- National Health Transport (Miami, FL)
- …other duties as assigned. Required Qualifications: + High School Graduate/GED + Medical coding training and experience + Familiar with Medicare/Medicaid laws ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...be 8:00am-4:30pm, Monday through Friday. This position is not remote . Note: This description indicates, in general terms, the… more
- Molina Healthcare (Jacksonville, FL)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Datavant (Tallahassee, FL)
- …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… 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 ... in the management of resources entrusted to them. . Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity… more
- AdventHealth (Altamonte Springs, FL)
- …while understanding that **together** we are even better. **Job Location** : Remote **Shift:** Per-diem **The role you will contribute:** Under general supervision ... all. **The value you will bring to the team:** . Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity of… more
- Datavant (Tallahassee, FL)
- …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- Datavant (Tallahassee, FL)
- …you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication ... with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation,… more
- Cognizant (Tallahassee, FL)
- …analysis physician payer denials, identify procedures impacted by National Correct Coding Initiative Edits (NCCI), work with technical payer policies, appeal ... solutions. + **NCCI Edits** : Understand procedures impacted by National Correct Coding Initiative Edits (NCCI). + **Appeal Documentation** : Prepare and submit… more
- Molina Healthcare (Miami, FL)
- …**Job Qualifications** **Required Education** Associates degree. **Required Experience** 3 Years in coding and medical record chart review and experience with ... Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential **Preferred… more
- Cognizant (Tallahassee, FL)
- …1 year claims processing is required. * Knowledge of physician practice and hospital coding , billing and medical terminology, CPT, HCPCS, ICD-9 * Experience with ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more