- ChenMed (Largo, FL)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively...have the ability to navigate proficiently through computer software systems . + Must be team-oriented and work extremely well… more
- Molina Healthcare (Tampa, FL)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
- Molina Healthcare (St. Petersburg, FL)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
- MyFlorida (Orlando, FL)
- …and accurately and timely complete and document all client encounters in Health Management System (HMS), State, RWHAP systems (Provide), and any other system ... - 64035723 Date: Aug 3, 2025 The State Personnel System is an E-Verify employer. For more information click...6 months verifiable experience working with electronic medical records systems . + Successful completion of HIV 500/501 course within… more
- Evolent (Tallahassee, FL)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Highmark Health (Tallahassee, FL)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance...reviews to check code transfer accuracy from the abstracting system and the chargemaster. (10%) + Is responsible for… more
- CenterWell (Jacksonville, FL)
- …root cause analysis of care opportunities from both individual, team, and systems perspectives and partner with clinical and operational colleagues to improve ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- MyFlorida (Tampa, FL)
- …OPS JUSTICE ADMINISTRATION - 21813002 Date: Aug 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... only $180 per month. + Participate in FICA social security and Medicare . (mandatory) + Workers Compensation (mandatory) + Unemployment Compensation (mandatory) +… 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 ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered… more
- Banner Health (FL)
- …procedures on inpatient records using ICD CM and PCS coding classification systems . Completes MS-DRG and APR-DRG assignments on inpatient records as appropriate. ... to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified… more