- ChenMed (Miami, FL)
- …of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables). + Strong medical coding and third party operating procedures and practices. + ... physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment… more
- Northwest Florida Community Hospital (Chipley, FL)
- …(NFCH), in Chipley, FL, is seeking a FT experienced, energetic and dedicated Medical Business Office Manager to provide exceptional care for our patients in support ... with medical Providers and staff, in our Patient Financial Services...in-depth knowledge of hospital and professional billing to ensure compliance with relevant regulations, standards, and directives from regulatory… more
- Datavant (Tallahassee, FL)
- …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- University of Miami (Miami, FL)
- …with Epic analysts and application teams to implement enhancements that improve coding accuracy, reduce denials, and support regulatory compliance . + Lead ... assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls… more
- AdventHealth (Maitland, FL)
- …language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ... language as it relates to reimbursement methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
- AdventHealth (Altamonte Springs, FL)
- …that demonstrates all six bodies of knowledge recognized by the MGMA, Certified Medical Compliance Officer (CMCO), comparable certifications This facility is an ... care with responsibility for the strategic direction of the AdventHealth Medical Group (AHMG) providers of designated service lines. The primary responsibility… more
- AdventHealth (Maitland, FL)
- …and advanced practice providers (APPs) on best practices in clinical documentation and coding compliance . Coordinate with GME to provide focused education on ... the clinical leader and liaison between the CDI department, physicians, and coding /billing teams. This role is responsible for ensuring that clinical documentation… more
- Community Health Systems (Naples, FL)
- …level and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated ... with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity… more
- Molina Healthcare (FL)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more