Physician Hematology/Oncology - Competitive Salary Inspire HealthcarePhysician Hematology/Oncology - Competitive SalaryLakeland, FLRobust administrative support: staffing, billing & collections, coding & transcription, EMR/clinical informatics, value-based services, quality, and recruitment. Flexible schedule with built-in referral network and advanced diagnostic support (in-house labs & radiology).
Medical Coder Certified - USFTGP UMSA RCO Coding Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO CodingTampa, FL680952'',''true'',''680952'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Coding - (Job Number: 260002CD)'',''false'',''680952'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Coding'',''260002CD'',''!*! The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Medical Records Coder III - ED Coding (Part Time) BayCare Health SystemMedical Records Coder III - ED Coding (Part Time)Clearwater, FLSummary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Coding Coordinator (REMOTE) BayCare Health SystemCoding Coordinator (REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Coding Coordinator performs reviews of medical records to assign or confirm appropriate diagnosis assignment of ICD-10-CM, ICD-10-PCS, CPT4, HCPCS and Modifiers. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Billing and Coding (Adjunct) Instructor Hillsborough Community CollegeMedical Billing and Coding (Adjunct) InstructorFLIf the transcript does not reflect the awarding of the qualifying degree, or the attainment of the required graduate semester hours, attach written documentation from the educational institution showing when the degree was awarded or hours earned. Load points are generated: (1) one lecture or distance learning credit hour generates 10 load points and (2) one laboratory contact hour or one clinical contact hour generates 8 load points.
Coding Supervisor TAMPA FAMILY HEALTH CENTERS, INC.Coding SupervisorTampa, FLMinimum 2 years EMR experience (Epic preferred) • Minimum of 3 years multi-specialty coding experience (5+ years preferred) • Experience using Microsoft Office suite with intermediate Excel skills • Excellent written and verbal communication skills, including grammar, punctuation, and style • Comfort presenting to large and small groups • Advanced knowledge of medical terminology, anatomy, physiology, disease processes, medications, and laboratory values • Ability to analyze data and apply insights to work-related situations. • Frequently required to sit; occasionally required to stand and walk • Frequently required to communicate both expressively and receptively • Occasionally required to lift and/or move up to 25 pounds • Occasionally required to bend, twist, climb, and reach • Moderate concentration and prolonged mental effort with limited breaks • Normal memory demands based on volume and type of information • Moderate complexity in decision-making • Ability to handle normal levels of intensity.
Inpatient Coding Auditor AdventHealthInpatient Coding AuditorTampa, FL$26.29–$48.91 / hourComprehensive experience with cases requiring more complex coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days, BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility. Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerFL$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Coding Instructor Code NinjasCoding InstructorWesley Chapel, FloridaWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Building Code Inspector TEW & TAYLORBuilding Code InspectorSt Petersburg, FLAs we continue expanding our presence across Florida, we are seeking a multi-disciplined Plans Examiner & Building Code Inspector to join our growing team in St. You will work closely with contractors, developers, and local building departments to facilitate the fast, efficient permitting and inspection process our clients rely on.
Supervisor, Quality Improvement Avalon Health Services LLCSupervisor, Quality ImprovementTampa, FLAbout the Supervisor, Quality Improvement position: The Supervisor, Quality Improvement is responsible for overseeing Avalon's quality improvement auditing and monitoring activities while leading a team of Quality Improvement Specialists. This position serves as a working leader, directly participating in quality audits, data analysis, reporting, and process improvement initiatives while ensuring the team consistently delivers accurate, timely, and actionable quality insights.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceTampa, FLThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorFL$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)FL$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Medical Coder Certified - USFTGP UMSA RCO Back End Tampa General HospitalMedical Coder Certified - USFTGP UMSA RCO Back EndTampa, FL681099'',''true'',''681099'',''false'',''Submission for the position: Medical Coder Certified - USFTGP UMSA RCO Back End - (Job Number: 260002EB)'',''false'',''681099'',''false'',''true'',''Medical Coder Certified - USFTGP UMSA RCO Back End'',''260002EB'',''!*! Medical Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistFL$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Clinical Budgeting Specialist Paradigm Management Services LLCClinical Budgeting SpecialistTampa, FLRemoteUpdate each forecast with findings/changes to include; update and confirmation of known/future service dates and expense using reference data and/or direct contract with the providers, true-up of forecast for completed services to paid claims, adjustment for future services based on changes in the clinical course of treatment. Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams.
MEDICAL CODER II - FULL TIME Watson Clinic LLPMEDICAL CODER II - FULL TIMELakeland, FLGood problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff. Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system.
Credentialing Specialist RadX Inc.Credentialing SpecialistTampa, FLFull timeTo thrive as a Full Time Credentialing Specialist at RadX Inc., you will need a unique blend of skills and attributes that will empower you to succeed in this critical role. Additionally, empathy is vital in our patient-centered environment, allowing you to understand the needs of both patients and staff.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Clearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (PRN/ REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient BayCare Health SystemMedical Records Coder III OutpatientTampa, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Outpatient Coder III BayCare Health SystemMedical Records Outpatient Coder IIIClearwater, FLRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Scribe - Full-time - Pasadena / Largo ENT and Allergy of FL.Medical Scribe - Full-time - Pasadena / LargoSt. Petersburg, FLFull timeThis is an excellent opportunity for a Medical Scribe who is comfortable with medical terminology, strong typing skills, multitask oriented, motivated, able to handle a high volume of incoming patients, must be a self-starter and willing to learn all aspects of the ENT, Allergy, and Audiology field. Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of medical equipment and office equipment as required of the position or directed by the Manager.
NewMedical Records Coder II (REMOTE) BayCare Health SystemMedical Records Coder II (REMOTE)Clearwater, FLRemoteBayCare is one of the largest health care providers and employers in the Tampa Bay area, serving our communities through 16 hospitals, a long-term acute care facility, outpatient centers, home health services, and an extensive physician network. Position Summary: The Coder II applies intermediate-level coding knowledge to accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, and CPT-4 classification systems.
Pharmacy Auditor - Payment Integrity Complex and Clinical Audit Elevance Health IncPharmacy Auditor - Payment Integrity Complex and Clinical AuditTampa, FLIdentifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate units, excessive units, inappropriate or missing modifiers, excessive frequency, payments allowed in excess of the contract, excessive waste, equipment rentals that exceed the units billed. The Pharmacy Auditor will be responsible for screening, selecting, and auditing high cost drug (HCD), home infusion therapy (HIT), dialysis, and durable medical equipment (DME) claims to ensure they are billed accurately to the medical benefit.
RCM Specialist I - Medical Biller JAG Physical TherapyRCM Specialist I - Medical BillerTampa, FloridaJAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform.
Optometric Technician West Point Optical GroupOptometric TechnicianBrandon, FloridaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorFL$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Certified Coder HCA Healthcare IncCertified CoderTampa, FLEXPERIENCE: One year of coding and/or billing experience in a healthcare environment CERTIFICATION/LICENSE: Must be one of the following: Certification Certified Coding Specialist (CCS) Governing Body Certified Coding Specialist - Physician (CCS-P) AHIMA AHIMA Registered Health Information Technician - RHIT Registered Health Information Administrator - RHIA AHIMA AHIMA Certified Professional Coder - (CPC) Certified Professional Coder - Hospital (CPC-H) AAPC AAPC Governing Body Full Name - - AHIMA (American Health Information Management Association) AAPC (American Academy of Professional Coders) Benefits HCA FL Endocrine Institute, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, the Federal Register, and other pertinent materials.
Medical Biller Bay Area Advance Gastroenterology CareMedical BillerBrandon, FLAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Anesthesia Specialty Coder II (REMOTE) BayCare Health SystemAnesthesia Specialty Coder II (REMOTE)Tampa, FLRemoteThe Anesthesia Specialty Coder II audits physician documentation to assign appropriate anesthesia CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Position Details: The Anesthesia Specialty Coder II is a Certified Professional Coder who assigns diagnosis and procedural codes using ICD-9 CM and CPT-4 coding systems, and audits physician documentation.
Healthcare Appeals Specialist TempExpertsHealthcare Appeals SpecialistClearwater, FLThe ideal candidate will have experience with medical billing, insurance claims, appeals, or revenue cycle management and be comfortable researching claim issues, communicating with insurance providers, and managing multiple cases in a fast-paced healthcare environment. This role plays an important part in ensuring accurate and timely resolution of insurance claim denials while helping improve financial outcomes and support patient access to critical medical services.
FISCAL ASSISTANT I - 64028053 Government of FloridaFISCAL ASSISTANT I - 64028053BROOKSVILLE, FLThe State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits; Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Retirement plan options, including employer contributions. Responsible for reviewing unbilled reports to ensure accuracy of billing to processes Medicaid, Medicare, HMOs, and other insurance claims for services rendered including Current Procedure Terminology (CPT) and International Classification of Disease (ICD) diagnosis codes.
Medical Biller Terlep ChiropracticMedical BillerSpring Hill, FLAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Specialty Coder II (REMOTE) BayCare Health SystemSpecialty Coder II (REMOTE)Tampa, FLRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Director of Physician Services I HCA Healthcare IncDirector of Physician Services IPalm Harbor, FLWhat you will do in this role: You will demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patientsYou will identify opportunities for improvement and innovation, removes barriers and resistance, and enable desirable behaviorYou will collaborate effectively with Division service line leaders and hospital business development leadersYou will proactively identify practice/business development opportunities to increase market shareYou will direct and manage strategic projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding, physician and staff trainingYou will have strategic and tactical operational responsibility for the business and clinical functions through administrative and clinical staff including providers, front desk, medical records, nursing, and ancillary services to ensure maximum utilization of resources and the efficient delivery of services of his or her assigned practices. Recommends corrective action as requiredYou will have supervisory responsibility for physicians and practice staff as well as meet regularly with constituents including but not limited to operations leadership, physicians and hospital administration to review practice strategy, market and division goals, financial performance and practice key indicatorsYou will oversee physician recruiting and contracting in collaboration with other Physician Services colleaguesYou will work with physicians and division leadership to provide innovative practice growth and quality solutions that will maintain and improve patient outcomes and satisfaction.
Practice Manager AdventHealthPractice ManagerTampa, FL$54,680.66–$101,717.57 / yearOversees the start-up of new physician practices, including newly recruited physicians and established community physicians, and assists with credentialing activities. Additional Information: An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- Bachelors degree and no experience OR.
Advanced Inpatient Coder Specialist BayCare Health SystemAdvanced Inpatient Coder SpecialistClearwater, FLRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Inpatient Coder Specialist (PRN/ REMOTE) BayCare Health SystemInpatient Coder Specialist (PRN/ REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Inpatient Coder Specialist (REMOTE) BayCare Health SystemInpatient Coder Specialist (REMOTE)Tampa, FLRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Advanced Inpatient Coder Specialist (PRN/REMOTE) BayCare Health SystemAdvanced Inpatient Coder Specialist (PRN/REMOTE)Clearwater, FLRemoteBayCare is a leading healthcare system made up of 16 community hospitals, a long-term acute care facility, outpatient centers, home health services, and thousands of physicians-all supported by more than 30,000 team members. You'll work across multiple high-acuity service lines-including Orthopedics, Neurology, Cardiac, General Surgery, and Trauma-reviewing complex, multi-day encounters.
NewAdvanced Inpatient Coder Specialist (REMOTE) BayCare Health SystemAdvanced Inpatient Coder Specialist (REMOTE)Clearwater, FLRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Clinical Provider Auditor Senior - Payment IntegritySIU Elevance Health IncClinical Provider Auditor Senior - Payment IntegritySIUTampa, FLMinimum Requirements: Requires a AA/AS and minimum of 5 years medical coding/auditing experience, including minimum of 4 years in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Clinical Provider Auditor Senior - Payment Integrity SIU Elevance Health IncClinical Provider Auditor Senior - Payment Integrity SIUTampa, FLMinimum Requirements: Requires a AA/AS and minimum of 5 years medical coding/auditing experience, including minimum of 4 years in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Clinical Provider Auditor II - Payment Integrity SIU Elevance Health IncClinical Provider Auditor II - Payment Integrity SIUTampa, FL$58,400–$107,740 / yearMinimum Requirements: Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystTampa, FLRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Business Analyst III- Medicaid Overpayment Recovery Elevance HealthBusiness Analyst III- Medicaid Overpayment RecoveryTampa, VirginiaThe Business Analyst III is responsible for leading complex data analysis and mining efforts using claims data and coding methodologies (CPT, HCPCS, DRG, ICD-9, ICD-10) to identify overpayment recovery opportunities, validate findings, and complete supporting documentation. Primary duties may include, but are not limited to: Collaborate with internal business partners to gather requirements, lead stakeholder discussions, research Medicare and Medicaid reimbursement guidelines, and request or execute data queries to support recovery initiatives and business decisions.
Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingTampa, FLMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Billing Specialist Pinnacle Home CareBilling SpecialistOldsmar, FLRemotePinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Reimbursement Analyst to join our award-winning team. Partner with Clinical Intake, Coding, QA, and Clinical Ops to ensure billable readiness: signed orders, OASIS locked, visit notes complete, therapy thresholds if applicable, homebound and medical necessity documentation.