- Molina Healthcare (Jacksonville, FL)
- …the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) * Strong written and verbal communication skills ... required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely… more
- Molina Healthcare (Tampa, FL)
- …the financial impact to effectively negotiate new or amended contracts (eg coding and chargemaster impact analysis) + Strong written and verbal communication skills ... required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure… more
- University of Miami (Miami, FL)
- …modifications when appropriate. + Approves all disbursement requests for accuracy in coding and availability of funds prior to commitment of funds. + Establishes ... and continuously assesses the effectiveness of the internal controls within the unit and compliance with university policies and procedures. + Ensures employees are trained on controls within the function and on university policy and procedures. This list of… more
- Molina Healthcare (FL)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of… more
- Banner Health (FL)
- …or healthcare system. Must be able to work effectively and efficiently in a remote setting, utilizing common office software and coding software and abstracting ... **Department Name:** Coding -Acute Care Hospital **Work Shift:** Day **Job Category:**...Looking for a motivated, experienced **Inpatient Facility, Acute Care, Remote Medical Complex Coder** to join our talented Inpatient… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...new and existing coders. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +… more
- Datavant (Tallahassee, FL)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help...Preferred: Candidate must be proficient in MS-DRG and APR-DRG coding . CCS is preferred. **What You Will Do:** +… 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!_** ... the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the state of Florida, Georgia,...This position requires 3 years' Inpatient Coding experience and a Certified Coding Specialist… more
- Zelis (FL)
- …post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy ... claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client...FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more