• Medical Director - Medicare Appeals

    CVS Health (Tallahassee, FL)
    …Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise ... well as directing case management when necessary. The Medical Director will act as a business and clinical... Director will act as a business and clinical liaison to network providers and facilities if needed,… more
    CVS Health (08/08/25)
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  • Senior Director Hospital Coding

    Intermountain Health (Tallahassee, FL)
    …may offer a sign-on and/or a relocation bonus when applicable. As the Senior Director of Hospital Coding , you will: + Cultivate exceptional relationships and ... **Job Description:** The Senior Director of HIM (Health Information Management) holds a...integrated health system, including vendor-supported services. The leader ensures coding practices are accurate, compliant with regulations, and standardized… more
    Intermountain Health (08/08/25)
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  • Clinical Coding and OASIS Review

    BAYADA Home Health Care (Orlando, FL)
    …BAYADA Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, ... for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings...Apply your skills and knowledge of OASIS and ICD-10 coding to help clients receive the home health care… more
    BAYADA Home Health Care (07/01/25)
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  • Non- Clinical Coding and OASIS…

    BAYADA Home Health Care (Orlando, FL)
    …this requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all ... and meeting business and development goals. This is a **non- clinical ** role (Note: Clinical opportunities are also...as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and… more
    BAYADA Home Health Care (07/01/25)
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  • RN Coding Liaison

    AdventHealth (Orlando, FL)
    …equally respectful to all. The RN Coding Liaison reports to the HIM Coding Director to assist in maintaining the consistency of multifunctional day-to-day ... Works closely with CDI specialists and Coding , providing coding conventions and guidelines when clinical and coding determinations are in conflict. Works… more
    AdventHealth (08/07/25)
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  • Inpatient Coding Auditor Virtual

    AdventHealth (Tampa, FL)
    …a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor, under general supervision of the Inpatient Operations Manager, is ... responsible for the daily auditing of records. The Inpatient Coding Quality Auditor works in collaboration with the Manager to ensure the integrity of coded data,… more
    AdventHealth (08/07/25)
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  • Director of Clinical Documentation…

    Insight Global (Maitland, FL)
    Job Description Must-Haves: Bachelors in Nursing 5 years of experience in acute hospital clinical setting 5 years of CDI director or manager in large hospital ... degree in nursing, business or health related field Certified billing and coding specialist certified clinical documentation specialist OB or Pediatric… more
    Insight Global (08/11/25)
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  • Director of Clinical Documentation…

    AdventHealth (Maitland, FL)
    …you'll be caring for: AdventHealth** Central Florida **The role you'll contribute:** The Director - Clinical Document Improvement (CDI) is responsible for the ... 5 years of progressively responsible leadership as a CDI director of manager in a large acute care hospital...Nursing, Business, or Health-related field + Certified Billing and Coding Specialist (CBCS) + Certified Clinical Documentation… more
    AdventHealth (08/07/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Tallahassee, FL)
    …to deliver complex healthcare technology solutions. + Solid understanding of clinical suspecting, concurrent coding workflows, risk adjustment models (eg, ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Medical Director - Florida

    Humana (Tallahassee, FL)
    …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical more
    Humana (07/29/25)
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