- 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 ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- AdventHealth (Orlando, FL)
- …This includes, non-invasive services, structural heart and cardio oncology programs, Medical Provider Extenders ARNP/PA (Cardiovascular) specialty coding , system ... industry to formulate new innovative approaches to care. In addition, the Executive Director is responsible for engaging with medical staff leaders to create… more
- Evolent (Tallahassee, FL)
- …to support prior authorization and financial scope reconciliations, ensuring accuracy and compliance . + Conduct ongoing surveillance of coding updates from ... who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. As a member of… more
- Fresenius Medical Center (Venice, FL)
- …the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician relationships ... vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure… more
- AdventHealth (Maitland, FL)
- …language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ... language as it relates to reimbursement methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
- Community Health Systems (Naples, FL)
- …level and conducting formal training sessions. + Monitors regulatory changes in coding , documentation, and quality metrics, ensuring compliance with updated ... with providers through education and the physician query process, ensuring medical records accurately reflect patient severity of illness and support continuity… more
- Carnival Cruise Line (Miami, FL)
- The Email Marketing Developer is responsible for including coding emails using HTML, CSS, AMPscript, conducting rendering testing across email clients and mobile ... and maintain dynamic content libraries and assign them to customer attributes through coding within the ESP and coordination with our data partners. This may involve… more
- HCA Healthcare (Kissimmee, FL)
- …including repackaging of products for patient administration. The buyer works with the director and clinical team to ensure formulary compliance and maintains ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...pharmacy manager is unavailable. + Under the supervision of Director of Pharmacy, participates in all activities of the… more
- AdventHealth (Altamonte Springs, FL)
- …in the management of resources entrusted to them. . Reviews concurrent medical record for documentation compliance including completeness and accuracy for ... : Remote **The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of… more
- AdventHealth (Altamonte Springs, FL)
- …all. **The value you will bring to the team:** . Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity ... Per-diem **The role you will contribute:** Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of… more