- Banner Health (FL)
- …and leads coding round table discussions. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes diagnostic and procedural ... national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to… more
- Datavant (Tallahassee, FL)
- …SDS, ED, Observation and I&I** **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, ... company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right… more
- ChenMed (Miami, FL)
- …of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables). + Strong medical coding and third party operating procedures and practices. + ... Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of...Knowledge of CPT/ICD-9 & 10 & Medical Terminology. We're ChenMed and we're transforming … more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… 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)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- CVS Health (Jacksonville, FL)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- LogixHealth (Dania Beach, FL)
- …combination of education and experience required + 5-7 years Emergency Department Medical Coding and 3-5 years auditing experience required + Experience ... Location: Remote in AL, FL, GA, MA, MI, MO,...with multiple types of medical records required + Coding certification required...we have had a clear vision of a better healthcare system and have continually evolved to get there.… more