- AdventHealth (Maitland, FL)
- …of the Outpatient Coding Operations manager, the Rapid In & Out Coder is responsible for reviewing, analyzing, and interpreting clinical documentation contained in ... the medical record, applying appropriate ICD-10 and CPT codes conventions...for comprehensive, accurate, timely clinical documentation. + Outpatient Surgical coder . Assign ICD-10 diagnosis codes and applicable CPT/HCPCS codes… more
- Elevance Health (Tampa, FL)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Elevance Health (Tampa, FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and… more
- CVS Health (Tallahassee, FL)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
- Humana (Tallahassee, FL)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- CVS Health (Tallahassee, FL)
- …of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some ... metrics, ICD-10 coding, Medicaid risk adjustment methodology, and common billing and common billing practices + Demonstrated...**Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN… more
- The Hartford (Lake Mary, FL)
- …MedBill Team Leader is responsible for overseeing a small team within the Medical Billing department, ensuring efficient operations and timely completion of ... communication, and organizational skills, along with a solid understanding of medical terminology, insurance policies, billing procedures, and reimbursement… more
- BAYADA Home Health Care (Orlando, FL)
- …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct ... it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each… more
- BAYADA Home Health Care (Orlando, FL)
- …the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct ... it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines. + Review and communicate OASIS edit recommendations to each… more
- Humana (Tallahassee, FL)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more