- Humana (Tallahassee, FL)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
- Humana (Tallahassee, FL)
- …Other duties include, but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including ... and work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical reference… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services, length of stay and… more
- BayCare Health System (Largo, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **Positions Details:** **Location:** Remote/Hybrid (Must reside in State of ... Florida) **Status:** Full Time, Exempt: Yes **Shift Hours** **:** 8-4:30 The Manager Clinical Documentation Improvement Program (CDI): + High level of clinical … more
- Elevance Health (Tampa, FL)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Virtual:** This role enables associates to work virtually full-time, with the ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
- AdventHealth (Tampa, FL)
- …Research Institute, also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience, cardiovascular medicine, ... and other diseases. **The ro** **le you'll contribute:** Oversees site-based Clinical Documentation Integrity (CDI) program; monitors and maintains the timeliness of… more
- Actalent (Orlando, FL)
- Clinical Research Budget Analyst Job Description The Clinical Research Budget Analyst collaborates with Principal Investigators, researchers, departmental staff, ... and other ancillary staff to analyze and draft complex clinical trial budgets. The role involves negotiating mutually satisfying...interpreting protocol for budget development. + Experience in medical coding or billing. + 3 years of experience in… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of SCCC has an exciting opportunity for a Full Time Clinical Research Coordinator 3 to work at the UHealth medical campus in Miami, Fl. ... CORE JOB SUMMARYThe Clinical Research Coordinator 3 (A) serves as experienced ...resolution, and alignment with the study data dictionary and coding standards. Generates curated data sets for investigators and… more
- AdventHealth (Orlando, FL)
- …States and the world. All within a 'living laboratory' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of ... month. This is a requirement of the position. The Clinical Documentation Integrity Manager is a Registered Nurse and/or...to all CDI staff; extensive knowledge of I10 and coding guidelines. + Develops, produces, and delivers training for… more
- AdventHealth (Orlando, FL)
- …Virtual **The role you'll contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the ... Clinical Documentation Integrity Manager, and in collaboration with physicians,...them to resolves discrepancies with DRG assignments and other coding issues. Completes well-timed follow-up case reviews on all… more