• Senior Claim Denial Prevention & Appeals…

    Oracle (Tallahassee, FL)
    …with focus on different reimbursement methodologies, AHA coding guidelines, and Clinical Documentation Improvement experience. + Knowledge of medical and ... more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation... clinical and reimbursement tasks such as charting, documentation , and coding by applying power of generative AI.… more
    Oracle (12/11/25)
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  • Hospice Nurse Preceptor

    Gentiva (Orlando, FL)
    …coach, and role model best practices in patient care, professional conduct, and clinical documentation + Plan and facilitate targeted clinical learning ... with clear goals and outcomes + Provide orientation covering hospice clinical policies, procedures, documentation , technology, compliance, and regulatory… more
    Gentiva (11/06/25)
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  • Registered Nurse Specialist

    MyFlorida (Tallahassee, FL)
    … for referral. Requests and follows up on request for medical records and clinical documentation . Reviews clinical documentation and medical records ... Documents pertinent assessment information received and reviewed. Completes comprehensive clinical assessments, ensuring family centered approach, within necessary timeframes.… more
    MyFlorida (12/06/25)
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  • Director, Medical Coding

    CenterWell (Tallahassee, FL)
    …for PCO risk adjustment at the division and market level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve ... clinical documentation (includes coordination with Consultative Coding leaders/coders) + Partner with MRA Strategy and Analytics teams to establish risk… more
    CenterWell (10/23/25)
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  • CDQI Nurse Specialist - Part Time - Remote

    Datavant (Tallahassee, FL)
    …to realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal ... role in elevating the impact of our medical record documentation . You will conduct daily evaluations and engage in direct communication with providers to enhance … more
    Datavant (11/11/25)
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  • CDI Provider Educator

    HCA Healthcare (Tampa, FL)
    …education and training resources for providers as defined by CDI standards. + Review documentation data and identify clinical documentation root causes and ... trends. + Represent CDI in multi-departmental projects that have clinical documentation implications. + Participate in coding and documentation pilots and… more
    HCA Healthcare (12/04/25)
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  • Medical Director - IP Claims Management

    Humana (Tallahassee, FL)
    …resolution skills. Some roles include an overview of coding practices and clinical documentation , dispute, grievance, and appeals processes, and outpatient ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Tallahassee, FL)
    …provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals processes, and outpatient services ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
    Humana (12/11/25)
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  • Medical Director - Medicaid (remote)

    Humana (Tallahassee, FL)
    …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal… more
    Humana (12/07/25)
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  • Field Medical Director, Oncology

    Evolent (Tallahassee, FL)
    …validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation , performance metrics, and contractual expectations. + ... play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the… more
    Evolent (11/24/25)
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