- Humana (Tallahassee, FL)
- …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office… more
- AdventHealth (Orlando, FL)
- …for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG ... Medicare Prospective Payment System requirements. Actively participates in outstanding...expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and… more
- AdventHealth (Altamonte Springs, FL)
- …for reviewing, analyzing, and interpreting clinical documentation contained in the medical record, applying appropriate ICD-10 and CPT codes conventions and ... requirements of the Medicare Prospective Payment System. Actively participates in outstanding customer...Health Information Technician (RHIT) - Cert Required + Certified Billing and Coding Specialist (CBCS) + Certified Pension Consultant… more
- Intermountain Health (Tallahassee, FL)
- … Billing , Follow-Up, Collections) required + Knowledge of Medicaid and Medicare billing regulations required **Physical Requirements** + Operate computers and ... + Understanding Coordination of Benefits + Understanding EOB + Understanding Medical Terminology + Payment Handling + Effective written and verbal communication… more
- J&J Family of Companies (Jacksonville, FL)
- …and processes (ie, eligibility and benefit verification, pre-authorization, billing , coding, claims, and appeals/grievances); REMs certification; Medicare ... and monitoring. + Educate staff on payer requirements, coding, billing , claim submission, and acquisition. + Share TC insights...(3) years of successful pharmaceutical, biologic / biotech or medical device sales experience with a minimum of one… more
- Deloitte (Tampa, FL)
- …for improvement, and tracks progress. Job Duties and Responsibilities: + Analyze medical records for inpatient and outpatient service areas for accuracy of coding ... and documentation to ensure regulatory compliance + Apply knowledge of medical terminology, disease conditions and procedures to evaluate clinical documents +… more
- University of Miami (Miami, FL)
- …Identifier (NPI), or obtain an NPI, prior to employment start date and meet current Medicare requirements for billing Experience: + M inimum of 1 year of ... UHealth mission to be a state - of - the - art academic medical center by participating in transforming patient care through innovative research. CORE JOB FUNCTIONS… more
- Zelis (FL)
- …coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root cause analysis and identifying solutions + ... exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific… more
- Humana (Miramar, FL)
- …departments to ensure accuracy and completeness of all pertinent clinical, billing and demographic information in accordance with the policies and procedures ... deliveries in a timely manner and optimal manner + Gathers all necessary medical documentation from providers, nurses and patients to aid the accurate dispensing of… more
- University of Miami (Doral, FL)
- …for Treatment and Conditions of Admissions, Advance Directives, HIPAA, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co-insurance, ABNs, and ... dermatology, and more. The expansion will provide residents with innovative, specialized medical services in the heart of their community. UHealth at Doral will… more