We interpreted Midway, FL as Midway, FL. Other options include: Midway (Seminole County), FL
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- CenterWell (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CVS Health (Tallahassee, FL)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...predetermination reviews ad reviews of claim determinations, providing clinical, coding , and reimbursement expertise, using multiple computer based applications.… more
- Datavant (Tallahassee, FL)
- …bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart ... retrieval and HCC (Hierarchical Condition Category) coding solutions to risk-bearing providers. This role will be...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Public Consulting Group (Tallahassee, FL)
- …Enablement + Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services and developing new business ... strong client relationships, and developing proposals that meet client needs. The Director will collaborate with senior client executives to implement or advise on… more
- FranklinCovey (Tallahassee, FL)
- …schools and institutions. To learn more, visit franklincovey.com **Title:** Director of Engineering - FranklinCovey Enterprise **Payroll Title:** Director ... like the FranklinCovey AI Coach **Job Summary** FC is seeking a hands-on Director of Engineering to lead multiple product teams building the learning experiences and… more
- CVS Health (Tallahassee, FL)
- …from anywhere within the US** We are seeking an innovative and experienced ** Director of Engineering Clinical AI** to lead our initiatives in **developing and ... (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience with clinical data… more
- Cardinal Health (Tallahassee, FL)
- …or related field preferred. + 6+ years of experience in physician and/or hospital coding and auditing, medical necessity reviews, or related work; cancer and ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit… more
- Datavant (Tallahassee, FL)
- …in Interventional Radiology and HCC is a plus. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- HCA Healthcare (Tallahassee, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Public Consulting Group (Tallahassee, FL)
- …issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with other ... errors and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to… more
- Datavant (Tallahassee, FL)
- …appropriate letter language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted ... + Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely...Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel,… more
- Intermountain Health (Tallahassee, FL)
- …on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health ... ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The...with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes… more