- Guidehouse (Tampa, FL)
- …and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, ... or Commercial Insurance EAPG's. + Knowledge and understanding of hospital charge description master coding systems and...to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to… more
- Cardinal Health (Tallahassee, FL)
- …and staff regarding coding insufficiencies. + Serves as institutional subject matter expert and authoritative resource regarding federal, state and ... related field preferred. + 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and… more
- Oracle (Tallahassee, FL)
- …evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding ... we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play...as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM,… more
- Oracle (Tallahassee, FL)
- …Review, case management, and healthcare quality preferred **Responsibilities** + **Act as subject matter expert (SME):** Provide expertise for Claim denial ... clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- HCA Healthcare (Orange Park, FL)
- …cardiac device implantations performed in the Cath/EP Lab + You will be the subject matter expert of all invasive procedures and prepare patients appropriately ... Cardiac Cath Lab Technologist? At HCA Florida Orange Park Hospital , you come first. HCA Healthcare has committed up...will handle stocking and documenting supplies, patient billing, and coding of procedures What qualifications you may need: +… more
- Molina Healthcare (FL)
- …solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance ... or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage....(CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you… more