- Wider Circle (Palm Coast, FL)
- …phone or video conferencing. + A genuine interest in working with Medicare /DSNP/Medicaid populations and a commitment to building strong, supportive relationships. + ... Strong verbal and written communication skills to effectively engage with diverse community members. + Proactive approach to outreach, with the ability to take lead on community engagement initiatives. + Adaptability to a dynamic work environment and a… more
- Aveanna Healthcare (Tallahassee, FL)
- …care, school, clinic, in-person, child, daycare As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- Centene Corporation (Tallahassee, FL)
- …landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $68,700 -123,700 annual Centene offers a ... comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will… more
- AccentCare, Inc. (Miami, FL)
- …in problem-solving, understanding referral patterns, and navigating or learning Medicare regulations and hospice reimbursement practices. Proficient with Microsoft ... Office Suite; available for after-hours and weekend referrals as needed. Physically capable of frequent standing, walking, typing, and working on hard/rough surfaces; occasional lifting, kneeling, reaching, and exposure to chemicals, dust, extreme… more
- HCA Healthcare (Coral Springs, FL)
- …to providing patients with quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of a physician and our team ... of professionals develop an individualized plan of care. Our professionals include registered nurses, licensed practical nurses, therapists, and social workers. We provide the care you need in the comfort of your own home to restore your independence.… more
- University of Miami (Medley, FL)
- …Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Review medical record ... documentation for major complications and comorbidities (MCC), complications and comorbidities (CC), severity of illness (SOI) and risk of mortality (ROM). + Consistently maintain coding accuracy and productivity standards of ≥ 95%. + Adheres to University and… more
- University of Miami (Medley, FL)
- …Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Reviews medical record ... documentation for major complications and comorbidities (MCC), complications and comorbidities (CC), severity of illness (SOI), and risk of mortality (ROM). + Maintains coding accuracy and productivity standards of ≥ 95%. + Adheres to University and unit-level… more
- Banner Health (FL)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... Care Financing Administration (HCFA), as well as company and applicable professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Able to identify validation edits and… more
- Healthfirst (FL)
- …visualization tools like Tableau and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP + Bachelor's degree in ... Accounting, Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are… more
- Highmark Health (Tallahassee, FL)
- …and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance ... oversight. + The ability to comprehend and interpret regulatory, legislative, and contractual mandates. + Experience managing multiple projects and managing professional staff on numerous projects to ensure corporate deadlines and objectives are met. + The… more