- Molina Healthcare (Miami, FL)
- …Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, ... readmissions. + Validates member medical records and claims submitted/correct coding , to ensure appropriate reimbursement to providers. + Resolves escalated… more
- Aston Carter (Doral, FL)
- …multiple entities, overseeing daily AR and AP operations, and supervising the AR Specialist and AP Specialist . The ideal candidate is organized, proactive, and ... team while ensuring accurate and timely financial reporting. Responsibilities + Supervise AR Specialist and AP Specialist ; set daily priorities and review work.… more
- MyFlorida (Monticello, FL)
- …clinical nursing coverage. Responsibilities include, but are not limited to: Clinic Activity : Renders skilled nursing care for all clients at the County Health ... Department. Responsible for all client-clinic activity including, but not limited to, the following: Adult Health, Obstetrics, Family Planning, Immunizations,… more
- Parexel (Tallahassee, FL)
- …events from source documents, assign appropriate Medical Dictionary for Regulatory Activities (MedDRA) code, review narrative + Identify and resolve case issues, ... matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for accuracy and… more
- Butterfly Effects (Deerfield Beach, FL)
- …Effects, a national ABA-informed therapy provider, is seeking a dedicated Medical Collections Specialist to join our team. This role plays a vital part in ensuring ... to our families across the country. About the Role As a Medical Collections Specialist , you will support our national collections efforts with a focus on accuracy,… more
- HCA Healthcare (Tampa, FL)
- …part of our team. **Job Summary and Qualifications** **Summary:** The CDI Operations Specialist will provide onsite support for the CDI functions at the division and ... that has been trended and analyzed related to CDI outcomes. The Operations Specialist will conduct focused reviews, operational projects and pilots as defined. This… more
- SitusAMC (Tallahassee, FL)
- …functional teams, Warehouse Administration Services, ProMerit implementation and product specialist teams. + Communicate professionally and timely with clients via ... members to help develop and enhance skills + Other activities as assigned by your manager Qualifications/ Requirements: +...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- Oracle (Tallahassee, FL)
- …and regulatory functions to align clinical best practices with product lifecycle activities . . Ensure clinical compliance with FDA, MDR, and ISO 14155, acting ... authorities . Provides medical support for reportability decisions and accurate coding for device adverse events and malfunctions **Risk Management & Regulatory… more
- ServiceNow, Inc. (West Palm Beach, FL)
- …their ServiceNow investment. **The Role** The Principal Technical Consultant, Integrations Specialist is the functional and technical expert of a customer engagement ... expert problem solvers with extensive programming skills and abilities in multiple coding languages and frameworks. They also resolve errors, provide support, and… more
- HCA Healthcare (Largo, FL)
- …changes on a timely basis + Follow ACOS and state data standards and coding instructions to abstract all reportable cases + Attend state and national educational ... activities as approved by Director + Submit data to...systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer… more