- HCA Healthcare (Port Charlotte, FL)
- …quality, skilled nursing care to patients in the home. Work in accordance with physician orders and the Plan of Care under the direction and supervision of a ... to each visit and provides care according to the physician 's orders, assessment data, established standards and guidelines and...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- Molina Healthcare (St. Petersburg, FL)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- CVS Health (Tallahassee, FL)
- …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist- Physician ) required. + Experience with International Classification of Disease (ICD)… more
- ChenMed (Jacksonville, FL)
- …Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace + Ability to determine ... coordinator, referral coordinator in a clinical setting, preferably within the Medicare HMO population We're ChenMed and we're transforming healthcare for seniors… more
- HCA Healthcare (Kissimmee, FL)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... as being in the BPCI-A program (Bundle Payment hospitals only). + Obtains physician signature on required Case Management documents and forms. + Based on facility… more
- Adecco US, Inc. (Orlando, FL)
- …but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician 's office or clinics. * Must have Medicare and commercial ... readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights… more
- AdventHealth (Altamonte Springs, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Cardinal Health (Tallahassee, FL)
- …and keep updated on policy or procedural changes + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred +… more