- CVS Health (Tallahassee, FL)
- …key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and ... business needs and accomplish goals. This is a fully remote position. Eligible candidates may live anywhere in the...leaders to develop deliverables on policy priorities + Provide medical coding and payment policies deliverables for… more
- Molina Healthcare (FL)
- …to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. ... SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and… more
- Molina Healthcare (Tampa, FL)
- …Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. + Strong Medical Claims Audit knowledge To ... processing functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders and subject… more
- Centene Corporation (Fort Myers, FL)
- …HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding . Assists in resolving ... a fresh perspective on workplace flexibility. **This is a remote position with regular local travel required for practice...for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding . Supports… more
- Danaher Corporation (Orlando, FL)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider / customer facing role responsible for ... delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics....Value and Access team. This position will be a remote position ideally located in the South East part… more
- Kemper (Jacksonville, FL)
- Location(s) Jacksonville, Florida, Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -OH, Remote -PA, Remote -WI ... Experience with cloud development practices. + Advanced certifications for coding /development. Current Guidewire Certified Ace preferred. + Demonstrates advanced… more
- Medtronic (FL)
- …in medical device or pharmaceutical reimbursement, health economics, healthcare coding , or a related field. **Nice to have:** + Strong understanding of ... patients first in everything we do. This position is remote to enhance our competitive edge and expand our...the Health Economics, Policy, and Reimbursement staff to identify/solve coding , coverage or payment issues and provide support as… more
- ChenMed (Miami, FL)
- …claims assembly and submission processes. In close collaboration with Billing, Coding , IT, and Business Intelligence departments, gains insight and understanding of ... The incumbent also serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue related products and tools.… more
- AdventHealth (Daytona Beach, FL)
- …Per Diem **Shift:** Days **Location:** Virtual - This position will be remote . **The role you'll contribute:** The Oncology Data Specialist Certified is responsible ... to stay abreast of all applicable changes in the cancer industry with regards to coding and compliance. **The value you'll bring to the team:** + Serves as the… more
- BayCare Health System (Largo, FL)
- …dignity, respect, responsibility and clinical excellence. **Positions Details:** **Location:** Remote /Hybrid (Must reside in State of Florida) **Status:** Full Time, ... CDI Program. + Promotes effective and efficient provider documentation in the medical record, with accurate, ethical capture of the patient's conditions and precise… more