- Molina Healthcare (FL)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. +… more
- Cardinal Health (Tallahassee, FL)
- …group purchasing contracts. + Demonstrates knowledge of financial processes, systems , controls, and work streams. + Demonstrates experience working collaboratively ... skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will… 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 ... acute care facility coding experience required. + Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), &/or Registered Health… more
- CenterWell (Crestview, FL)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed...agency staff + Maintenance and administration of the phone system including: + Adding / revising voice mail boxes… 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 ... Health Information Technology or Coding program + Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), and/or Registered Health… more
- CenterWell (Daytona Beach, 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
- University of Florida (Gainesville, FL)
- …all personnel and payroll matters. This position reports directly to the Administrative Specialist II and offers the opportunity to contribute to a collaborative and ... into People Soft, records FMLA leave in the payroll system and maintains records. + Prepares all TEAMS foreign...In order for clinical faculty to bill insurance companies, Medicare , etc. for patient services, they must be assigned… more
- TEKsystems (Tampa, FL)
- …general surgery. * Strong understanding of CPT guidelines for outpatient surgery and Medicare 's ASC payment system . Skills Surgical Coder, Surgical Coding, ASC, ... school diploma or equivalent. * Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding credential. * Minimum 2 years of medical… more
- Cognizant (Tallahassee, FL)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI information. *… more
- AdventHealth (Orlando, FL)
- …and keeps up with regulatory and healthcare changes pertaining to Medicare /Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works ... cycle. + Follows industry coding and documentation guidelines to maintain system -wide coding consistency and ensure compliance with all relevant government and… more