- AdventHealth (FL)
- …communicates changes to all CDI staff; extensive knowledge of ICD 10 and coding guidelines. . Audits documentation quality to support accurate statistics at the ... trend performance to identify knowledge gaps/opportunities and develop individualized education to improve performance. . Develops and implements performance… more
- CVS Health (Tallahassee, FL)
- …and experience interpreting medical claim data + Advanced experience in SQL coding sourcing from a data warehouse + 3+ years of data interpretation and analysis ... + Experience in healthcare fraud, waste and abuse + Proficiency in Python coding + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting… more
- University of Miami (Miami, FL)
- …health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic ... to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education : MD or Ph.D. in relevant field Experience: Experience executing mixed-methods… more
- University of Miami (Miami, FL)
- …health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic ... identify add-on patients. + Schedule Interventional procedures + Procedure coding + Medication Prior Authorizations + Obtains necessary authorizations,… more
- HCA Healthcare (Jacksonville, FL)
- …and/or charge entry experience in the healthcare field is required + Knowledge of medical terminology and coding is highly preferred + Familiarity with third ... 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… more
- ChenMed (Lakeland, FL)
- …other related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding preferred + An inept ... Ability to coach and provide training in referral processes. + Exceptional knowledge of medical terminology, CPT, HCPCS and ICD coding . + Ability to handle… more
- Elevance Health (Tampa, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Investigator II is responsible for the identification, ... will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.… more
- WSP USA (Miami, FL)
- …state of climate science research. + Experience working with tools and/or coding scripts for effective data processing, analysis, and visualization. + Experience ... routinely working on coding projects (eg, Python) and adapting scripts, notebooks, and...the employee's career. These benefits include coverage related to medical , dental, vision, disability, and life; retirement savings; paid… more
- BayCare Health System (Tampa, FL)
- …Proficiency with Excel, web browsers, email, and Cerner. + Knowledge of medical terminology, anatomy, physiology, and relevant continuing education . + Regularly ... in quality assurance, data validation, and improvement activities. + Resolves routine coding issues; seeks help from Trauma Program leadership or vendor as needed.… more
- Elevance Health (Tampa, FL)
- …claims. **How you will make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and use of proprietary data ... and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills,… more