- HCA Healthcare (Ocala, FL)
- …opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for ... **Introduction** Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want...as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job… more
- Datavant (Tallahassee, FL)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- Community Health Systems (Naples, FL)
- …Capture Specialist is responsible for reviewing, auditing, and reconciling clinical and procedural documentation to ensure accurate and timely charge capture for ... opportunities for improvement in the charge entry process. The Charge Capture Specialist collaborates with clinical departments, coding, and revenue cycle teams… more
- HCA Healthcare (Jacksonville, FL)
- …individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central ... may vary by location._** We are seeking a Collections Specialist for our team to ensure that we continue...as needed. + Completes filing and follow-up on insurance denials with coder and physicians to obtain reimbursement. +… more
- Guidehouse (Tampa, FL)
- …to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials . **This position is 100% remote** .Daily duties for this position include: + ... edits + Other claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10,… more
- Option Care Health (Tallahassee, FL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance...alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide… more
- AdventHealth (Tampa, FL)
- …plan. **The val** **ue you'll bring to the team:** Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills ... for the CDI program. Develops/utilizes educational programs to keep the Clinical Documentation Specialist /physicians/service lines/advisor up to date on… more
- HCA Healthcare (Aventura, FL)
- …to join an organization that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Inpatient Authorization Review Specialist like you to be a part of our...denied by the payor that do not require a clinical review. Communicate with third party payors to resolve… 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, ... **The val** **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with… more
- BayCare Health System (Tampa, FL)
- …built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities ... assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN.… more