Job Title Long Term Care Coordinator 1 Duration 10+ Months Location Remote FL ( Tallahassee Area, surrounding area +/ 25 miles) Licenses/Certifications Valid driver's license. LPN or RN preferred. Shift M F 8 5 80% is member facing. Employees will work from home but will be visiting members in facilities or their homes. Description Responsible for members gaining access t

Medical Office Support (Spanish/ English bilingual) Job ID 2024 27296 # Positions 1 Job Location US FL Miami Telecommute Location Specific Position FT/PT Full Time Category Medical Office Professionals Why Us? With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most

Provides education to medical providers as warranted. Description What You'll Do Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal con

Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which in

Eye Doctor's Optical Outlets, a VSP Vision company, has been supporting the eye health of the central Florida community for more than 35 years. Our team is collectively dedicated to providing our patients with the highest level of customer service and quality eyewear at an affordable price. Offering a fun and inclusive work environment, you'll know that you're doing work

The Graduate Medical Education Administrator I provides the practical structure for the processing and coordination to implement strong educational programs for physicians in training. Provides administrative support of regulatory compliance through data management, report preparation, coordination of special events, records retention, recruitment, and accreditation prepa

Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development Monitor delivery of services and follow up with members, caregivers, or providers through in person visits and telephonic contact Authorize and coordinate referrals for services Ensure provider services

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Area Lead Health Information Specialist Onsite Job Locations US FL Sebring Requisition ID 2024 35785 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics c

Performs other duties as assigned Minimum Qualifications Education High School Diploma or GED required.Associates or Bachelor's degree in HIM/HIT preferred. Experience One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required. Three (3) years healthcare experience preferred. An equivalent amount of education or experience m

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS comp

The Medical Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD 10 CM). DUTIES & RESPONSIBILITIES The Bil

Area Lead Health Information Specialist Onsite Job Locations US FL Tampa Requisition ID 2024 35925 # of Openings 1 Category (Portal Searching) Operations Position Type (Portal Searching) Employee Full Time Overview Who we are... Datavant protects, connects, and delivers the world's health data to power better decisions and advance human health. We are a data logistics com

Currently recruiting an ON SITE Medical Coder Outpatient in Tampa, Florida to provide support to Active Duty heroes, their families, and retirees at MacDill AFB. The full time position is Monday Friday, 8 hours shifts between 7 30am and 4 30pm. Telework/Remote work may be available with base approval. DUTIES OF THE MEDICAL CODER OUTPATIENT Have practical knowledge of the