- CenterWell (Tallahassee, FL)
- …Audit, and Education to develop programs to improve clinical documentation (includes coordination with Consultative Coding leaders/coders) + Partner with ... caring community and help us put health first** The Director , Medical Coding extracts clinical ...(Problem List Hygiene) + Develops strategic partnership with the Clinical Documentation Improvement (CDI) Physician Liaison to… more
- HCA Healthcare (Fort Lauderdale, FL)
- …processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and ... and documentation improvement education to Providers. + Assists the Director Coding Operations Division Support in reviewing progress against business case… more
- Guidehouse (Tampa, FL)
- …Necessity edits + Other claim level edits as assigned + As needed, review clinical documentation and diagnostic results as appropriate to validate and apply ... Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding...medical necessity of services provided and charged based on provider/ clinical documentation . + Knowledge, understanding and proper… more
- University of Miami (Medley, FL)
- … Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management ... (EMR) after initial coding to identify missed coding opportunities supported by documentation , enhancing severity...cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists. + Assists in resolving claim… more
- Edwards Lifesciences (Miami, FL)
- …Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical ... us and be part of our inspiring journey. The Director , Global Health Economics and Reimbursement is a field-based...and physicians to ensure they recognize the economic and clinical value of the transcatheter heart valve (THV) therapy.… more
- Humana (Tallahassee, FL)
- …these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, ... 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 (Tallahassee, FL)
- …which may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation , dispute, grievance, and appeals ... Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members in an… more
- Humana (Tallahassee, FL)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Datavant (Tallahassee, FL)
- …for accurate DRG and APC assignment. + Review non-CC/MCC records to assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS ... audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers,… more
- BayCare Health System (Tampa, FL)
- …physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient ... Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code… more