- HCA Healthcare (Panama City, FL)
- **Description** **Introduction** Do you have the career opportunities as a Medical Necessity Coding Compliance Coordinator you want with your current ... a committed, caring group of colleagues. Do you want to work as a Medical Necessity Coding Compliance Coordinator where your passion for creating… more
- CVS Health (Tallahassee, FL)
- … guidelines and regulations to meet compliance requirements, such as establishing medical necessity .** **In depth knowledge of medical terminology and ... codes required.** **Minimum of 2 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing.** **Preferred… more
- AdventHealth (Altamonte Springs, FL)
- …include compliant documentation to support Hierarchical Conditions Categories (HCC), ICD-10, medical necessity , and the appropriate Risk Adjustment Factor. ... depicted. This includes compliant documentation supporting HCC or capturing them, ICD-10, and medical necessity . + Knowledge and deep understanding of CMS … more
- AdventHealth (Orlando, FL)
- …indicators. + Utilizes thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity and coverage determinations + ... for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9 and DRG codes conventions and requirements… more
- AdventHealth (Orlando, FL)
- …as and when needed. Assists with interpretation of specific application of medical necessity criteria Responsible for reviewing Clinical Documentation and ... acts as the interdepartmental liaison for program development. Educate medical staff on correlation between clinical language, coding...improvement of the network as assigned by the Chief Medical Officer Supports compliance with all State… 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 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