- AdventHealth (Maitland, FL)
- …- Altamonte Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... quantify, and present contract compliance violations. He/she will perform extensive review of contract...to reimbursement methodologies * Applies significant understanding of medical coding systems affecting the adjudication of claims to include… more
- ChenMed (Miami Gardens, FL)
- …limited to certifications, authorizations, insurance assignments, coordination of benefits and compliance . + Medical Billing and coding Certification required or ... accurate professional billing. Role is also responsible for ensuring compliance with all organizational, statutory, and federal, contractual obligations,… more
- Paragon Cyber Solutions (Tampa, FL)
- …system/security engineering principles, secure design, secure architecture, and secure coding techniques. + Responsible for Assured Compliance Assessment ... of Cybersecurity related experience (hands on security engineering). + Assured Compliance Assessment Solution (ACAS) experience is mandatory. + Experience conducting… more
- AdventHealth (Altamonte Springs, FL)
- …with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician ... policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts… more
- BayCare Health System (Clearwater, FL)
- …+ **Days:** Monday through Friday, occasional weekends This Audit and Compliance Supervisor opportunity is a full-time position. This position requires onsite ... travel to hospitals and other sites. **Responsibilities:** The Audit and Compliance Supervisor will support Patient Financial Services Leadership which includes… more
- American Express (Sunrise, FL)
- …Defense subject-matter expert team responsible for administering a comprehensive regulatory compliance program for the American Express Fair Lending Program Office ... fair lending laws and regulations. This position will ensure that compliance risks are adequately identified, assessed, and monitored. The main responsibilities… more
- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... to prevent and detect fraud, waste, and abuse. The Compliance Nurse 2 work assignments are varied and frequently...setting + Risk adjustment experience + Auditing experience + Coding background + Ability to work independently under general… more
- University of Florida (Jacksonville, FL)
- …as achieving productivity standards in the department to ensure efficiency and compliance with all coding and documentation requirements. + Reviewing performance ... of medical directors and other key management staff, making recommendations regarding individual goal setting and development opportunities. Measuring progress against established goals and objectives. + Ensuring Leadership in development, implementation and… more
- The Cigna Group (Orlando, FL)
- …environments and partner with testers, as well as enforce Pega best design and coding practices, while maintaining high compliance levels for Pega code. Design, ... develop, and deliver modules related to project iterations and ensure adherence to industry and technology best practices in code delivery, as well as publish application design documents. Gather requirements from clients and create workflows and decision… more
- University of Miami (Hialeah, FL)
- …of ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all ... develop and provide educational training for CDI teams, providers, etc. + Uphold compliance by assigning and sequencing accurate ICD 10 codes to inpatient medical… more
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