- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Tallahassee, FL)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- Elevance Health (Tampa, FL)
- **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly ... Payment Integrity , is determined to recover, eliminate...the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- CenterWell (Orlando, FL)
- …to present educational materials in a way that improves documentation accuracy, coding integrity , and patient outcomes-while supporting provider efficiency and ... community and help us put health first** The RN Coding Education Facilitator is responsible for delivering clinically relevant...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
- Elevance Health (Tampa, FL)
- …member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary ... **Business Analyst III - Payment Intergrity Datamining** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and… more
- Humana (Fort Lauderdale, FL)
- …part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education ... plan tailored to each assigned provider. South Florida The Coding Educator 2 + Responsible for arranging educational sessions with assigned providers aimed at… more
- Edwards Lifesciences (Miami, FL)
- …( payment rates and market access) by serving as a knowledgeable resource in coding , coverage and payment , as well as, an intermediary to payers including ... maintaining a THV program through the development and implementation of reimbursement plans ( coding , coverage, payment ) unique to each provider. + Articulate a… more
- Austin Industries (Tampa, FL)
- …for future reference 7. Approves all subcontractor work for partial and/or full payment , approving and coding invoices and signing pay requests; ensures that ... and exceed our customers' expectations with our commitment to safety, service, and integrity . Join us today. We Own It! **Responsibilities:** 1. Oversees a major… more
- MyFlorida (Daytona Beach, FL)
- …insurance, contacting insurance carriers when necessary to re-evaluate claims for payment . Responsible for collaborating with other departments as needed. Reviews ... claims for CPT and ICD-10 coding accuracy. Volusia Billing Hub Liaison: Serves as the...goals & solve problems. A ccountability: We perform with integrity & respect. R esponsiveness: We achieve our mission… more