- AdventHealth (Altamonte Springs, FL)
- …to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for compliance including completeness and accuracy for severity of ... physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and...them to resolves discrepancies with DRG assignments and other coding issues. + Leads out on CDI projects as… more
- CVS Health (Tallahassee, FL)
- …+ Work with federal, state, and local law enforcement agencies to ensure compliance and support the prosecution of healthcare fraud and abuse matters. + Demonstrate ... + 1 year of experience in healthcare within auditing, compliance , or fraud, waste and abuse or equivalent experience...Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA).… more
- HCA Healthcare (Sebring, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Citigroup (Tampa, FL)
- …firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying ... SQL/No SQL, CICD Pipelines * Conduct code reviews and ensure adherence to coding standards and best practices Conduct tasks related to feasibility studies, time and… more
- Citigroup (Tampa, FL)
- …+ Utilize advanced knowledge of system flow and develop standards for coding , testing, debugging, and implementation + Develop comprehensive knowledge of how areas ... firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying… more
- HCA Healthcare (Pensacola, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (Kissimmee, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...with the director and clinical team to ensure formulary compliance and maintains contract compliance . The Buyer… more
- CVS Health (Tallahassee, FL)
- …the client intent. You will be required to work with the plan benefits coding team in resolving issues, driving expected results and meet project target dates as ... or quality reviews. + Execute test beds and validate coding accuracy utilizing various tools to ensure no financial...to prioritize issues and operate in environment of regulatory compliance and audit. + Able to meet aggressive turnaround… more
- Humana (Tallahassee, FL)
- …models and develop new tools which support strategic decision-making. Technical expertise and coding experience a key skill needed for this role, as daily activities ... will involve creating, modifying, and reviewing logic in various coding platforms. This role involves collaboration with stakeholders to understand business needs… more
- Robert Half Technology (Clearwater, FL)
- …dynamic team. The ideal candidate will have expertise in PowerBI, SQL development, T-SQL coding , Azure, SSIS, and SSRS, with a strong background in the Property & ... database performance, troubleshoot issues, and ensure data security and compliance with industry regulations. + Documentation: Maintain detailed documentation of… more