- J&J Family of Companies (Fort Lauderdale, FL)
- …building strong customer relationship + Demonstrated expertise with both pharmacy and medical /buy & bill benefits, coding , and billing + Reimbursement or ... authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers,… more
- Bank of America (Jacksonville, FL)
- …The executive will collaborate with cross-functional teams to implement secure coding practices, policy development, and training and awareness across the ... & Awareness: Lead training programs to enhance team awareness of secure coding practices and cybersecurity threats. + Compliance Oversight: Ensure adherence to… more
- CVS Health (Tallahassee, FL)
- …and logic Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation Data query and analysis ... management and support for MPPS claim editing initiatives, including claim analytics and coding reviews for Medicaid health plans, handling coding questions for… more
- University of Miami (Hialeah, FL)
- …for clinical conditions and procedures to reflect severity of illness, accurate coding /DRG, expected risk of mortality, accuracy of patient outcomes, and complexity ... and reporting physician and hospital outcomes. + Performs thorough and timely medical record reviews to identify potential gaps or opportunities to facilitate… more
- Community Health Systems (Naples, FL)
- …with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity ... and acuity. + Adheres to corporate recommended CDI workflows and uses CDI and medical records software, such as 3M 360 Encompass and Iodine Interact, to support… more
- Intermountain Health (Tallahassee, FL)
- …charges submitted, all charges/ coding are aligned with procedure performed, and charges/ coding are consistent with Federal , State, and payer guidelines. 9. ... the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Adecco US, Inc. (Naples, FL)
- …. BLS certified . Bilingual with English and Spanish . One plus years of medical assistant experience . ICD-9/10 and CPT coding experience **Why work for ... Adecco Healthcare & Life Sciences is hiring a Bilingual Medical Assistant in Naples, Florida! This role is in...Sick Leave or any other paid leave required by Federal , State, or local law, as well as Holiday… more
- CenterWell (Kissimmee, FL)
- …experience + Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. ** Medical Assistant Working hours:** ... community and help us put health first** As a Medical Assistant, you will be a part of the...Interagency Language Rating (ILR) test as provided by the Federal Government. **Benefits** Humana offers a variety of benefits… more