- CVS Health (Tallahassee, FL)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding , and reimbursement expertise as ... / Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight...directing case management when necessary. The Medical Director will act as a business and clinical… more
- 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 (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...Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with… more
- Evolent (Tallahassee, FL)
- …The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate medical coding and compliance with risk adjustment models. **What You will Be ... coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and...healthcare administration, or a related field. + **Certification in medical coding (CRC- Certified Risk Adjustment Coder)… more
- AdventHealth (Tampa, FL)
- …six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come .Awarded the Get With The Guidelines - ... a Primary Stroke Center. **The ro** **le you'll contribute:** The Inpatient Coding Quality Auditor, under general supervision of the Inpatient Operations Manager, is… more
- 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
- Elevance Health (Tampa, FL)
- ** Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... of life through home-care and community based services. The ** Clinical Document Improvement Director ** is responsible for...of related experience, including 3 years of hands-on HCC coding , chart review, and RAF calculations; or any combination… more
- 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 ... Medical Staff + Organize process improvement/committee on a clinical or product line basis to address documentation improvement opportunities. Provides… more
- Humana (Tallahassee, FL)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and… more