- Immigration and Customs Enforcement (Miami, FL)
- …care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted by ... performed or to protect the quality of life or healthcare services. Applying a range and depth of knowledge...areas and phenomena. Nurses collaborate with physicians and other healthcare professionals to develop the nursing care patient plan… more
- Banner Health (FL)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding...coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and… more
- Humana (Tallahassee, FL)
- …and state partnership, oversees the budget, financial reporting, and all audit activities. The individual in this role coordinates day-to-day financial operations ... financial drivers, and forecasting including headcount planning to ensure compliance with Commonwealth requirements + Performs financial impact analysis for… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… 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
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** ... sample distribution. The role ensures vendor performance, operational reliability, and compliance while collaborating closely with the Field Strategy & Operations… more
- Humana (Tallahassee, FL)
- …service should be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which may include national clinical ... participate in meetings involving care management, provider relations, quality of care, audit , grievance and appeal and policy review. The Behavioral Health Medical… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...program + Play a key role in ensuring coding compliance and accuracy + Monitor the performance of the… more
- University of Miami (Doral, FL)
- …of quality, safety, and service while ensuring population-specific patient care and compliance with the research protocol in an ambulatory setting. The Clinical ... and skills needed to manage their care and prevent complications while ensuring compliance with the research protocol. As a professional, monitors the quality of… more
- University of Miami (Miami, FL)
- …leakage, and supporting system improvements that enhance revenue integrity across the healthcare enterprise. Working under the direction of the Director of Revenue ... the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best… more
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