- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding and creates ... an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to complex issues where the analysis of… more
- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability… more
- AdventHealth (Orlando, FL)
- …cards and key quality indicators. + Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity and coverage ... 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)
- …educational and life experiences to realize our bold vision for healthcare. The ** Coding Operations Manager** is essential to the Provider HIM Coding division. ... access, developing training plans, and creating support structures for successful coder engagement and outcomes. + Supervise quality assurance and performance… more
- AdventHealth (Daytona Beach, FL)
- …process for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for ... staff to assist with or resolve issues relating to medical record documentation and coding . May participate...currently hold and maintain one of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC),… more
- CVS Health (Tallahassee, FL)
- …CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
- Evolent (Tallahassee, FL)
- …of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and ... Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA)...Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional Coder … more
- Molina Healthcare (St. Petersburg, FL)
- … coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , ... appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record… more
- Elevance Health (Tampa, FL)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in… more