- HCA Healthcare (Ocala, FL)
- …general/focus education for facility leaders on (but not limited to) compliance , medical necessity , charge practices, coding requirement etc. + Tracks ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- Cardinal Health (Tallahassee, FL)
- …detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... assigned. **_Qualifications_** + 4-8 years experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work.… more
- AdventHealth (Maitland, FL)
- …training. **KNOWLEDGE AND SKILLS PREFERRED:** + Current knowledge of coding compliance and medical necessity audit correction process. + Demonstrates ... + Computer knowledge of Microsoft software, Power Point, Visio, electronic medical record applications, coding software. **LICENSURE, CERTIFICATION OR… more
- Molina Healthcare (FL)
- …medical determinations as necessary, and applies clinical knowledge to assess the medical necessity , level of services, and/or appropriateness of care in ... to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews.… more
- Option Care Health (Tallahassee, FL)
- …involves setting up patient accounts, obtaining necessary clinical documentation, and verifying medical necessity . The specialist must have a solid understanding ... of basic medical coding , diagnosis codes, and ...system + Obtain and review clinical documentation to verify medical necessity + Communicate with healthcare providers… more
- Highmark Health (Tallahassee, FL)
- …and in writing when the information provided is not adequate to make a medical necessity determination + Maintain or exceed department call center standards + ... based on the benefits for the line of business, and in compliance with the organization's policies, procedures and regulatory requirements. Document, process and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Determinations and monitoring of optimal cost effective drug management + Perform medical necessity reviews for formulary exceptions and prior authorizations ... and management of the Health Plan's Medicare Prescription Drug Program, including compliance and oversight of Medicare Part D laws, regulations and reporting… more
- RTX Corporation (West Palm Beach, FL)
- …and Allen Bradley PLC hardware. + Experience with Labview or similar graphical coding environments. + PID tuning experience. + HMI design experience. + Experience ... may be eligible for benefits, including but not limited to, medical , dental, vision, life insurance, short-term disability, long-term disability, 401(k) match,… more
- RTX Corporation (West Palm Beach, FL)
- …and ladder logic programming. + Experience with Labview or similar graphical coding environments. + Experience with PID tuning skills. + HMI design experience. ... may be eligible for benefits, including but not limited to, medical , dental, vision, life insurance, short-term disability, long-term disability, 401(k) match,… more
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