- HCA Healthcare (Gainesville, FL)
- …to our team by providing accurate demographic and insurance information to ensure accurate coding , billing and claims submission. What you will do: + You will ... At North Florida Surgical Pavilion, you come first. HCA Healthcare has committed up to $300 million in programs...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Molina Healthcare (Tampa, FL)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... healthcare providers that bill Medicaid/Medicare/Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Molina Healthcare (Orlando, FL)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (FL)
- …for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested ... recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage.… more
- Humana (Tallahassee, FL)
- …that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer ... and judgment. May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of … more
- Centene Corporation (Tallahassee, FL)
- …outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. + Support execution of large-scale ... economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.… more
- Humana (Tallahassee, FL)
- …Qualifications** + BS in healthcare or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims ... takes to Succeed** + 2 years experience with a coding certification (Industry-recognized coding certification from the...from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement… more
- Robert Half Accountemps (Boca Raton, FL)
- …is required. * At least five years of experience in medical billing, coding , or related roles within the healthcare industry. * Proficiency in E/M ... providers and administrative staff. Responsibilities: * Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy… more
- AdventHealth (Maitland, FL)
- …to reimbursement methodologies for various provider types. + Applies detailed understanding of medical coding . + Other duties as assigned. **The expertise and ... data. + Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing… more
- Northwest Florida Community Hospital (Chipley, FL)
- …knowledge of hospital and long-term care billing and reimbursement, knowledge of medical terminology, negotiating skills, and knowledge of healthcare industry ... (NFCH), in Chipley, FL, is seeking a FT experienced, energetic and dedicated Medical Business Office Manager to provide exceptional care for our patients in support… more