on clinical documentation opportunities, coding , and reimbursement issues, as well as performance improvement methodologies… more
- Highmark Health (Tallahassee, FL)
- …review **Preferred** + 5 years of developing test automation software according to coding and industry best practices To Include: + 3 years participating in code ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Tallahassee, FL)
- …and stakeholders. Secondary responsibilities will also include supporting formulary coding , implementation, and testing processes in partnership with the pharmacy ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Tallahassee, FL)
- …experience in one or many of the following tasks: analyzing, designing, coding , testing and implementing technical solutions, as well as providing general production ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- BayCare Health System (Clearwater, FL)
- …will support Patient Financial Services Leadership which includes Admitting/Registration, HIM/ Coding , Financial Assistance, PFS Central Services, and CBO Operations. ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
- BayCare Health System (Clearwater, FL)
- …consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of ... methodology to data integration:** assessing business requirements, functional/technical design, coding , testing, implementation, and maintenance of integration components, including,… more