- BayCare Health System (Tampa, FL)
- …Flexible + **Days:** Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN remote position. This position requires 3 years' ... within the Tampa Bay area. **Position Details:** + **Location:** Remote (must reside in the state of Florida, Georgia,...Level II, and high acuity cases. Responsibilities + The Medical Records Advanced Inpatient Coding Specialist analyzes… more
- Zelis (FL)
- …and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and ... and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root...FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical...or equivalent + Experience in claim processing required + Medical Billing Certification required + Coding Certification… more
- Centene Corporation (Tallahassee, FL)
- …preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, ... in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial… more
- CVS Health (Tallahassee, FL)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- Humana (Gainesville, FL)
- … records into a secure system. The records are reviewed by Humana's Coding staff. The Medical Record Retrieval Representative (Risk Adjustment Representative 3): ... part of our caring community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative 3) Travels to provider offices… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex to complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. ... data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- BayCare Health System (Tampa, FL)
- …High School or equivalent + Preferred Associate Degree **Experience** + Required 2 years Coding + And 1 year of Medical Office related experience Equal ... within the Tampa Bay area. **Position Details:** + **Location:** Remote (must reside in the state of Florida, Georgia,...diagnosis and procedural codes using ICD-10 CM and CPT-4 coding systems. + The Specialty Coder audits physician documentation… more