- CHS (Clearwater, FL)
- …experience is preferred + Knowledge of medical terminology + Knowledge of medical coding systems + Knowledge of Medicaid/Medicare Guidelines + Knowledge of ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and … more
- Select Medical (Orlando, FL)
- …to maintain a healthy work-life balance + **Your Health Matters** : Comprehensive medical /RX, health, vision, and dental plan offerings for full-time team members + ... presence of supporting documentation, and provides staff education to ensure compliance with CMS guidelines. Coordinates all efforts for immediate issue resolution… more
- AdventHealth (Maitland, FL)
- …taken and all measures to resolve assigned accounts, including escalation to Supervisor/ Manager if necessary. + Processes administrative and Medical appeals, ... of insurance claims with the oversight of the Supervisor and/or Manager Qualifications **EDUCATION AND EXPERIENCE REQUIRED:** One-year of experience in Revenue… more
- Elevance Health (Tampa, FL)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies...+ Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- MyFlorida (Monticello, FL)
- …care plans; and assessment and screening for student health risks and medical conditions. Ensures the safety of individuals attending school clinics. Identifies ... but not limited to failed screenings; referrals and their processes; medical concerns, issues, or updates; medication re-supply request; and IMMEDIATE notification… more
- 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 ... will contribute:** Under general supervision of the Clinical Documentation Integrity (CDI) Manager , and in some situations the supervision of the Director of… more
- MUFG (Tampa, FL)
- …between enterprise and application teams. . Integrate regulatory and compliance requirements into control specifications. . Perform risk assessments on ... reports . Participate in security governance of SDLC, design reviews and secure coding standards (OWASP) . Utilize the MITRE ATT&CK framework to identify 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
- TECO Energy (Ybor City, FL)
- …position requires 4 days per week in office / 1 remote Hiring Manager : **Jason W Sizemore** Recruiter: **Mark E Koener** **TITLE: Enterprise Cyber Security Solution ... Architect** **PERFORMANCE COACH: Manager Cyber Protection** **COMPANY:** **Tampa Electric** **DEPARTMENT:** **Information Security** **POSITION CONCEPT** The… more
- Elevance Health (Tampa, FL)
- …understanding in end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare/ Medicaid regulatory policies regarding FFS and zero-dollar ... of 5 years of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination of education and experience… more