- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve the ... fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of...social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus… more
- Option Care Health (Tallahassee, FL)
- …accounts, obtaining necessary clinical documentation, and verifying medical necessity. The specialist must have a solid understanding of basic medical coding ... and maintenance of patient accounts in the system + Obtain and review clinical documentation to verify medical necessity + Communicate with healthcare providers… more
- MyFlorida (Tallahassee, FL)
- …the overall quality of claims management. Responsible for the continual review of claims files. Directly responsible for all facets of litigation management to ... RISK MANAGEMENT PROGRAM SPECIALIST - 43001345 Date: Sep 24, 2025 The...the monetary exposure on claim files. Responsible for the review , adjustment, and approval of all attorney and other… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- University of Miami (Miami, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... an exciting opportunity for a Full Time Research Support Specialist to work at the UHealth medical campus in...collects, analyzes, and synthesizes data and maintains databases.2. Conducts quality assurance checks, reports on the status of research… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure adequate staffing to… more
- AdventHealth (Daytona Beach, FL)
- …for assigned staff, as well as supporting on-going quality assurance needs for coding staff. They will review medical records and documentation for coding ... AHA Coding Clinic, CMS guidelines, NCCI guidance, etc. Provides outcomes of coding quality audit reviews with leadership Maintains current knowledge of … more
- CVS Health (FL)
- …5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required. + ... Minimum of 5 years recent and related experience in medical record documentation review , diagnosis coding , and/or auditing. + Experience with Medicare and/or… more
- Houston Methodist (FL)
- …to encounters of high complexity. + Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and ... relative to job function. Contributes ideas to help improve quality of coding data and abstracting data....Health Information Administrator (AHIMA) **OR** + CCS - Certified Coding Specialist (AHIMA) **OR** + CCA -… more
- AdventHealth (Tampa, FL)
- …year HIM program Required. 3 years relevant work experience Required. Certified Coding Specialist (CCS) Required or Registered Health Information Administrator ... . The Coder Analyst IV may participate in our quality , safety review process, which includes mortality,...coding skills that will promote effective and efficient review of clinical documentation to defend code assignment. May… more