- University of Miami (Hialeah, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Documentation Specialist 1 provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and leadership to the Global Quality function with responsibilities for Global Clinical Quality (GCQ), CSV and GPV. In this role, the leader oversees ... **Data Integrity:** Ensure the accuracy, consistency, and reliability of clinical and PV data through robust Quality ...Clinical vendor management and vendor oversight. + **Management Review :** Establish and maintain a system to ensure R&D… more
- Molina Healthcare (Orlando, FL)
- …read team, National Training Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level ... as NCQA reviews, CAHPS and state audits by reviewing clinical documentation. + Provides data collection, presentations and report...SKILLS & ABILITIES:** + 5 years experience in healthcare Quality /HEDIS specific to medical record review and… more
- AdventHealth (Orlando, FL)
- …we are even better. **Schedule:** Full Time **Shift** : Days **Location: Remote ** **The role you'll contribute:** The Clinical Documentation Integrity Manager ... clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age...severity of illness (SOI), risk of mortality (ROM), and quality . + Completes accurate and timely record review… more
- Prime Therapeutics (Tallahassee, FL)
- …including documentation of all daily activities. + Performs related duties as requested. + Clinical and Quality oversight for this program is provided by the ... decision we make. **Job Posting Title** Infusion Referral Nurse Sr- REMOTE **Job Description** Under supervision, is responsible for performing referral services… more
- Merck (Tallahassee, FL)
- …content review and approval for IND/CSA submissions to enable clinical trial initiation. + Participate in regulatory due diligence activities for in-licensing ... the preparation, submission, and follow-up of regulatory applications and ensure quality and compliance across all documentation. + Interact independently with… more
- Datavant (Tallahassee, FL)
- …in weekly coding project review meetings + Any other tasks asked by quality supervisor **What You Need to Succeed:** + 2 years' HCC Coding experience + 2 ... As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a...purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity… more
- Prime Therapeutics (Tallahassee, FL)
- …drives every decision we make. **Job Posting Title** Program Analyst - Remote **Job Description** The Program Analyst is responsible for providing project ... support to one or more of Prime's functional areas: Clinical Program Management, Utilization Management (UM), Formulary, GuidedHealth, Pharmaceutical Trade… more
- Datavant (Tallahassee, FL)
- …vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's… more
- AdventHealth (Tampa, FL)
- …Management, the Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to ... also located at AdventHealth Tampa, leads the way in clinical and academic research in the areas of neuroscience,...with other disciplines to assist in the improvement of clinical documentation, patient safety, and quality outcomes.… more