- Community Health Systems (Naples, FL)
- …Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at ... collaborates with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support… more
- USAA (Tampa, FL)
- …association from potentially fraudulent activity. This role will provide investigative support and recommendations on claim settlements and assists with fraud ... SIU Investigator for **Medicare Supplement Fraud, Waste, and Abuse** you will support the Life Special Investigations team that is responsible for increasing fraud… more
- CenterWell (Orlando, FL)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- CenterWell (Tallahassee, FL)
- …the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their ... 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 (Miami, FL)
- …diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. + Overall accountability ... for the HCC/Risk Adjustment of goals and workflows to support value capture initiatives and high-quality clinical documentation. + Chart reviews for closing HEDIS… more
- CVS Health (Tallahassee, FL)
- …performance metrics related to quality, clinical outcomes, coding, and utilization used to support ABH programs. They will be a liaison between ABH providers and in ... of an internal, cross-functional team of clinical, analytics, provider relations and medical personnel. The PTA will work both internally and externally with some… more
- Humana (Tallahassee, FL)
- …Coding Educator is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with providers to enhance ... or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with...Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission,… more
- BAYADA Home Health Care (Orlando, FL)
- …OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by monitoring Outcome ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...plan of care and accurate OASIS documentation. + Provide support and communication to all disciplines within the service.… more
- AdventHealth (Orlando, FL)
- …Development + Whole Person Wellbeing Resources + Mental Health Resources and Support + Pet Insurance* + Debt-free Education* (Certifications and Degrees without ... for:** Insert Marketing Statement **The role you'll contribute:** The Inpatient Coder is responsible for reviewing, analyzing and interpreting clinical documentation… more
- Datavant (Tallahassee, FL)
- …consistent and effective manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly documented ... of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more