- CenterWell (West Palm Beach, FL)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...in a timely manner working with a quality- based coder to optimize coding specificity. . Follows policy and… more
- Molina Healthcare (Jacksonville, FL)
- …to reduce the likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical ... suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS),… more
- Datavant (Tallahassee, FL)
- …surgeries as well as EPIC System a plus._** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...care settings. **_We are seeking an experienced Profee Surgery Coder with strong proficiency in coding surgical procedures across… more
- Intermountain Health (Tallahassee, FL)
- …as potential onsite interviews and meetings The HIM Hospital Emergency Room Coder is responsible for accurately assigning ICD-10 CM (Clinical Modification) diagnosis ... requirements, and reimbursement policies, as well as ensures claims meet medical necessity for procedures performed. **Essential Functions** + Reviews and analyzes… more
- Elevance Health (FL)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
- CenterWell (Pinellas Park, FL)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...in a timely manner working with a quality- based coder to optimize coding specificity. + Follows policy and… more
- Datavant (Tallahassee, FL)
- …Orthopedics. **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...EMRs **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Oracle (Tallahassee, FL)
- …components and features of the Object Storage Service. You should be both a rock-solid coder and a distributed systems generalist, able to dive deep into any part of ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more
- Oracle (Tallahassee, FL)
- …development for major components of this platform. You should be both a rock solid coder and a distributed systems generalist, able to dive deep into any part of the ... Oracle US offers a comprehensive benefits package which includes the following: 1. Medical , dental, and vision insurance, including expert medical opinion 2.… more
- Adecco US, Inc. (Bradenton, FL)
- …EHR for the clinical status of the patient, current treatment plan, past medical history, quality measures (eg, HEDIS, HCC, etc..), and identify potential gaps in ... and expertise to accomplish optimal identification of patient's condition in the medical record . Communicates with providers to validate observations for more… more
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