- Highmark Health (Tallahassee, FL)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for education/training of… more
- HCA Healthcare (Fort Walton Beach, FL)
- …The MSW maintains a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes, and possesses a thorough ... with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with the patient care… more
- AdventHealth (Altamonte Springs, FL)
- …and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical ... healthcare team. This includes quarterly and annual compliance updates from Medicare . . Effectively and appropriately communicates with physicians and other… more
- Wider Circle (Daytona Beach, FL)
- …in Wider Circle's digital systems in a timely manner. + Support Area Manager by assisting Specialists in their role, which can include training, shadowing or ... phone or video conferencing. + A genuine interest in working with Medicare /DSNP/Medicaid populations and a commitment to building strong, supportive relationships. +… more
- University of Miami (Medley, FL)
- …to work in remotely. Under the general direction of the Inpatient Coding Manager , the Inpatient Coder 2 (H) reviews documentation in the electronic medical record ... Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Reviews medical record… more
- BayCare Health System (Largo, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for ... work under the direction of the Care Transition Coordinator or RN Case Manager to establish and maintain a positive working relationship with patients, payors and… more
- HCA Healthcare (Sarasota, FL)
- …collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers ... liaison accounts and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation of accounts turned… more
- CenterWell (Daytona Beach, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more