- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of operations to ensure the network ... is strong enough to support serving customers. The Senior Network Adequacy Professional work assignments involve moderately complex to complex issues where the… more
- Sedgwick (Tallahassee, FL)
- …Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** To analyze complex or ... needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and… more
- BayCare Health System (Tampa, FL)
- …AM to 3:30 PM + **Days:** Monday through Friday The **Advanced Inpatient Coding Specialist** is a full-time remote position. **_Sign on bonuses available!_** This ... position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more
- BayCare Health System (Tampa, FL)
- …+ **Days:** Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. This position requires 3 years' Inpatient ... Coding experience and a Certified Coding Specialist...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more
- Zelis (FL)
- …clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your ... post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy… more
- CenterWell (Tallahassee, FL)
- …ICD-10-CM, CPT, and HCPCS standards. This position utilizes GenAI and advanced coding tools to perform efficient chart reviews, ensure compliance with regulatory ... internal inquiries, and providing clarification on medical documentation and coding -related information. **Responsibilities** + Code and abstract patient encounters… more
- University of Miami (Coral Gables, FL)
- …2 position is responsible for the performance of advanced technical work in coding and qualitative analysis of medical records for all patients diagnosed, seen or ... and the National Cancer Data Base (NCDB) guidelines. Assures compliance of coding rules and regulations according to regulatory agencies Florida Cancer Data System… more
- Molina Healthcare (FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- BayCare Health System (Tampa, FL)
- …encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. + Works in conjunction with various departments for missing ... as assigned. + **Required Experience:** 5 Years of Outpatient Coding . **Required Coding Experience** + Emergency room...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more
- BayCare Health System (Tampa, FL)
- …bonuses available!_ **Responsibilities:** + The Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-10 CM and ... CPT-4 coding systems. + The Specialty Coder audits physician documentation...team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive… more