- Molina Healthcare (FL)
- …working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... and implementation of the DRG validation program. Responsible for auditing inpatient medical records and generating high quality claims payment to ensure payment… 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
- Elevance Health (Tampa, FL)
- …identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse ... control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more