- CenterWell (Apopka, 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
- Elevance Health (Miami, FL)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending." The **Nurse Audit Senior** is responsible for identifying, ... make an impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing. +… more
- CenterWell (Daytona Beach, 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
- CenterWell (Orlando, 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)
- …own workspace! **What You Will Do:** + Performs Professional Fee 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
- Datavant (Tallahassee, FL)
- …and I&I** **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
- Datavant (Tallahassee, FL)
- …experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- CVS Health (Tallahassee, FL)
- …duties as assigned. **Required Qualifications** + 3+ years of experience in medical billing and coding, specifically related to claims processing and root cause ... and reliable attendance. + Associate's or Bachelor's degree. + Certified Professional Coder ( _CPC_ ) certification. **Education** + High school diploma or GED.… more
- AdventHealth (Daytona Beach, FL)
- …process improvements to further enhance program coding goals and outcomes. + Evaluates medical records to ensure Monitor, Evaluate, Assess, and Treat (MEAT) ... experience. **The value you'll bring to the team:** + Analyzes medical record documentation for HCC accuracy, correct documentation, and educational opportunities.… more
- AdventHealth (Orlando, FL)
- …reviewed, and the results are provided to management and feedback to the individual coder . Assist with educating all coders and Medical Staff members while ... to the team:** + Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall...Grad or Equiv and two years of coding education ( medical coding certificate program, diploma or 2-year HIM program),… more
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