- Datavant (Tallahassee, FL)
- …for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- Molina Healthcare (FL)
- …receive waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical... case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification,… more
- Banner Health (FL)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... + **Bachelors degree or equivalent;** + **Must be currently certified through AAPC or Ahima, as defined in minimum...reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to… more
- AdventHealth (Palm Coast, FL)
- …American Heart Association BLS Preferred qualifications: + Recent, relevant experience in a Medicare- certified home health agency as a case -manager + Home Health ... Beach area and surrounding areas. The role you'll contribute: The Home Health ST Case Manager is a professional therapist who coordinates and directs the home care… more
- Highmark Health (Tallahassee, FL)
- …both internally and externally.Takes action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law ... a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related… more
- University of Miami (Miami, FL)
- …with certified agencies. Coordination of all Home Health, Durable Medical Equipment, Orthopedics and Infusion. CORE JOB FUNCTIONS + Processes the physician ... with certified agencies. + Coordinates all Home Health, Durable Medical Equipment, Orthotics and Infusion. + Utilizes electronic referral system to send… more
- Orlando Utilities Commission (Orlando, FL)
- …resolution + Applying employment laws and organizational policies + Using HRIS, case management, or ERP systems + Experience supporting technical, craft, or skilled ... Outlook). + Valid Driver's License required. + SHRM or HRCI Certified Professional (SPHR/PHR or SHRM-CP/SHRM-SCP), Certificate in Employee Relations Law Seminar,… more
- HCA Healthcare (Plantation, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and… more
- Banner Health (FL)
- …Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT or RHIA Certifications,** to ... specific patient types and specialties in combination with the Case Mix Index and case financial information...AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes medical information from medical records. Accurately codes… more
- CVS Health (Tallahassee, FL)
- …+ Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case ... + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years investigative experience in… more