- University of Miami (Miami, FL)
- …2 has an exciting opportunity for a full time Tumor Registrar 2 - Remote . The Tumor Registrar 2 position is responsible for the performance of advanced technical ... work in coding and qualitative analysis of medical records for all...in the METRIQ Database. + Identify, review and abstract inpatient and outpatient medical records with Tumor Registry eligibility… more
- Humana (Tallahassee, FL)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Datavant (Tallahassee, FL)
- …+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...throughout a patient's stay. + Follow AHA guidelines and coding clinics for accurate coding and required… more
- Zelis (St. Petersburg, FL)
- … and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer ... CM, MS-DRG and APR-DRG claims preferred + Current, active Inpatient Coding Certification required ( ie ....FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more
- Humana (Tallahassee, FL)
- …of decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. A remote possibility exists of ... level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is… more
- Humana (Tallahassee, FL)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . * REMOTE * The University of Miami Health System, ... or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an...+ Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. + Ability to communicate… more
- Molina Healthcare (Orlando, FL)
- …a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule ... for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment… more