- CVS Health (Tallahassee, FL)
- …a minimum of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * ... waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and… more
- CVS Health (Tallahassee, FL)
- …fraud waste and abuse business rules and leads designed to detect aberrant billing patterns and reviewing incoming referrals and leads to determine if additional ... data mining and analysis if needed to identify suspicious billing patterns. **Required Qualifications** + 3-5 years of data...background. + Experience with internal claims data and healthcare coding . + Must be able to travel to provide… more
- ChenMed (Miami, FL)
- …oversight of claims assembly and submission processes. In close collaboration with Billing , Coding , IT, and Business Intelligence departments, gains insight and ... to target revenue recovery throughout the organization by identifying operational, coding , billing , and reimbursement problems then recommending solutions. +… more
- University of Miami (Miami, FL)
- …independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business value lost during ... or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an...Epic HIM Administration - Certification required + Epic Hospital Billing and Professional Billing - Proficiency preferred… more