- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION **Job Summary** The RN Clinical Appeals Nurse provides support for internal appeals clinical processes - ensuring that appeals ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist … more
- HCA Healthcare (Ocala, FL)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have ... are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient… more
- Trinity Health (Fort Lauderdale, FL)
- …denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals , root cause analysis and ... including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and...tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation… more
- Evolent (Tallahassee, FL)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- Elevance Health (Lake Mary, FL)
- …Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more
- BrightStar Care (Naples, FL)
- …We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing ... Authorizations , appeals and re- submission of claims . Posting cash...Medical * Dental * Vision * Mileage Reimbursement for clinical / administrative positions * Employee Assistance Program *… more