- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- The Hartford (Lake Mary, FL)
- …focused initial and ongoing Long Term Disability benefit determinations using vocational, medical , and financial claim management. The Senior Ability Analyst ... Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined to make a...an unexpected event or illness happens while following corporate claim standards, policies, and procedures, and statutory, regulatory and… more
- Cardinal Health (Tallahassee, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Select Medical (Tampa, FL)
- …front office personnel to identify the best fit and reduce Patient Service Specialist turnover. Ensure Checkster is complete for references. + Ensure all sections of ... the Patient Service Specialist On-Boarding process are complete to include the Front...improvement potential in lowering DSO, improving clean and timely claim submission, and OTC collections. Guide the facilities to… more
- MyFlorida (Tallahassee, FL)
- …Office of Workforce Management Employee Relations Consultant (Human Resource Specialist /LR - SES) Tallahassee This position was previously advertised. Applicants ... workplace accommodations due to disability, pregnancy, childbirth, or related medical conditions, or religious accommodations, and works collaboratively with the… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …FL Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- Highmark Health (Tallahassee, FL)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Elevance Health (FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- University of Miami (Medley, FL)
- …Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT ... FUNCTIONS + Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures...query response, ADT correction. + Daily review of OP Claim edit. + Able to code Ambulatory Surgery, Infusion,… more
- University of Miami (Hialeah, FL)
- …and other specialties that are predominantly invasive codes for medical specialties including Ancillary, Non-Surgical, and Surgical services. The Professional ... care provided. Collaborates with others in the organization including medical staff and other clinicians to ensure the record...coding issues to management + Process Charge Review and Claim Edits + Adhere to departmental coding goals established… more