- Insight Global (Jacksonville, FL)
- …the medical record to determine or confirm codes, perform analysis of physician documentation, and provide feedback for improvement, collaborate with internal and ... external resources to obtain additional documentation to support the services provided, documentation and codes billed. RESPONSIBILITIES 1. Reviews medical record to correctly apply and/or validate ICD-10-CM IRF-PAI codes. Performance Criteria: - Maintains… more
- Molina Healthcare (Orlando, FL)
- …+ Certified Professional Payer - Payer (CPC-P) + Certified Coding Specialist - Physician based (CCS-P) To all current Molina employees: If you are interested in ... applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $46.42 / HOURLY *Actual… more
- University of Miami (Medley, FL)
- …practices within the UHealth system and externally + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled ... services according to authorization guidelines listed in UHealth Contract Summary. Submits all necessary documentation required to process authorization request 2 + Obtains authorization for both facility and provider for POS 22 and POS 19 clinics and provider… more
- Molina Healthcare (Orlando, FL)
- …as required by specifications. + Assists the quality improvement staff with physician and member interventions and incentive efforts as needed through review of ... medical records documentation. + Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report development support for quality… more
- Cognizant (Tallahassee, FL)
- …minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 + ... Experience making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims. + Knowledge of Medicare/Medicaid payment and coverage guidelines and regulations. + Must be able to work with minimal supervision. + 1 year of Facets experience.… more
- AssistRx (Orlando, FL)
- …different in patients' lives and reducing the administrative burden on physician offices. + Bachelor's Degree (preferably in Management Information Systems, Computer ... Science, Business or related discipline). + 3-5 years of experience successfully managing complex software projects, including client facing projects. + Agile software development experience preferred. + Specialty pharmacy industry experience preferred. +… more
- University of Miami (Hialeah, FL)
- …the documentation and utilization of acute care services. + Facilitates appropriate physician documentation of care to accurately reflect patient severity of illness ... and risk mortality. + Obtains accurate and compliant reimbursement for acute care services and reports quality of care outcomes. + Collects data regarding timeliness of report completion to assist physicians in meeting applicable rules and regulations. +… more
- Akumin (Miami, FL)
- …calls to schedule Radiology appointments and contacts patients and referring physician offices to schedule appointments. + Follows prescribed list of ... questions/scripts and provides standardized responses to get and give information during scheduling/pre-registration. + Ensures the gathering of accurate and complete patient data required to complete the scheduling process and any specific information… more
- University of Miami (Medley, FL)
- …and safeguards University assets Department Specific Functions + Review and release all physician charges from the assigned WQ's in a timely fashion. + Review ... encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. + Runs insurance eligibility and fixes… more
- Akumin (Orlando, FL)
- …sales program within their market. This role is responsible for analyzing physician referral trends and patterns to develop customer-level sales and growth plans, ... plans that backfill for losses that may occur in the market due to referring physician activity and change. . **Specific duties include, but are not limited to:** +… more