• Registered Nurse Coding Liaison

    AdventHealth (Altamonte Springs, FL)
    …integrity and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains ... with AHIMA Preferred + Certified Professional Coder (CPC) Preferred + Certified Clinical Documentation Specialist (CCDS) Preferred + Previous CDI experience… more
    AdventHealth (08/07/25)
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  • Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS ... **The value you'll bring to the team:** + Reviews, analyzes, and interprets clinical documentation applying ICD-10 codes in accordance with ICD-10-CM rules and… more
    AdventHealth (08/07/25)
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  • Medical Director - Mid West Region

    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,… more
    Humana (08/08/25)
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  • Medical Director Physician Advisor UM

    AdventHealth (Altamonte Springs, FL)
    …as collaborating with other disciplines to assist in the improvement of clinical documentation , patient safety, and quality outcomes. Through primary support ... of Utilization Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to… more
    AdventHealth (08/07/25)
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  • Medical Director- South Central

    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,… more
    Humana (07/11/25)
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  • RN Case Manager, Home Health

    CenterWell (Ocala, FL)
    …with the physician and Clinical Manager, preparing and completing needed clinical documentation . + Prepare appropriate medical documentation on all ... each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the...current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part… more
    CenterWell (08/12/25)
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  • Registered Nurse, Home Health

    CenterWell (Clearwater, FL)
    …with the physician and Clinical Manager, preparing and completing needed clinical documentation . + Prepare appropriate medical documentation on all ... each patient, provide necessary follow-up as directed by the Clinical Manager. + Confer with physician in developing the...current plan of care. Monitor the appropriate completion of documentation by home health aides/personal care workers as part… more
    CenterWell (08/12/25)
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  • Utilization Review Clinician - EST/CST hours

    Monte Nido (Miami, FL)
    …& Admissions by discussing services covered by the members benefits and reviewing clinical documentation needed to successfully advocate for our clients. 3. ... and decrease peer to peer reviews. 10. Follows standardized processes and clinical documentation . 11. Communicates emerging trends with insurance companies to… more
    Monte Nido (06/21/25)
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  • Inpatient Coder 3 (H)

    University of Miami (Medley, FL)
    …with the Clinical Care Transformation (CDI) team as part of the clinical documentation validation and physician query workflow. + Analyze and sequence codes ... physiology, medical terminology, and disease processes. + Identify cases with clinical indicators that require provider documentation , clarification, and/or… more
    University of Miami (07/30/25)
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  • Quality Senior Analyst

    CVS Health (Tallahassee, FL)
    …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... and internal policies and procedures. Contributes to compliance reporting and documentation , highlighting findings, recommendations, and areas of concern to be… more
    CVS Health (08/08/25)
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