- Elevance Health (FL)
- …Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement , and a minimum of 5 years of ... with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. + Broad knowledge of … more
- BayCare Health System (Clearwater, FL)
- …- RN (Registered Nurse) + Required - CCDS Certification ( Clinical Documentation ) or CDIP Certification (Document Improvement ) + Preferred - CCS Certification ... that's built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. **Title:** Supervisor Clinical Documentation Integrity -… more
- NCH (Naples, FL)
- …serve together. Visit nchjobs.org to learn more. JOB SUMMARY The Quality Improvement Clinical Documentation Integrity Specialist (QI-CDIS) responsibilities ... data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation ...inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using… more
- CenterWell (Tallahassee, FL)
- …for PCO risk adjustment at the division and market level; Partners with Clinical Documentation Improvement , Audit, and Education to develop programs ... performance. (Problem List Hygiene) + Develops strategic partnership with the Clinical Documentation Improvement (CDI) Physician Liaison to lead clinical… more
- Oracle (Tallahassee, FL)
- …helpful, with focus on different reimbursement methodologies, AHA coding guidelines, and Clinical Documentation Improvement experience. + Knowledge of ... support staff to focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation , and coding by… more
- 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… more
- Humana (Tallahassee, FL)
- …coding claim experience + Prospective payment methodologies, DRG auditing experience + Clinical documentation improvement knowledge (CDE, CDEI certification) ... performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and… more
- HCA Healthcare (Fort Lauderdale, FL)
- …processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement , practice coding processes, and ... across the division. Job Summary and Qualifications + Provides coding and documentation improvement education to Providers. + Assists the Director Coding… more
- Ascension Health (Jacksonville, FL)
- …requirements, appropriate utilization of alternate levels of care, community resources, clinical documentation improvement , coding, quality and/or compliance ... processes. + Develop strategy and processes to reduce denials and audits. + Assist with appeals and length of stay market initiatives. + Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and… more
- Humana (Dunedin, FL)
- …implementation planning. Reviews and communicates results of programs. The Quality Improvement Clinical Professional (RN) (Senior Stars Improvement , ... with travel to provider offices within region The Quality Improvement Senior Clinical Professional (RN) is responsible...and incentive programs + Data sharing and connectivity + Documentation and coding + Additional areas related to provider… more