- Molina Healthcare (Tampa, FL)
- …length of stay, level of care, and inpatient readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate ... medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by applying advanced clinical… more
- Elevance Health (FL)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance… more
- BayCare Health System (Clearwater, FL)
- …processes, with a strong understanding of DRG documentation requirements and coding guidelines, and demonstrating effective leadership skills. + Responsible for ... trainings related to clinical documentation, as well as sharing ongoing coding guidelines, rules and regulations updates. + Responsibilities include developing,… more
- HCA Healthcare (Largo, FL)
- …list in Meditech and merging appropriate cases into Metriq + Responsible for reviewing medical records to abstract information according to the standards of the ... basis + Follow ACOS and state data standards and coding instructions to abstract all reportable cases + Attend...required + 3-5 years of Cancer Data Abstraction or Medical Records experience preferred " **Parallon** provides… more
- MyFlorida (Monticello, FL)
- …of health. Record Keeping and Documentation: proficiency in maintaining accurate, organized medical records and adhering to privacy regulations. Time Management: ... specific data monitoring, and communication with team members across DOH programs. Electronic Medical Record (EMR): Records all patient data accurately in Health… more
- Cardinal Health (Tallahassee, FL)
- …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA. + Demonstrates knowledge of… more
- Oracle (Tallahassee, FL)
- …degrees or partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg HIPAA). + ... Background in a clinical documentation role ( medical scribe, clinical documentation specialist , lead/trainer, medical office manager/lead, etc ) Disclaimer:… more
- CenterWell (Coral Springs, FL)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... in 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 Clinical… more
- Oracle (Tallahassee, FL)
- …Our Solution Engineers provide our partners and clients with product direction and specialist knowledge in applying our technology to best meet their needs, while ... of Simphony applications experience preferred. + Javascript, HTML5, and .NET coding experience desired. + Comprehensive knowledge of POS systems and application… more