- 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...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Datavant (Tallahassee, FL)
- …effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued stay in the inpatient patient care ... to an alternative level of care. Using nationally recognized medical necessity criteria and standards of care, along with...and keeps in total confidence, all files, documents and records + Meets or exceeds production and quality metrics… more
- CVS Health (Tallahassee, FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- MyFlorida (Tallahassee, FL)
- …the agency's financial data through the analysis and reconciliation of complex accounting records . The incumbent will play a key role in maintaining the general ... and Ledger Management) system, including its processes, reporting tools, and coding structure. + Support year-end financial activities, including identifying and… more
- CenterWell (Boynton 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...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- CenterWell (Fort Pierce, FL)
- …and 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 an...manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical… more
- AdventHealth (Tampa, FL)
- …**Cardiovascular group practice environment** - preferred Proficient experience in compliant coding guidelines, reimbursement procedures, medical records ... : Days **The community you'll be caring for:** AdventHealth Medical Group West Florida Rollover PDO with service year...is responsible for the overall operational success of the medical practices assigned to them. Provides strategic leadership and… more
- Humana (Stuart, FL)
- …position. Key tasks include managing and interpreting data from the Electronic Medical Records (EMR) system, which encompasses patient history, equipment needs, ... an essential link between intake processing and fulfillment teams, ensuring accurate coding and understanding of equipment specifications prior to dispatch. A deep… more
- Cognizant (Tallahassee, FL)
- …are seeking an experienced and motivated FileNet, IBM Content Navigator, and IBM Enterprise Records Developer to join our team. As a developer in this role, you will ... of these platforms. + Ensure adherence to best practices and coding standards. **Platform Customization and Configuration:** + Customize and configure FileNet,… more
- Robert Half Accountemps (Lake Worth, FL)
- …skills, attention to detail, and the ability to maintain accurate financial records . The ideal candidate will have experience in purchasing processes and a ... with invoices and verify accuracy. + Assist with accounts payable by coding invoices and reconciling discrepancies. + Support month-end closing by providing… more