- Evolent (Tallahassee, FL)
- …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + ... the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment...and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and… more
- Houston Methodist (FL)
- …appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG ... diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with… more
- MyFlorida (Panama City, FL)
- … Service, PrEP Clinical Service and Follow-up: Incumbent will assist HIV Specialist in the HIV/AIDS Clinic at FDOH Bay County, when necessary. Assists in ... respectfully and courteously to fellow employees and clients. Linkage to Care Specialist Investigates communicable disease reports received by FDOH Bay County for… more
- MyFlorida (St. Petersburg, FL)
- …rate. + Review statistical reports in Logi. + Assist the Business Operations Specialist in the development and implementation of guidelines to be used for consistent ... application of criteria. + Liaisons with specialist providers requesting additional medical information as needed. INDIRECT SERVICES AND OTHER DUTIES + Backs up DOH… more
- MyFlorida (Orlando, FL)
- …to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. ** MINIMUM QUALIFICATIONS: + ... in Orange County. The incumbent serves as a Referral Specialist for the Ryan White HIV/AIDS Program (RWHAP) ensuring...of the Sunshine Care Center (SCC) have access to clinical and support services. Incumbent works in partnership with… more
- AdventHealth (Orlando, FL)
- … and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains ... changes pertaining to Medicare/Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works closely with CDI specialists and Coding, providing… more
- Elevance Health (Tampa, FL)
- …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health...and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical… more
- AdventHealth (Orlando, FL)
- …the following: will be required to work closely with AdventHealth specialty clinical teams and other specialty disease states departments to improve patient outcome, ... with specialty patients and the referral source. Serves as specialist for outpatient pharmacies with prescriptions requiring prior authorization, patient… more
- MyFlorida (Jacksonville, FL)
- …Sequencing in collaboration with NBS Biological Administrator II. Assists Molecular Analyst specialist in analysis of molecular testing. Trains staff in new methods ... Microsoft Computer applications and programs. Qualifications: Minimum - State of Florida Clinical Laboratory License as a Laboratory Technician, Chapter 483 FS and… more
- Guidehouse (Tampa, FL)
- …Required** **:** None **What You Will Do** **:** + Assists coders, compliant documentation management staff, and the Internal Revenue Integrity team with complex ... patient care cases by analyzing documentation and discussing correct code assignment. + Reviews medical...of coding errors and opportunities for coder and /or clinical education. + Serves as a technical expert/resource for… more