20 jobs found in Tallahassee

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Applicants must currently reside in the Eastern Time Zone to be considered. Job Responsibilities Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities and prices for drugs billed. Verifies that the services and products are correctly authorized and that required documentation is on file. Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided. Evaluates payments received for correctness and applies payments accurately to the system. Verifies that payments received are correct according to the fee schedule. Applies the payment correctly to the patient account. Ensures that secondary bills and patient invoices are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. Transfers...

Option Care Home Health LLC is looking for an entry-level candidate in Tallahassee, Florida to handle invoicing and claims. The role requires a High School Diploma and offers a range of benefits including Medical, Dental, and Vision Insurance. Basic skills in Microsoft Excel and Word are necessary, alongside 0-6 months previous Infusion Reimbursement experience. Applicants must reside in the Eastern Time Zone for consideration. #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Location Address: Remote Office Tallahassee, FL 32399 Compensation Pay Range: Minimum Offer $0.00 Maximum Offer $0.00 Now Hiring: EW Coder-Lead Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled EW Coder-Lead to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers Florida-EST Work Shift: Varied Days and Hours (United States of America) Responsibilities: As a Lead EW Coder, you will coordination of coding abstracting, statistics and data retrieval functions with accountability of Accounts Receivable targets, reporting deadlines and compliance with JCAHO indicators. Some key responsibilities include: Coding and abstracting of both Inpatient and Outpatient material. Responsible for equitable distribution of work and for insuring that charts are processed in a timely way. Schedules staff in accordance with workflow and work load and trouble shoots problem areas. Performs ongoing quality...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Humana Inc is seeking a Supervisor, Medical Coding to lead the coding disputes team in Tallahassee, Florida. The role involves ensuring consistency in operations, implementing process improvements, and holding team members accountable for policies. Candidates should have at least 6 years of coding experience and 2 years of leadership experience. This remote position allows for engagement with a Fortune 100 company and offers substantial benefits and a competitive salary range of $71,100 - $97,800 per year. #J-18808-Ljbffr

Introduction Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits Parallon offers a total rewards package that supports the health, life, career 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 copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and...

HCA Healthcare is looking for a Trauma Surgical Profee Coder in Tallahassee, Florida. In this role, you will review and code clinical notes and operative reports for assigned specialties. Candidates should possess a high school diploma, coding certification, and at least two years of coding experience. Knowledge of medical terminology, anatomy, and the coding process is preferred. HCA Healthcare offers a comprehensive benefits package including medical coverage, 401(k) matching, and education assistance. #J-18808-Ljbffr

A leading health data exchange platform is seeking an experienced inpatient coder to join their team remotely. The ideal candidate will have over 3 years of coding experience in a healthcare setting and strong knowledge of medical terminology. Responsibilities include assigning and auditing medical codes with a focus on accuracy. This position offers flexible scheduling and comprehensive benefits including medical and education support. #J-18808-Ljbffr

A healthcare provider based in Tallahassee, FL is seeking a skilled Lead EW Coder to join their remote team. Responsibilities include coordinating coding abstracting, ensuring compliance with regulatory changes, training new staff, and monitoring the quality of work within the unit. Candidates should have a high school diploma or GED, with requisite coding certification and 1-3 years of coding experience. The position offers a full-time opportunity with varied working shifts. #J-18808-Ljbffr

Location Remote Office Tallahassee, FL 32399 Compensation Minimum Offer $24.62 Maximum Offer $37.58 Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled EW Coder-Lead to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers Florida Work Shift: Varied Days and Hours (United States of America) Responsibilities As a Lead EW Coder, you will coordination of coding abstracting, statistics and data retrieval functions with accountability of Accounts Receivable targets, reporting deadlines and compliance with JCAHO indicators. Some key responsibilities include: Coding and abstracting of both Inpatient and Outpatient material. Responsible for equitable distribution of work and for insuring that charts are processed in a timely way. Schedules staff in accordance with workflow and work load and trouble shoots problem areas. Performs ongoing quality monitoring of individuals in the unit and provides monthly feedback in the form...

A leading pharmaceutical company is seeking an Associate Director of Scientific Communications in Tallahassee, Florida. The role involves managing the scientific communications strategy, overseeing the development of medical publications, and providing leadership to a team. Candidates should possess an advanced scientific degree and at least 7 years of experience in Medical Affairs or Scientific Communications. The position offers a competitive salary range and comprehensive benefits package. #J-18808-Ljbffr

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

The Cigna Group is looking for a Medical Coder in Tallahassee, Florida. In this role, you will conduct post-service administrative claims reviews and make coverage determinations based on standard policies. The position requires a high school diploma or GED, along with a CPC or CCS-P certification. Desired qualifications include coding experience and familiarity with healthcare regulations. Benefits include competitive hourly pay, health insurance, 401(k), and paid time off. #J-18808-Ljbffr

A healthcare data platform company is seeking experienced inpatient coders to assign diagnostic codes and ensure accurate coding practices in a fully remote role. The candidate should possess a minimum of 3 years of experience in inpatient coding, ideally in a trauma center. Strong attention to detail and knowledge in medical terminology are necessary. The position offers benefits like a 401k savings plan and equipment provision for remote work. #J-18808-Ljbffr