- Molina Healthcare (Tampa, FL)
- …for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review of ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and… more
- University of Miami (Miami, FL)
- …Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business ... or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an...+ Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate… more