- Molina Healthcare (Orlando, FL)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a formal appeals request… more
- Molina Healthcare (Tampa, FL)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... determine appropriate appeals and grievance outcomes. * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Molina Healthcare (Jacksonville, FL)
- …experience. * Completion of a health care related vocational program (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research.… more
- Molina Healthcare (Orlando, FL)
- …Completion of a health care related vocational program in health care (ie, certified coder , billing, or medical assistant). To all current Molina employees: If ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- AdventHealth (Altamonte Springs, FL)
- …125,000 outpatients each year **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in ... the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG...High school diploma and two years of coding education ( medical coding certificate program or 2-year HIM program), including… more
- Molina Healthcare (Tampa, FL)
- …Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist ... (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the… more
- CenterWell (Tallahassee, FL)
- …and influence enhancements to the GenAI ( CODER ) tool to improve the medical coder experience. + Oversees coding operations by identifying Dyad partner needs ... a part of our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and… more
- HCA Healthcare (Fort Lauderdale, FL)
- …EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered ... Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC(R)) credential or Certified Professional Coder - Hospital… more
- CVS Health (Tallahassee, FL)
- …related duties as required. **Required Qualifications** CPC (Certified Professional Coder ) or CCS-P (Certified Coding Specialist -Physician).) (CRC (Certified ... every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure… more
- CenterWell (Fort Pierce, FL)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder , Referral Coordinator and more. Our approach ... in 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 protocol… more