- Molina Healthcare (FL)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain ...providers when overpayments are identified. + Works may be remote , in office, and on-site travel within the state… more
- University of Miami (Hialeah, FL)
- …for clinical conditions and procedures to reflect severity of illness, accurate coding /DRG, expected risk of mortality, accuracy of patient outcomes, and complexity ... for reporting. + Effectively and appropriately communicates and collaborates with providers, HIM/ coding , quality, CDI, and other members of the healthcare team. +… more
- OneRail (Orlando, FL)
- …mentorship, while maintaining a strong balance between leadership and hands-on coding . Responsibilities: Technical Leadership & Architecture + Lead technical design ... + Actively participate in code reviews, ensuring adherence to coding standards, security guidelines, and performance best practices. +...Turnpike + Ample free parking OneRail's Travel Policy for Remote Team Members While OneRail allows remote … more
- AdventHealth (Orlando, FL)
- …of regulatory information to ensure the team is up to date on the latest Coding and payment updates. The APC Coordinator may assist in training outpatient coders on ... The APC Coordinator will assist in overseeing the outpatient coding queues, training, and education._ **The value you'll bring...you'll need to succeed** **:** + 3 proven outpatient coding + RHIA - Registered Health Information Administrator +… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director ... them to resolves discrepancies with DRG assignments and other coding issues. . Completes well-timed follow-up case reviews on...and 3 years of CDI experience . CCS (Certified Coding Specialist) This facility is an equal opportunity employer… more
- CVS Health (Tallahassee, FL)
- …or referral submission to determine, review, or apply appropriate guidelines, coding , member identification processes, provider selection processes, claim coding ... , including procedure, diagnosis and pre- coding requirements. - May facilitate training when considered topic subject matter expert. - In accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified… more
- Cognizant (Tallahassee, FL)
- …and regulatory guidelines. + Perform Peer Reviews of Company Health Information Management coding auditors and coders. + Maintain minimum accuracy rate of 98% while ... + 2+ years of experience in facility based inpatient coding . + Credentials: CCS, RHIT, RHIA (AHIMA) or CPC,...(AHIMA) or CPC, CPC-H (AAPC) + Level 1 Trauma coding and DRG experience. + Knowledge of federal, state,… more
- GovCIO (Tallahassee, FL)
- …Master Data Management system within Veteran Affairs. This position will be fully remote located within the United States. The candidate should have experience with ... design choices to software developers, including but not limited to platforms, coding and technical levels. + Experience in establishing and enforcing standards and… more
- Sedgwick (Tallahassee, FL)
- …Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster - Workers Compensation ( Remote ) **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers ... claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical… more
- AdventHealth (Altamonte Springs, FL)
- …**together** we are even better. **Shift** : Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision and direction, it's ... related areas such as patient registration, finance, insurance collections, customer service, coding , medical, or contract management . High school diploma or GED… more