- CVS Health (Tallahassee, FL)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise ... Internal Medicine / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation.… more
- BAYADA Home Health Care (Orlando, FL)
- …this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all ... Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with...as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and… more
- BAYADA Home Health Care (Orlando, FL)
- …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, ... Apply your skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
- CVS Health (Tallahassee, FL)
- …coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical , behavioral, ... coding and appropriate documentation during the review of medical records. This role requires a strong focus on...contact for the team in the absence of the director , ensuring continuity of operations and support. + Develop… more
- Evolent (Tallahassee, FL)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
- AdventHealth (Tampa, FL)
- …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come .Awarded the Get With The Guidelines - ... a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor, under general supervision of the Inpatient Operations Manager, is… more
- Humana (Tallahassee, FL)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- HCA Healthcare (Palm Harbor, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director of Revenue with HCA Healthcare you can be a part of an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...in our organization. We are looking for an enthusiastic Director of Revenue to help us reach our goals.… 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 ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Sumitomo Pharma (Tallahassee, FL)
- …seeking a dynamic, highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will ... for SMPA investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle… more