- CenterWell (Fort Lauderdale, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- CenterWell (Apopka, FL)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Elevance Health (FL)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- CenterWell (Tallahassee, FL)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- Elevance Health (FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
- Houston Methodist (FL)
- …and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory ... good feedback during coding section meetings, coding education in-services, and coder /CDMP meetings. Takes initiative to assist others and shares knowledge with… more
- Highmark Health (Tallahassee, FL)
- …Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability to solve ... ** Company :** Highmark Inc. **Job Description :** **JOB...claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure… more
- Sharecare (Tallahassee, FL)
- …Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter where...utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,… more
- Datavant (Tallahassee, FL)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...care settings. **_We are seeking an experienced Profee Surgery Coder with strong proficiency in coding surgical procedures across… more
- Robert Half Accountemps (Boca Raton, FL)
- …policies and industry standards. * Maintain confidentiality of sensitive financial and medical information. Requirements * CPC (Certified Coder ) certification is ... providers and administrative staff. Responsibilities: * Conduct thorough audits of medical documentation to identify coding discrepancies and ensure accuracy in… more
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